ATI CAPSTONE POST-ASSESSMENT 50 QUESTIONS AND VERIFIED ANSWERS .
ATI CAPSTONE POST-ASSESSMENT 50
QUESTIONS AND VERIFIED ANSWERS .
This comprehensive revision guide is designed to help you master the
**ATI Capstone Post-Assessment**, which covers a broad range of
nursing topics including pharmacology, medical-surgical, pediatrics,
and management.
**1. A nurse is caring for a client who has a prescription for lithium
carbonate. Which of the following findings should the nurse identify as
an early indication of lithium toxicity?**
* **Correct Answer:** Fine hand tremors
* **Rationale:** Fine hand tremors and gastrointestinal upset are early
signs of lithium toxicity; coarse tremors, ataxia, and confusion indicate
more severe toxicity.
**2. A nurse is teaching a client who has a new prescription for
sublingual nitroglycerin. Which of the following instructions should the
nurse include?**
* **Correct Answer:** "Place the tablet under your tongue at the
first sign of chest pain."
* **Rationale:** Nitroglycerin should be taken at the onset of pain to
promote rapid vasodilation; taking it before activity can also prevent
exertional angina.
1
, ATI CAPSTONE POST-ASSESSMENT 50 QUESTIONS AND VERIFIED ANSWERS .
**3. A nurse is reviewing the laboratory results of a client who has a
pressure injury. Which of the following findings should the nurse
identify as an indication of a wound infection?**
* **Correct Answer:** WBC count 15,000/mm³
* **Rationale:** An elevated white blood cell count (normal range
5,000 to 10,000/mm³) indicates an inflammatory response to an
infectious process.
**4. A nurse is preparing to administer an enteral feeding to a client
who has a nasogastric tube. Which of the following actions should the
nurse take first?**
* **Correct Answer:** Verify the placement of the tube by
aspirating gastric contents.
* **Rationale:** Ensuring the tube is in the stomach rather than the
lungs is the priority safety action to prevent aspiration before starting a
feeding.
**5. A nurse is assessing a client who is 2 hours postoperative following
a cardiac catheterization. Which of the following findings is the
priority?**
* **Answer:** A hematoma at the insertion site.
* **Rationale:** A hematoma indicates active bleeding from the
2
, ATI CAPSTONE POST-ASSESSMENT 50 QUESTIONS AND VERIFIED ANSWERS .
arterial access point, which can lead to rapid hemorrhage and requires
immediate manual pressure.
**6. A nurse is providing teaching to a client who has a new
prescription for warfarin. Which of the following foods should the nurse
instruct the client to maintain a consistent intake of?**
* **Correct Answer:** Dark green leafy vegetables
* **Rationale:** These foods are high in Vitamin K, which is the
antagonist to warfarin; fluctuations in intake can cause the INR to
become unstable.
**7. A nurse is caring for a client who is in the manic phase of bipolar
disorder. Which of the following interventions should the nurse include
in the plan of care?**
* **Correct Answer:** Provide high-calorie finger foods.
* **Rationale:** Clients in a manic state often cannot sit down for a
full meal; finger foods allow them to maintain nutrition while remaining
mobile.
**8. A nurse is assessing a client who has a chest tube. Which of the
following findings indicates a tension pneumothorax?**
* **Correct Answer:** Tracheal deviation to the unaffected side.
* **Rationale:** Tracheal shift occurs when pressure in the pleural
3
ATI CAPSTONE POST-ASSESSMENT 50
QUESTIONS AND VERIFIED ANSWERS .
This comprehensive revision guide is designed to help you master the
**ATI Capstone Post-Assessment**, which covers a broad range of
nursing topics including pharmacology, medical-surgical, pediatrics,
and management.
**1. A nurse is caring for a client who has a prescription for lithium
carbonate. Which of the following findings should the nurse identify as
an early indication of lithium toxicity?**
* **Correct Answer:** Fine hand tremors
* **Rationale:** Fine hand tremors and gastrointestinal upset are early
signs of lithium toxicity; coarse tremors, ataxia, and confusion indicate
more severe toxicity.
**2. A nurse is teaching a client who has a new prescription for
sublingual nitroglycerin. Which of the following instructions should the
nurse include?**
* **Correct Answer:** "Place the tablet under your tongue at the
first sign of chest pain."
* **Rationale:** Nitroglycerin should be taken at the onset of pain to
promote rapid vasodilation; taking it before activity can also prevent
exertional angina.
1
, ATI CAPSTONE POST-ASSESSMENT 50 QUESTIONS AND VERIFIED ANSWERS .
**3. A nurse is reviewing the laboratory results of a client who has a
pressure injury. Which of the following findings should the nurse
identify as an indication of a wound infection?**
* **Correct Answer:** WBC count 15,000/mm³
* **Rationale:** An elevated white blood cell count (normal range
5,000 to 10,000/mm³) indicates an inflammatory response to an
infectious process.
**4. A nurse is preparing to administer an enteral feeding to a client
who has a nasogastric tube. Which of the following actions should the
nurse take first?**
* **Correct Answer:** Verify the placement of the tube by
aspirating gastric contents.
* **Rationale:** Ensuring the tube is in the stomach rather than the
lungs is the priority safety action to prevent aspiration before starting a
feeding.
**5. A nurse is assessing a client who is 2 hours postoperative following
a cardiac catheterization. Which of the following findings is the
priority?**
* **Answer:** A hematoma at the insertion site.
* **Rationale:** A hematoma indicates active bleeding from the
2
, ATI CAPSTONE POST-ASSESSMENT 50 QUESTIONS AND VERIFIED ANSWERS .
arterial access point, which can lead to rapid hemorrhage and requires
immediate manual pressure.
**6. A nurse is providing teaching to a client who has a new
prescription for warfarin. Which of the following foods should the nurse
instruct the client to maintain a consistent intake of?**
* **Correct Answer:** Dark green leafy vegetables
* **Rationale:** These foods are high in Vitamin K, which is the
antagonist to warfarin; fluctuations in intake can cause the INR to
become unstable.
**7. A nurse is caring for a client who is in the manic phase of bipolar
disorder. Which of the following interventions should the nurse include
in the plan of care?**
* **Correct Answer:** Provide high-calorie finger foods.
* **Rationale:** Clients in a manic state often cannot sit down for a
full meal; finger foods allow them to maintain nutrition while remaining
mobile.
**8. A nurse is assessing a client who has a chest tube. Which of the
following findings indicates a tension pneumothorax?**
* **Correct Answer:** Tracheal deviation to the unaffected side.
* **Rationale:** Tracheal shift occurs when pressure in the pleural
3
