ATI Capstone- Fundamentals Pre-
Assessment Questions and Answers
100% Pass
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 ✔✔C. 25
Rationale: Healthy weight is indicates by a BMI of 18.5-24.9. Overweight is defined as an
increased body weight in relation to height. It is indicated by a BMI of 25-29.9. Obesity is an
excess amount of body fat. It is indicated by a BMI greater than or equal to 30.
Underweight- less than 18.5
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 ✔✔A. 2
Rationale: A good indication of appropriate placement is obtaining gastric contents with a pH
between 0 and 4.
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 ✔✔B. 7 (comatose)
Rationale:
Eye Opening (ranges from 4-1)
4 = spontaneous
3 = to voice
2 = to pain
1 = none
Verbal (ranges from 5-1)
5 = oriented
, 4 = confused
3 = inappropriate words
2 = incomprehensible sounds
1= none
Motor (raged from 6-1)
6 = obeys command
5 = localizes pain
4 = withdraws
3 = flexion (decorticate posturing)
2 = extension (decerebrate posturing)
1 = none
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. ✔✔C.
A client who has a right femur fracture with no weight bearing on the affected leg.
Assessment Questions and Answers
100% Pass
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 ✔✔C. 25
Rationale: Healthy weight is indicates by a BMI of 18.5-24.9. Overweight is defined as an
increased body weight in relation to height. It is indicated by a BMI of 25-29.9. Obesity is an
excess amount of body fat. It is indicated by a BMI greater than or equal to 30.
Underweight- less than 18.5
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 ✔✔A. 2
Rationale: A good indication of appropriate placement is obtaining gastric contents with a pH
between 0 and 4.
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 ✔✔B. 7 (comatose)
Rationale:
Eye Opening (ranges from 4-1)
4 = spontaneous
3 = to voice
2 = to pain
1 = none
Verbal (ranges from 5-1)
5 = oriented
, 4 = confused
3 = inappropriate words
2 = incomprehensible sounds
1= none
Motor (raged from 6-1)
6 = obeys command
5 = localizes pain
4 = withdraws
3 = flexion (decorticate posturing)
2 = extension (decerebrate posturing)
1 = none
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. ✔✔C.
A client who has a right femur fracture with no weight bearing on the affected leg.
