ATI PROCTORED CAPSTONE COMPREHENSIVE TEST B ACTUAL EXAM 100% 2023\2024

ATI PROCTORED CAPSTONE
COMPREHENSIVE TEST B ACTUAL
EXAM 100% 2023\2024
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 for findings of infection - CORRECT ANSWER-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 - CORRECT ANSWER-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 hour