Practice Question
A nurse is preparing a client for a pelvic examination. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Instruct the client to bear down when the speculum is inserted.
Rationale:
🟢 Bearing down relaxes pelvic muscles, easing speculum insertion and reducing discomfort.
🟢 A full bladder may cause discomfort or impede visualization during the exam.
🟢 Breathing normally helps relax the client; breath-holding increases muscle tension.
🟢 The correct position for pelvic exams is lithotomy, not Sims’.
🟢 Client cooperation and positioning enhance effectiveness and comfort during the procedure.
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This question is from RN Capstone Proctored Comprehensive Assessment Exam which contains 74 questions.
More Questions from This Exam
A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
Answer Choices:
A. The guardian wants to accompany the child from the ED to the radiology department.
B. The guardian states the child fell off the swing in the backyard.
C. The child was brought to the ED 2 days after the injury occurred.
D. The child cries loudly when their arm is moved or manipulated.
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Answer Choices:
A. Choose the client's dominant arm for IV access whenever possible.
B. Select a site proximal to previous venipuncture sites.
C. Initiate IV access on the palmar side of the client's wrist.
D. Insert a larger gauge IV catheter to prevent phlebitis.
A nurse is caring for a client following a seizure. Which of the following actions should the nurse take?
Answer Choices:
A. Apply restraints if the client is agitated.
B. Ambulate the client.
C. Position the client on their side.
D. Raise all of the side rails on the client's bed.
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of "tightness" in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Answer Choices:
A. Allergic
B. Acute hemolytic
C. Bacterial
D. Febrile nonhemolytic
From Exam
RN Capstone Proctored Comprehensive Assessment Exam
74 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4