ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: Placing a tuning fork on the head assesses sound lateralization in Weber's test. Other actions are not part of this procedure.
Rationale:
Question 2 of 5
A charge nurse is evaluating a newly licensed nurse who is caring for a client who has measles. For which of the following actions by the newly licensed nurse should the charge nurse intervene?
Correct Answer: Positive airflow can spread measles; negative airflow is required. N95 use, airborne precautions, and masks during transport are correct.
Rationale:
Question 3 of 5
A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?
Correct Answer: Fever may indicate infection, a serious concern with clozapine due to the risk of agranulocytosis. Diaphoresis, polyuria, and diarrhea are less urgent but should be monitored.
Rationale:
Question 4 of 5
A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a sitting position. Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension?
Correct Answer: Orthostatic hypotension is defined by a systolic blood pressure drop of 20 mm Hg or more upon standing. Increased heart rate, increased diastolic pressure, or palpitations are not specific to this condition.
Rationale:
Question 5 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: Frequent swallowing may indicate bleeding, a critical post-tonsillectomy complication requiring immediate intervention.
Rationale: