2025 Test Bank With 180 Complete 180 Questions

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Rn Ati Capstone Comprehensive Assessment 2025 Test Bank With 180 Complete 180 Questions And Answers (Verified Answers) |Already Graded A+||Brand New!!

• A nurse is assessing a client's internal eye structures with an

ophthalmoscope. Which of the following actions should the nurse take?

• Position the examination light toward the client's face
• Stand on the right side of the client when examining the left

eye

• Dim the lights in the room prior to the examination
• Place the ophthalmoscope directly against the client's

forehead - ANSWER-Dim the lights in the room prior to the examination

• A nurse is observing a newly licensed nurse irrigate a client's

wound. Which of the following actions should the nurse identify as an indication that the newly licensed nurse understands wound irrigation?

• Cleanses the wound with povidone-iodine with cotton balls
• Administers PO analgesia 20 min prior to irrigation 1 / 4

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• Warms the irrigation solution in the microwave oven prior to

application

• Irrigates the wound from the top to the bottom - ANSWER-

Administers PO analgesia 20 minutes prior to irrigation

• A nurse is planning care for a child who has increased

intracranial pressure with a decrease in level of consciousness.Which of the following interventions should the nurse include in the plan of care?

• Perform active range-of-motion exercises
• Maintain the head at a midline position
• Suction the airway frequently
• Perform neurological checks every 4 hrs - ANSWER-

Maintain the head at a midline position

• A nurse notices smoke coming from a client's room and

discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action?

• Notify the facility operator
• Close the fire doors on the unit
• Turn off oxygen sources 2 / 4

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• Put out the fire with the appropriate extinguisher -

ANSWER-Close the fire door on the unit

• A nurse is talking with an adult child of a client who was

involuntarily admitted to an inpatient mental health facility.Which of the following statements should the nurse make?

• The provider will notify your patient's employer about

admission to the facility

• Your parent will have to take the medication that the doctor

prescribes

• Your parent might have electroconvulsive therapy without

providing consent

• The provider can prescribe restraints if your parent tries to

harm others - ANSWER-The provider can prescribe restraints if your parent tries to harm others

• A nurse is assessing a client who has delirium due to a

febrile illness. Which of the following findings should the nurse expect?

• Hallucinations
• Agnosia
• Bradycardia
• Aphasia - ANSWER-Hallucinations 3 / 4

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• A nurse is assessing a client who is receiving enteral

feedings via a gastrostomy tube. The nurse should identify that which of the following findings indicates fluid overload?

• Diminished bowel sounds
• Bradycardia
• Hypotension
• Bounding pulses - ANSWER-Bounding pulses

• A nurse is caring for a client following an open colectomy.

Which of the following findings places the client at risk for delayed wound healing?

A. INR 1.1

• Hyperemesis
• HbA1c 5.6%
• Uncontrolled pain - ANSWER-Hyperemesis

• A nurse is assessing a client who has a complete heart block

and is receiving transcutaneous pacing. Which of the following findings indicates to the nurse that the treatment is effective?

• Heart rate greater than 60/min
• Pedal pulses 2+
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