ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?
Correct Answer: A high-pressure alarm indicates airway obstruction, often from secretions. Suctioning clears the airway. Tracheostomy, tightening connections, or checking for cuff leaks are not the priority.
Rationale:
Question 2 of 5
A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home. Which of the following instructions should the nurse include?
Correct Answer: Sudden headaches may indicate a crisis or stroke. Immunizations are essential, heat (not cold) relieves pain, and hydration prevents crises.
Rationale:
Question 3 of 5
A nurse is assessing a client who is receiving enteral feedings via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client's feedings?
Correct Answer: Adding water reduces formula osmolarity, preventing hyperosmolar dehydration. Repositioning, increasing rate, or switching formulas do not address this issue.
Rationale:
Question 4 of 5
A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?
Correct Answer: Cataract surgery replaces the cloudy lens with an artificial one. Bruising, dark spots, or general anesthesia are not typical.
Rationale:
Question 5 of 5
A nurse is caring for a client who is postpartum and expresses concern about how her preschool-age son will react to having a baby sister. Which of the following strategies should the nurse suggest?
Correct Answer: A gift from the baby fosters positive feelings in the sibling. Other strategies are less effective for initial adjustment.
Rationale: