ATI Capstone version B 2022/2023 GRADED A+
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school
age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30min
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every3 days.
D. Warm the formula in the microwave prior to administration. Correct Answer: A. Administer
feeding over 30 minutes
1. A nurse is Administering digoxin 0.125mg PO to an adult client. For which of the following
findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L
B. Apical pulse 58/min
C. Digoxin level 1ng/mL
D. Constipation for 2 days Correct Answer: B. Apical pulse 58/min
1. A nurse is caring for a client who has advance directives that indicate the client does not want
life-sustaining measures. The client's family want the client to have life-sustaining measures.
Which of the following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family's concerns
B. Support the family's decision and initiate life-sustaining measures
C. Complete an incident report Encourage the family to contact an attorney Correct Answer: A.
Arrange for an ethics committee meeting to address the family's concerns
A nurse is caring for a client who wears glasses. Which of the following actions should the nurse
take?
A. store the glasses in a labeled case
B. Clean the glasses with hot water
C. Clean the glasses with a paper towel
D. Store the glasses on the bedside table Correct Answer: A. Store the glasses in a labeled case
A nurse is teaching a group of newly licensed nurses about measures to take when caring for a
client who is on contact precautions. Which of the following should the nurse include in the
teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room. Correct Answer: C. Wear gloves
when providing care to the client
A nurse is planning on care for a client who is recovering from an acute myocardial infarction
that occurred 3 days ago. Which of the following instructions should the nurse include?
A. Perform an ECG every 12 hours
B. Place the client in a supine position while resting
C. Draw a troponin level every 4 hours
,D. Obtain a cardiac rehabilitation consultation Correct Answer: D. Obtain a cardiac
rehabilitation consultation
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contraindication to
the use of Oral contraceptives.
A. Hyperthyroidism
B. Thrombophlebitis
C. Diverticulosis
D. Hypocalcemia Correct Answer: D. Thrombophlebitis
A nurse is caring for a client who request the creation of a living will. Which of the following
actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client
B. Evaluate the client's understanding of life-sustaining measures
C. Determine the client's preferences about postmortem care
D. Request a conference with the client's family Correct Answer: B. Evaluate the client's
understanding of life-sustaining measures
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations indicates acute chest syndrome and should be immediately reported to the
provider?
A. Substernal retractions
B. Hematuria
C. Temperature 37.9 C (100.2F)
D. Sneezing Correct Answer: A. Substernal retractions
A nurse is performing a gastric lavage for a client who has upper gastrointestinal bleeding.
Which of the following actions should the nurse take?
A. Instill 500mL of solution through the NG tube.
B. Insert a large Bore NG tube
C. Use a cold irrigation solution
D. Instruct the client to lie on his right side Correct Answer: B. Insert a large Bore NG tube
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis
(ALS). Which of the following referrals is the nurse's priority?
A. Psychologist
B. Social worker
C. Occupational therapist
D. Speech-language pathologist Correct Answer: D. Speech- language pathologist
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the
following findings should the nurse report to the provider?
A. WBC 8,000/mm3
B. Platelets 150,000/mm3
C. Aspartate aminotransferase 10units/L
, D. Erythrocyte sedimentation rate 75mm/hr Correct Answer: D. Erythrocyte sedimentation rate
75mm/hr.
(Normal range 0 to 22mm/hr for men /
0 to 29mm/hr for women)
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should
expect a prescription for which of the following laboratory tests?
A. platelet count
B. Potassium level
C. Creatinine clearance
D. Prealbumin Correct Answer: A. Platelet count
A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first?
A. Place an ice pack over the cast
B. Palpate the pulse distal to the cast
C. Teach the client to keep the cast clean and dry
D. Position the casted extremity on a pillow Correct Answer: B. Palpate the pulse distal to the
cast
A nurse is caring for a client who has vision loss. Which of the following actions should the
nurse take? SATA
A. Keep objects in the client's room in the same place
B. Ensure there is high-wattage lighting in the client's room
C. Approach the client from the side
D. Allow extra time for the client to perform tasks
E. Touch the client gently to announce presence Correct Answer: A. Keep objects in the client's
room in the same place
B. Ensure there is high-wattage lighting in the client's room
D. Allow extra time for the client to perform tasks
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions
about the disease. To research the nurse should identify that which of the following electronic
database has the most comprehensive collection of nursing (unable to read) articles?
A. Medline
B. CINAHL
C. ProQuest
D. Health source Correct Answer: C. CINAHL
A nurse in an emergency department is assessing a newly admitted client who is experiencing
drooling and hoarseness following a burn injury. Which of the following actions should the nurse
take first?
A. Obtain a baseline ECG
B. Obtain a blood specimen for ABG analysis
C. Insert an 18-Gauge IV catheter
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school
age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30min
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every3 days.
D. Warm the formula in the microwave prior to administration. Correct Answer: A. Administer
feeding over 30 minutes
1. A nurse is Administering digoxin 0.125mg PO to an adult client. For which of the following
findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L
B. Apical pulse 58/min
C. Digoxin level 1ng/mL
D. Constipation for 2 days Correct Answer: B. Apical pulse 58/min
1. A nurse is caring for a client who has advance directives that indicate the client does not want
life-sustaining measures. The client's family want the client to have life-sustaining measures.
Which of the following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family's concerns
B. Support the family's decision and initiate life-sustaining measures
C. Complete an incident report Encourage the family to contact an attorney Correct Answer: A.
Arrange for an ethics committee meeting to address the family's concerns
A nurse is caring for a client who wears glasses. Which of the following actions should the nurse
take?
A. store the glasses in a labeled case
B. Clean the glasses with hot water
C. Clean the glasses with a paper towel
D. Store the glasses on the bedside table Correct Answer: A. Store the glasses in a labeled case
A nurse is teaching a group of newly licensed nurses about measures to take when caring for a
client who is on contact precautions. Which of the following should the nurse include in the
teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room. Correct Answer: C. Wear gloves
when providing care to the client
A nurse is planning on care for a client who is recovering from an acute myocardial infarction
that occurred 3 days ago. Which of the following instructions should the nurse include?
A. Perform an ECG every 12 hours
B. Place the client in a supine position while resting
C. Draw a troponin level every 4 hours
,D. Obtain a cardiac rehabilitation consultation Correct Answer: D. Obtain a cardiac
rehabilitation consultation
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contraindication to
the use of Oral contraceptives.
A. Hyperthyroidism
B. Thrombophlebitis
C. Diverticulosis
D. Hypocalcemia Correct Answer: D. Thrombophlebitis
A nurse is caring for a client who request the creation of a living will. Which of the following
actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client
B. Evaluate the client's understanding of life-sustaining measures
C. Determine the client's preferences about postmortem care
D. Request a conference with the client's family Correct Answer: B. Evaluate the client's
understanding of life-sustaining measures
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations indicates acute chest syndrome and should be immediately reported to the
provider?
A. Substernal retractions
B. Hematuria
C. Temperature 37.9 C (100.2F)
D. Sneezing Correct Answer: A. Substernal retractions
A nurse is performing a gastric lavage for a client who has upper gastrointestinal bleeding.
Which of the following actions should the nurse take?
A. Instill 500mL of solution through the NG tube.
B. Insert a large Bore NG tube
C. Use a cold irrigation solution
D. Instruct the client to lie on his right side Correct Answer: B. Insert a large Bore NG tube
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis
(ALS). Which of the following referrals is the nurse's priority?
A. Psychologist
B. Social worker
C. Occupational therapist
D. Speech-language pathologist Correct Answer: D. Speech- language pathologist
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the
following findings should the nurse report to the provider?
A. WBC 8,000/mm3
B. Platelets 150,000/mm3
C. Aspartate aminotransferase 10units/L
, D. Erythrocyte sedimentation rate 75mm/hr Correct Answer: D. Erythrocyte sedimentation rate
75mm/hr.
(Normal range 0 to 22mm/hr for men /
0 to 29mm/hr for women)
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should
expect a prescription for which of the following laboratory tests?
A. platelet count
B. Potassium level
C. Creatinine clearance
D. Prealbumin Correct Answer: A. Platelet count
A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first?
A. Place an ice pack over the cast
B. Palpate the pulse distal to the cast
C. Teach the client to keep the cast clean and dry
D. Position the casted extremity on a pillow Correct Answer: B. Palpate the pulse distal to the
cast
A nurse is caring for a client who has vision loss. Which of the following actions should the
nurse take? SATA
A. Keep objects in the client's room in the same place
B. Ensure there is high-wattage lighting in the client's room
C. Approach the client from the side
D. Allow extra time for the client to perform tasks
E. Touch the client gently to announce presence Correct Answer: A. Keep objects in the client's
room in the same place
B. Ensure there is high-wattage lighting in the client's room
D. Allow extra time for the client to perform tasks
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions
about the disease. To research the nurse should identify that which of the following electronic
database has the most comprehensive collection of nursing (unable to read) articles?
A. Medline
B. CINAHL
C. ProQuest
D. Health source Correct Answer: C. CINAHL
A nurse in an emergency department is assessing a newly admitted client who is experiencing
drooling and hoarseness following a burn injury. Which of the following actions should the nurse
take first?
A. Obtain a baseline ECG
B. Obtain a blood specimen for ABG analysis
C. Insert an 18-Gauge IV catheter
