RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT A NEWEST 2024 ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT A NEWEST 2024 ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record? a. Completion of the incident report b. Time the medication was given c. Reason for the medication error d. Notification of the pharmacist - ANSWER- b. Time the medication was given Rationale; The nurse should document the time, the name of the medication, the dose, and the route in which the medication was given on the client's medication administration record immediately after it was administered. The nurse should also document the time that the incorrect medication was administered to the client in the incident report, as this is a fact directly related to the occurrence. a. The nurse should complete an incident report for legal protection of the facility but should not document anything concerning the completion of the report in the client's medical record. 2 | P a g e c. The nurse should document the reason for the medication error in the incident report, rather than in the client's medical record. d. It is not necessary to notify the pharmacist when a medication error has occurred. Therefore, the nurse should not document this in the medical record or in the incident report. A nurse is providing information to a client immediately before his scheduled Romberg test. Which of the following statements should the nurse make? a. "You will be standing with your feet 1 foot apart." b. "You will place and hold your hands on your hips." c. "I will be standing across the room from you to evaluate your sense of balance." d. "I will be checking you once with your eyes open and once with them closed." - ANSWER- d. "I will be checking you once with your eyes open and once with them closed." Rationale; The nurse should inform the client that the Romberg test will be performed once with eyes open and once with eyes closed. A Romberg test is performed to assess balance and motor function. a. The nurse should inform the client that during the Romberg test, he will be standing with his feet together. b. The nurse should inform the client that during the Romberg test he will place his arms at his sides in a resting position. c. Standing across the room from the client during a Romberg test is a risk to the client's safety. Therefore, the nurse should stand close to the client to prevent the client from falling. 3 | P a g e A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? a. Instruct the client to void. b. Position the client on their left side. c. Insert an IV catheter. d. Prepare the client for moderate (conscious) sedation. - ANSWER- a. Instruct the client to void. Rationale; The nurse should instruct the client to void prior to the procedure, because an empty bladder decreases the risk of a bladder puncture and minimizes the client's discomfort during the procedure. b. The nurse should position the client upright or in high Fowler's position. c. An IV catheter is not necessary for a paracentesis. d. The nurse should instruct the client that the provider will administer a local anesthetic before beginning the procedure. Moderate sedation is not required for a paracentesis. A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea. Which of the following findings indicates the client's use of ginger tea is effective? a. The client reports a decrease in episodes of nausea. b. The client reports a decrease in breast tenderness. c. The client reports a decrease in headaches. 4 | P a g e d. The client reports a decrease in urinary frequency. - ANSWER- a. The client reports a decrease in episodes of nausea. Rationale; The nurse should realize that a decrease in the client's nausea indicates the ginger tea is effective. The client can also safely use ginger ale and ginger snaps to alleviate nausea associated with pregnancy. b. Ginger tea has no effect on breast tenderness during pregnancy. The client can wear a supportive bra to decrease breast tenderness. c. Ginger tea has no effect on the incidence of headache during pregnancy. The client can take acetaminophen to relieve mild headache pain. d. Ginger tea will not decrease urinary frequency during pregnancy. The client can practice Kegel exercises to strengthen pelvic floor muscles to decrease urinary frequency. A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention by the preceptor? a. Documents client tasks upon completion b. Starts a task then determines what supplies are needed c. Completes a client assessment while infusing an IV antibiotic over 30 min d. Returns to the nurses' station after completing several tasks in the same location - ANSWER- b. Starts a task then determines what supplies are needed