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NUR 2989 CAPSTONE PROCTORED MODULE 7 ATI
CAPSTONE 2025| QS AND AS|A+ GRADE
A nurse is observing client care provided by assistive personnel (AP). Which of the following actions should prompt the charge nurse to intervene? a. The AP puts on clean gloves prior to brushing a client's teeth. b. The AP attaches a client's urinary drainage bag to the bed frame. c. The AP instructs a client who needs assistance with turning to place his arms at his side before the turn. d. The AP applies moisturizing cream to the feet of a client who has diabetes mellitus. c. The AP instructs a client who needs assistance with turning to place his arms at his side before the turn. A nurse is assessing an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect? a. Elevated mood b. Anxiety c. Emotional numbing d. Impulsivity
d. Impulsivity A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include? a. Make sure a family member is present to interpret for the staff b. Encourage the client to nod to indicates understanding c. Determine the client's level of fluency in his primary language d. Speak directly to the interpreter when teaching the client b. Encourage the client to nod to indicates understanding A nurse has completed care procedures for client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove last? a. Gloves b. Gown c. Mask d. Goggles c. Mask
A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure. "Which of the following actions should the nurse take? a. Remind the client the consent form has already been signed b. Discuss alternatives to the procedure c. Explain why this procedure is necessary d. Inform the provider that the client is withdrawing consent d. Inform the provider that the client is withdrawing consent A nurse in a mental health facility is caring for a client who is a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication? a. "You need to calm down before discussing this matter any further" b. "I understand that you are angry. However, I followed the appropriate protocol c. "You were made aware of the consequences of negative behavior" d. "Why did you make the choice to behave negatively?" b. "I understand that you are angry. However, I followed the appropriate protocol
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make? a. "You said that you feel guilty about your daughter's diagnosis. Lets talk about what is causing you to feel this way". b. "Your provider has explained the causes of schizophrenia why you feel guilty about your daughter diagnosis?" c. "You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable". d. "I'm sure your daughter's diagnosis is very difficult to deal with, but everything will be all right once she receives the proper treatment". a. "You said that you feel guilty about your daughter's diagnosis. Lets talk about what is causing you to feel this way". A nurse in the emergency department is assessing a client who has experienced intimate partner abuse. The nurse should monitor the client for which of the following behavioral findings? a. Body image disturbance b. Altered role performance c. Personal identity disturbance
A nurse is caring for a client who is experiencing a normal grief reaction following the loss of her spouse. Which of the following finding should the nurse expect? a. Chest pain b. Insomnia c. Hypertension d. Dry month a. Chest pain A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts? a. Negligence b. Assault c. Battery d. False imprisonment c. Battery
A nurse overhears two assistive personnel (AP) from the medical- surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action? a. Document the occurrence in a personal log b. Complete an incident report c. Quietly tell the APs that this is not appropriate d. Ask the nurse manager to provide an in-service program about confidentiality to the staff on the unit. c. Quietly tell the APs that this is not appropriate A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take? a. Wear a mask when providing care to the client b. Ensure the client's room has HEPA filtration c. Place the client in a room with negative airflow d. Wear a gown when providing care to the client a. Wear a mask when providing care to the client A nurse sees assistive personnel (AP) entering the room of a client who requires transmission-based precautions without using the
a. Observing a postoperative client who is confused b. Assisting a client who has difficult seeing the foods on the tray while eating c. Delivering a routine urine specimen to the laboratory d. Delivering meal trays to clients in their rooms a. Observing a postoperative client who is confused A nurse on a medical surgical unit is assigning task to assistive personnel (AP). Which of the following task should the nurse delegate to the AP? (select all that apply) a. Irrigate a wound b. Transfer a client to a stretcher c. Demonstrate the technique to instill eye drops d. Ambulate client who has a cane e. Record urinary output b. Transfer a client to a stretcher d. Ambulate client who has a cane e. Record urinary output
A nurse is assessing the medical record of a female client who has anorexia nervosa. Which of the following findings should the nurse expect? a. Heat intolerance b. Low bone density c. Heavy monthly period d. Decreased cholesterol levels b. Low bone density A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse include in the discussion as a health risk of heroin use? a. Nasal septum perforation b. Permanent short-term memory loss c. Slowed breathing d. Acute pancreatitis c. Slowed breathing
a. "Good Samaritan laws prohibit the victim from filing lawsuit against the nurse". b. "If you render aid in an accident, do not leave the scene until another competent person can take over" c. "Federal laws require a licensed nurse to render aid in an emergency" d. "A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws". b. "If you render aid in an accident, do not leave the scene until another competent person can take over" A nurse is interviewing a female client who is Hispanic. The client's answers the questions and states. "she speaks only a little English." Which of the following actions should the nurse take? a. Ask the client's partner to translate questions and answer for the client b. Arrange to complete the assessment with only the client and a translator's present c. Use an internet website ending in.com to translate for the client d. Ask a male student nurse to translate for the client
b. Arrange to complete the assessment with only the client and a translator's present A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide? a. Services are centered in long-term care facilities b. This service focuses on teaching the primary caregivers to meet the client's needs c. The emphasis is on the client's complete recovery from the illness or injury d. This service began with the client's admission to the hospital c. The emphasis is on the client's complete recovery from the illness or injury A nurse is caring for a client who has dementia. The client is agitated and is have difficulty staying in his chair. Which of the following actions should the nurse take first? a. Place a seat alarm in the client's chair b. Place the client in bed with the two side rails raised c. Apply a vest restraint on the client
f.Lesbians, gay, bisexual, transgender g.Age greater than 15 a. Diagnosis of schizophrenia, depressive, personality, bipolar, substance use disorders c. Male gender e.Military personnel/veterans f.Lesbians, gay, bisexual, transgender g.Age greater than 15 A nurse is caring for four clients. The nurse should identify which of the following clients as having contraindication to receiving moist heat. a. A client who is T Day postoperative and has deep vein thrombosis b. A client who has osteoarthritis and has pain of lower extremity joints c. A client has a spinal cord injury and muscle spasm of the lower back d. A client who broke his ankle 2 hr ago and has swelling of the low extremity d. A client who broke his ankle 2 hr ago and has swelling of the low extremity A nurse is assessing a client following a natural disaster who is having trouble sleeping due to nightmares, feelings of survivor guilt and
difficulty concentrating. Which of the following diagnoses describe the client's symptoms? a. Dissociative identity syndrome b. Histrionic personality disorder c. Post-traumatic stress syndrome d. Generalized anxiety disorder c. Post-traumatic stress syndrome A nurse is planning care for 4-year-old child who requires airborne precautions. Which of the following activities should the nurse plan for child? a.Constructing a model airplane b.Putting a large piece puzzle together c.Pulling a wagon with toys in the hallway d.Watching a video game in the playroom b.Putting a large piece puzzle together A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition? a. "Postpartum depression usually begins 48 hours after childbirth"
A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take? a. Use sign language when communicating with the client b. Speak directly to the client in a normal, clear voice c. Sit by the client's side and speak very slowly. d. Speak loudly and into the client's good ear. b. Speak directly to the client in a normal, clear voice We have an expert-written solution to this problem! A nurse is preparing to apply wrist restraints to a client to prevent them from pulling out an IV catheter. Which of the following actions should the nurse take? a. Ensure enough room to fit one finger between the restraint and the wrist b. Attach the ties of the restraint to a non-movable part of the bed frame. c. Use a knot that will tighten as the client moves d. Keep the padded portion of the restraints against the wrists. d. Keep the padded portion of the restraints against the wrists.
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "The car seat is rear-facing in the front passenger seat". b. "Our car seat is an infant model and is anchored in the car" c. "I can fit my hand between the baby and the car seat harness" d. "Our car seat is front-facing in the back seat" b. "Our car seat is an infant model and is anchored in the car" A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Bradycardia b. Hypotension c. Hand tremors d. Stuporous level of consciousness c. Hand tremors A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?
