ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse manager is reviewing medical records to recommend clients for discharge following a local mass casualty event. Which of the following clients should the nurse recommend for discharge?
Correct Answer: D
Rationale: A client who is scheduled to have a colonoscopy in 12 hr. This is an elective procedure, and the client is stable for discharge. Heart failure, recent chest pain, and seizures require ongoing monitoring.
Question 2 of 5
A nurse is assessing an older adult client. Which of the following statements indicates that the client is at a risk for being socially isolated?
Correct Answer: C
Rationale: Not attending church due to a lost hearing aid suggests withdrawal from social activities, increasing isolation risk. Loud speech, limited babysitting, or grocery trips do not indicate isolation.
Question 3 of 5
A nurse is preparing a client for a pelvic examination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Instruct the client to bear down when the speculum is inserted. This helps relax the pelvic muscles and makes insertion easier, reducing discomfort. Holding breath increases tension, a full bladder causes discomfort, and the lithotomy position is correct, not Sims'.
Question 4 of 5
In which order should the nurse perform the following steps for administering timolol eye drops? A. Administer the prescribed number of drops, B. Apply gentle pressure to the client's punctum, C. Tilt the client's head backward toward the ceiling, D. Pull the client's lower lid down with the nondominant hand, E. Verify the clarity and color of the eye drops.
Correct Answer: E,C,D,A,B
Rationale: 1. Verify the clarity and color of the eye drops to ensure safety. 2. Tilt the client's head backward to position the eye. 3. Pull the lower lid down to create a pocket. 4. Administer the drops. 5. Apply pressure to the punctum to prevent systemic absorption.
Question 5 of 5
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Select a site proximal to previous venipuncture sites. This is the appropriate action because using a site above a previous one ensures better vein integrity and reduces complications. The nondominant arm is preferred to minimize interference with daily activities. The palmar side of the wrist should be avoided due to pain and risk of nerve damage. Smaller gauge catheters are preferred to reduce vein irritation.