NGN ATI Capstone Fundamentals Exam GRADED A LATEST
VERSION QUESTINS AND ANSWERS
a nurse is assessing the pain level of a client who has dementia and difficulty communicating,
which pain assessment technique should the nurse use? -✔✔ behavioral indicators
(increased agitation, restlessness)
a nurse is documenting client care, which of the following entries should the nurse identify as
an example of implementation of client care? -✔✔ contacted the provider to report client
findings
a charge nurse discovers that a nurse did not notify the provider that a client's condition had
changed. the charge nurse should identify that the nurse is accountable for which of the
following torts? -✔✔ negligence
a nurse is completing an admission assessment for a client who has hearing lsos, what action
should the nurse take? -✔✔ use written communication to assist with communication
a nurse is caring for a client who has dementia and frequently tries to get out of bed, which of
the following actions should the nurse take? (SATA) -✔✔ turn on the bed alarm
maintain the bed in the lowest position
encourage the family to stay with the pt
a nurse is preparing a client for transfer to another unit? which finding does the nurse include
in the transfer report? -✔✔ response to pain medication
review of ongoing discharge plan
recent physical changes
, a nurse in a providers office is assessing the motor skill development of a 15 month old toddler
during a well-child visit, what gross motor skills should the nurse expect? -✔✔ walks without
assistance using a wide stance
a nurse is admitting a client who has recently developed fever, confusion, and a decreased level
of consciousness. which of the following actions should the nurse take first after obtaining the
client's history and assessment? -✔✔ identify the client's needs
a nurse is planning a community education program about colorectal cancer. which of the
following risk factors should the nurse identify as modifiable? -✔✔ smoking
alcohol consumption
high-fat diet
a nurse is performing a focused assessment on a client who has a history of COPD and is
experiencing dyspnea, which of the findings should the nurse expect? -✔✔ flaring of the
nostrils
(increased RR, increased depth of R, expected pulse ox reading of <90)
a nurse is performing a cultural assessment of a group of clients to maintain respect for their
value sytems and beliefs. which of the following should the nurse identify as examples of
cultural variables? -✔✔ eye contact
personal space
touch
a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should
the nurse do first? -✔✔ 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? -✔✔ bladder distention
VERSION QUESTINS AND ANSWERS
a nurse is assessing the pain level of a client who has dementia and difficulty communicating,
which pain assessment technique should the nurse use? -✔✔ behavioral indicators
(increased agitation, restlessness)
a nurse is documenting client care, which of the following entries should the nurse identify as
an example of implementation of client care? -✔✔ contacted the provider to report client
findings
a charge nurse discovers that a nurse did not notify the provider that a client's condition had
changed. the charge nurse should identify that the nurse is accountable for which of the
following torts? -✔✔ negligence
a nurse is completing an admission assessment for a client who has hearing lsos, what action
should the nurse take? -✔✔ use written communication to assist with communication
a nurse is caring for a client who has dementia and frequently tries to get out of bed, which of
the following actions should the nurse take? (SATA) -✔✔ turn on the bed alarm
maintain the bed in the lowest position
encourage the family to stay with the pt
a nurse is preparing a client for transfer to another unit? which finding does the nurse include
in the transfer report? -✔✔ response to pain medication
review of ongoing discharge plan
recent physical changes
, a nurse in a providers office is assessing the motor skill development of a 15 month old toddler
during a well-child visit, what gross motor skills should the nurse expect? -✔✔ walks without
assistance using a wide stance
a nurse is admitting a client who has recently developed fever, confusion, and a decreased level
of consciousness. which of the following actions should the nurse take first after obtaining the
client's history and assessment? -✔✔ identify the client's needs
a nurse is planning a community education program about colorectal cancer. which of the
following risk factors should the nurse identify as modifiable? -✔✔ smoking
alcohol consumption
high-fat diet
a nurse is performing a focused assessment on a client who has a history of COPD and is
experiencing dyspnea, which of the findings should the nurse expect? -✔✔ flaring of the
nostrils
(increased RR, increased depth of R, expected pulse ox reading of <90)
a nurse is performing a cultural assessment of a group of clients to maintain respect for their
value sytems and beliefs. which of the following should the nurse identify as examples of
cultural variables? -✔✔ eye contact
personal space
touch
a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should
the nurse do first? -✔✔ 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? -✔✔ bladder distention
