ATI RN CAPSTONE COMP FORM B
COMPREHENSIVE TEST B 2024 FINAL EXAM
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority?
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coug...
ATI RN CAPSTONE COMP FORM B
COMPREHENSIVE TEST B 2024 FINAL
EXAM
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the
following actions is the priority?
A.Assess fluid intake every 24 hours
B.Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site forfindings
of infection C
The priority action the nurse should take when using the airway, breathing, circulation
approach to client care is to assist the client with deep breathing and coughing,
which reduces the risk for postoperative pneumonia.
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize
which of the following statements by the client as a constructive use of a defense
mechanism?
A.I have experienced physical discomfort when intimate with my partner since my diagnosis
B.I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support group for other
women who are sick in my community
D. I used to mistrust my doctor, but now I know that she is the best one to care
for me during my illness C
This statement indicates that the client is using the constructive defense mechanism
sublimation by devising a socially acceptable alternative to facing a reality that she
does not wish to accept.
A nurse is caring for a client who has immunosuppression and a continuous IV infusion.
Which of the following actions should the nurse take?
A.Assess the clients IV site every 8 hours
B.Check the clients WBC count every 48 hours
C. Monitor the clients mouth every 8 hours
D. Change the clients IV tubing every
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,48 hours C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD). Which of the
following areas should the nurse assess formanifestations of HD?
A.Eyes area
B.Chest area
C. Lower abdominal area
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C
Hirschsprung disease is a condition that affects the large intestine (colon) and causes
problems with passing stool. This is present at birth (congenital) as a result of missing nerve
cells in the muscle of the baby's colon
A nurse at a mental health clinic is caring for four clients. The nurse should recognize that
which of the following clients isusing dissociation asadefensemechanism?
A.A client forgetsto buy their partner a birthdaygift after a disagreement
B.A client who was abused as a child describes the abuse as if it happened to someone else.
C. A client who is shorter than average is verbally assertive with coworkers
D. A client states that they did not get ajob promotion because the
boss did not like them B
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus.
The nurse should instruct the client to monitor for which of the following findings as
a manifestation of hypoglycemia?
A.irritability
B.increased urination
C. vomiting
D. facial
flushing A
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is effectively using sublimation as a
defense mechanism?
A.A client who transferstheir anger about their job onto their family and then
apologizes
B.A client who misses provider appointments because they say they are too busy
C. A client who channels their energy into a new hobby following the loss of their
job
D. A client whose partner died 4 years agosetsa placefor him at
dinner each night C
The nurse should identify that this client is using the defense mechanism of sublimation by
channeling negative feelings over the loss of their job into a new hobby.
A hospice nurse is consulting with a client and her family about receiving home services.
Which of the following statements should the nurse identify as an indication that the
family understands home hospice care?
A."We can expect the hospice nurse to provide support for us after our mother's death."
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