ATI CAPSTONE FUNDAMENTALS LATEST 2024 ACTUAL
EXAM ALL 70 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
a nurse receives a report from an assistive personnel that a
client's BP is 160/95, what should the nurse do first? - ANSWER--
recheck the clients BP
(reassess prior to any intervention)
a nurse is caring for a client who has an indwelling urinary cath,
what should the nurse identify as a cath occlusion? - ANSWER--
bladder distention
(inability to empty the bladder, impaired elimination)
a nurse is discussing immunity with a client who has received an
immunization, the nurse should identify that an immunization
functions as part of which of the following types of immunity? -
ANSWER--acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or
immunizations are ADMINISTERED to a client, once in the body,
the stimulate the production of antibodies)
a nurse is reviewing the health history of an OA who has a hip
fracture
, ATI CAPSTONE FUNDAMENTALS LATEST 2024 ACTUAL
EXAM ALL 70 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
the nurse should identify what is a risk of developing pressure
injuries? - ANSWER--urinary incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection,
poor tissue perfusion, friction and shear, immobility, alterations in
sensory perception)
a nurse is assessing the IV infusion site of a client who reports
pain at the site. the site is red and there is warmth along the
coarse of the vein, what should the nurse do? - ANSWER--d/c the
infusion
(assessment suggest phlebitis, d/c, apply warm compress//if
continued therapy required, start new IV)
a nurse is caring for an OA who has a nonpalpable skin lesion
that is less than 0.5cm (0.2in) in diameter. which of the following
terms should the nurse use to document this finding? - ANSWER-
-macule
(nonpalpable smaller than 1cm, ex: freckle)
a community health nurse is teaching a group of clients about first
aid for different types of wounds. which of the following client
statements indicates an understanding of the teaching? -
, ATI CAPSTONE FUNDAMENTALS LATEST 2024 ACTUAL
EXAM ALL 70 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
ANSWER--i should apply clean dressings over the top of blood
saturated dressings and hold pressure
(to prevent disruption of wound tissue)
a nurse is sitting with the partner of a client who recently died.
which of the following actions should the nurse take to facilitate
mourning? - ANSWER--encourage the partner to ask for help
when needed
a nurse is in an acute care facility is caring for a client who is
postop following abdominal surgery. which of the following
behaviors should the nurse identify as increasing the client's risk
for constipation? - ANSWER--urge suppression
history of chronic stimulant laxative use
inadequate fluid intake
a nurse is caring for a client who expresses anxiety about an
upcoming surgery, what should the nurse do? - ANSWER--ask
the client to describe feelings
a nurse is preparing to perform a sterile dressing change for a
client who has a surgical wound. which of the following actions
should the nurse take to prevent contamination during the
dressing change? - ANSWER--restart the procedure if the sterile
EXAM ALL 70 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
a nurse receives a report from an assistive personnel that a
client's BP is 160/95, what should the nurse do first? - ANSWER--
recheck the clients BP
(reassess prior to any intervention)
a nurse is caring for a client who has an indwelling urinary cath,
what should the nurse identify as a cath occlusion? - ANSWER--
bladder distention
(inability to empty the bladder, impaired elimination)
a nurse is discussing immunity with a client who has received an
immunization, the nurse should identify that an immunization
functions as part of which of the following types of immunity? -
ANSWER--acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or
immunizations are ADMINISTERED to a client, once in the body,
the stimulate the production of antibodies)
a nurse is reviewing the health history of an OA who has a hip
fracture
, ATI CAPSTONE FUNDAMENTALS LATEST 2024 ACTUAL
EXAM ALL 70 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
the nurse should identify what is a risk of developing pressure
injuries? - ANSWER--urinary incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection,
poor tissue perfusion, friction and shear, immobility, alterations in
sensory perception)
a nurse is assessing the IV infusion site of a client who reports
pain at the site. the site is red and there is warmth along the
coarse of the vein, what should the nurse do? - ANSWER--d/c the
infusion
(assessment suggest phlebitis, d/c, apply warm compress//if
continued therapy required, start new IV)
a nurse is caring for an OA who has a nonpalpable skin lesion
that is less than 0.5cm (0.2in) in diameter. which of the following
terms should the nurse use to document this finding? - ANSWER-
-macule
(nonpalpable smaller than 1cm, ex: freckle)
a community health nurse is teaching a group of clients about first
aid for different types of wounds. which of the following client
statements indicates an understanding of the teaching? -
, ATI CAPSTONE FUNDAMENTALS LATEST 2024 ACTUAL
EXAM ALL 70 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
ANSWER--i should apply clean dressings over the top of blood
saturated dressings and hold pressure
(to prevent disruption of wound tissue)
a nurse is sitting with the partner of a client who recently died.
which of the following actions should the nurse take to facilitate
mourning? - ANSWER--encourage the partner to ask for help
when needed
a nurse is in an acute care facility is caring for a client who is
postop following abdominal surgery. which of the following
behaviors should the nurse identify as increasing the client's risk
for constipation? - ANSWER--urge suppression
history of chronic stimulant laxative use
inadequate fluid intake
a nurse is caring for a client who expresses anxiety about an
upcoming surgery, what should the nurse do? - ANSWER--ask
the client to describe feelings
a nurse is preparing to perform a sterile dressing change for a
client who has a surgical wound. which of the following actions
should the nurse take to prevent contamination during the
dressing change? - ANSWER--restart the procedure if the sterile
