ATI Capstone- Fundamentals Pre-Assessment (Question and Answers, With Rationales)

ATI Capstone- Fundamentals Pre-Assessment ATI Capstone- Fundamentals Pre-Assessment 1. A nurse is completing a nutritional assessment on a client and measures body mass index (BMI). Which of the following readings correlates with a BMI of an overweight client? A. 18.5 B. 24.9 C. 25 D. 32 2. A nurse is verifying nasogastric tube placement by the pH of aspirated gastric fluid. Which of the following pH values provides a good indication of correct tube placement? A. 2 B. 5 C. 7 D. 9 3. A nurse is caring for a client with a closed head injury. When pressure is applied to client's nail beds, the client's eyes open and adduction of the arms with flexion of the elbows and wrists is noted. The client also moans with stimulation. What is the client's Glascow Coma Score? A. 4 B. 7 C. 9 D. 10 4. A nurse should teach which of the following clients requiring crutches about how to use a three-point gait? A. A client who is able to bear full weight on both lower extremities. B. A client who has bilateral leg braces due to paralysis of the lower extremities. C. A client who has a right femur fracture with no weight bearing on the affected leg. D. A client who has bilateral knee-replacements with partial weight bearing on both legs. 5. A nurse is providing teaching about the Mediterranean diet to a client who has a new diagnosis if hypertension. Which of the following statements by the client indicates a need for further teaching? A. "I will limit my intake of red meat to twice weekly." B. "I can have dairy in moderate portions daily." C. "I can have fish two times a week." D. "I can drink wine in moderation." 6. A nurse is providing dietary education to a client with cholecystitis who has been prescribed a low-fat diet. Which of the following meal selections by the client indicates understanding of education? A. Roast beef with gravy, mashed potatoes, ice cream B. Macaroni and cheese, salad, pudding C. Creamed chicken on a roll with peas D. Roast turkey, rice pilaf, green beans 7. A client with a cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvis organ prolapse. What exercise will the client need to perform? A. Kegel exercises B. Isometric exercises C. Circumduction exercises D. Uterine extension exercises 8. A nurse is caring for an older adult client with delirium. Which intervention will most effectively reduce the client's risk for falls? A. Use of a night-light. B. Demonstrate how to use the call light. C. Place bedside table in close proximity. D. Hourly rounding by the nurse. 9. A nurse is caring for a client who has been prescribed furosemide. Which of the following foods should the nurse encourage to include in his diet? A. Table salt B. Egg yolks C. White wine D. Oranges 10. A menopausal client is having difficulty getting to sleep and asks what actions she should incorporate in her daily routine to promote sleep. The nurse would encourage which of the below measures to promote sleep? A. Consume a warm drink at bedtime. B. Take an evening walk before bedtime. C. Take an afternoon nap. D. Limit alcohol and nicotine prior to bedtime.