PN ATI Capstone Post Assessment

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Sample questions from PN ATI Capstone Post Assessment

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Refer to the client's chart. Which findings require prompt reporting to the RN? Select all that apply.

   • A.Client reports thirst
   • B.New crackles are heard bilaterally
   • C.SpO2 has decreased to 90% on room air
   • D.Urine output has fallen to 20 mL/hr
   • E.Temperature is 37.1 C

   Rationale: Urine output of 20 mL/hr, new bilateral crackles, and a falling SpO2 of 90% suggest worsening perfusion and fluid overload with impaired oxygenation. Thirst alone and a temperature of 37.1 C are not urgent changes in this chart. The PN should report these changes promptly and continue monitoring; the exam takeaway is to respond to deteriorating trends rather than isolated normal findings.

2. 2.A client with chronic obstructive pulmonary disease is receiving oxygen by nasal cannula. Which finding should the PN report promptly?

   • A.Mild dryness of the nasal mucosa
   • B.Occasional productive cough in the morning
   • C.SpO2 of 92% with no change from baseline
   • D.New drowsiness and difficulty arousing the client

   Rationale: New drowsiness and difficulty arousing the client can indicate worsening hypercapnia or hypoxemia and require prompt evaluation. An SpO2 at the reported baseline, mild nasal dryness, and a usual morning cough are less urgent. Report the change and maintain prescribed oxygen; do not independently change the oxygen flow rate.

3. 3.A client recovering from a total hip arthroplasty asks how to sit in a chair. Which instruction is appropriate when posterior hip precautions are prescribed?

   • A.Sit in a low, soft chair
   • B.Use a chair with a firm, elevated seat
   • C.Cross the legs at the ankles
   • D.Bend forward to tie shoes while seated

   Rationale: A firm, elevated seat helps keep the hip from flexing beyond the prescribed limit. Bending forward, crossing the legs, and sitting low can violate posterior precautions and increase dislocation risk. Reinforce the prescribed precautions and report pain or a change in limb position to the RN.

4. 4.Refer to the client's chart. Which change is most concerning and should be reported immediately?

   • A.The client asking for water
   • B.The temperature decreasing by 0.1 C
   • C.The increasing respiratory rate and decreasing oxygen saturation
   • D.The heart rate decreasing from 104 to 100/min

   Answer and rationale are in the full material.

5. 5.Which assessment finding in a client with a new cast requires prompt reporting?

   • A.Increasing pain not relieved by prescribed analgesia
   • B.A small amount of swelling during the first day
   • C.Mild itching beneath the cast
   • D.Warm fingers with brisk capillary refill

   Answer and rationale are in the full material.