1|Page
ATI RN CAPSTONE FUNDAMENTALS VERSION C
NEWEST 2024 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is caring for a client receiving chemotherapy that is
experiencing neutropenia. Which of the following should the nurse
include in this client's education?
A. Track oral temperature weekly.
B. Gardening is a good form of mild exercise.
C. Avoid crowded events.
D. Eat plenty of fresh fruits and vegetables. - ANSWER- C. Avoid
crowded events.
Rationale: Clients with neutropenia do not have enough circulating
neutrophils to fight off infections. This client should avoid crowds to
prevent exposure to colds/viruses. The client should monitor their
temperature daily to track trends that could indicate infection.
Gardening would expose the client to microbes in the soil that could
cause illness. Fruits and vegetables are covered with microbes that
while not normally harmful to non-immunocompromised clients can
cause infection in clients with myleosuppression. These foods should
be cooked before the client ingests them.
,2|Page
A nurse is caring for a client who is admitted for observation and has
full range of motion. Which is the best manner to encourage the client to
void?
A. Urinal
B. Bedpan
C. Bedside Commode
D. Client Bathroom - ANSWER- D. Client Bathroom
Rationale: The goal is to encourage clients to maintain independence
and privacy if the client has full function and is able to safely
complete ADLs.
A client with hearing loss has been fitted for a hearing aid. Which of the
following teaching points are important for the nurse to discuss with the
client?
A. Use the highest setting to promote full auditory comprehension.
B. Use mild soap and water to clean the ear mold.
C. Turn the hearing aid off to conserve battery life during hours of sleep
only.
D. Immerse the hearing aid in saline solution to keep it hygienic. -
ANSWER- B. Use mild soap and water to clean the ear mold.
Rationale: To clean the ear mold, use mild soap and water while
keeping the hearing aid dry. Use the lowest setting that allows
hearing without feedback. When the hearing aid is not in use, turn it
off or remove the batteries to conserve battery power. Keep
replacement batteries on hand.
,3|Page
A nurse is admitting a client who has tuberculosis and a productive
cough. Which of the following types of isolation precautions should the
nurse initiate for the client?
A. Contact
B. Droplet
C. Protective
D. Airborne - ANSWER- D. Airborne
Rationale: The nurse should initiate airborne precautions when a
client has an infection that spreads through small droplets that
remain airborne for longer periods, such as tuberculosis and
measles. The client requires a negative-pressure airflow room, and
staff should wear an N95 respirator when in contact with the client.
The nurse should initiate contact precautions when a client has an
infection that spreads through indirect contact, such as major
wound infections or infection with multi-drug resistant organisms
such as MRSA. The nurse should initiate droplet precautions when
a client has an infection that spreads through droplets larger than 5
microns, such as pneumonia or streptococcal pharyngitis. The nurse
should initiate a protective environment when clients require a room
with positive-pressure airflow, such as those who have undergone
stem-cell transplants.
A nurse is assessing a client who has Parkinson's disease. Which of the
following manifestations should the nurse expect?
A. Pruritus
B. Hypertension
C. Bradykinesia
D. Xerostomia - ANSWER- C. Bradykinesia
, 4|Page
Rationale: The nurse should expect to find bradykinesia or
difficulty moving in a client who has Parkinson's disease. The nurse
should expect to find oily skin, which results from autonomic
dysfunction, rather than pruritus, which results from dry skin. The
nurse should expect to find orthostatic hypotension, which results
from autonomic dysfunction. Te nurse should expect to find
uncontrolled drooling, especially at night, instead of xerostomia or
dry mouth in a client who has Parkinson's disease.
A nurse is caring for a client with celiac disease. Which food should be
removed from the meal tray?
A. Corn bread
B. Mashed potato
C. Lentils
D. Tortillas - ANSWER- D. Tortillas
Rationale: Tortillas contain gluten. Corn bread, mashed potatoes
and lentils do not contain gluten.
A nurse is assessing four clients for fluid balance. The nurse should
identify that which of the following clients is exhibiting manifestations
of dehydration?
A. A client who has a urine specific gravity of 1.010.
B. A client who has a weight gain of 2.2 kg (2 lb) in 24 hr.
C. A client who has a hematocrit of 45%.
D. A client who has a temperature of 39 degrees Celsius (102 degrees
Fahrenheit). - ANSWER- D. A client who has a temperature of 39
degrees Celsius (102 degrees Fahrenheit).
ATI RN CAPSTONE FUNDAMENTALS VERSION C
NEWEST 2024 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is caring for a client receiving chemotherapy that is
experiencing neutropenia. Which of the following should the nurse
include in this client's education?
A. Track oral temperature weekly.
B. Gardening is a good form of mild exercise.
C. Avoid crowded events.
D. Eat plenty of fresh fruits and vegetables. - ANSWER- C. Avoid
crowded events.
Rationale: Clients with neutropenia do not have enough circulating
neutrophils to fight off infections. This client should avoid crowds to
prevent exposure to colds/viruses. The client should monitor their
temperature daily to track trends that could indicate infection.
Gardening would expose the client to microbes in the soil that could
cause illness. Fruits and vegetables are covered with microbes that
while not normally harmful to non-immunocompromised clients can
cause infection in clients with myleosuppression. These foods should
be cooked before the client ingests them.
,2|Page
A nurse is caring for a client who is admitted for observation and has
full range of motion. Which is the best manner to encourage the client to
void?
A. Urinal
B. Bedpan
C. Bedside Commode
D. Client Bathroom - ANSWER- D. Client Bathroom
Rationale: The goal is to encourage clients to maintain independence
and privacy if the client has full function and is able to safely
complete ADLs.
A client with hearing loss has been fitted for a hearing aid. Which of the
following teaching points are important for the nurse to discuss with the
client?
A. Use the highest setting to promote full auditory comprehension.
B. Use mild soap and water to clean the ear mold.
C. Turn the hearing aid off to conserve battery life during hours of sleep
only.
D. Immerse the hearing aid in saline solution to keep it hygienic. -
ANSWER- B. Use mild soap and water to clean the ear mold.
Rationale: To clean the ear mold, use mild soap and water while
keeping the hearing aid dry. Use the lowest setting that allows
hearing without feedback. When the hearing aid is not in use, turn it
off or remove the batteries to conserve battery power. Keep
replacement batteries on hand.
,3|Page
A nurse is admitting a client who has tuberculosis and a productive
cough. Which of the following types of isolation precautions should the
nurse initiate for the client?
A. Contact
B. Droplet
C. Protective
D. Airborne - ANSWER- D. Airborne
Rationale: The nurse should initiate airborne precautions when a
client has an infection that spreads through small droplets that
remain airborne for longer periods, such as tuberculosis and
measles. The client requires a negative-pressure airflow room, and
staff should wear an N95 respirator when in contact with the client.
The nurse should initiate contact precautions when a client has an
infection that spreads through indirect contact, such as major
wound infections or infection with multi-drug resistant organisms
such as MRSA. The nurse should initiate droplet precautions when
a client has an infection that spreads through droplets larger than 5
microns, such as pneumonia or streptococcal pharyngitis. The nurse
should initiate a protective environment when clients require a room
with positive-pressure airflow, such as those who have undergone
stem-cell transplants.
A nurse is assessing a client who has Parkinson's disease. Which of the
following manifestations should the nurse expect?
A. Pruritus
B. Hypertension
C. Bradykinesia
D. Xerostomia - ANSWER- C. Bradykinesia
, 4|Page
Rationale: The nurse should expect to find bradykinesia or
difficulty moving in a client who has Parkinson's disease. The nurse
should expect to find oily skin, which results from autonomic
dysfunction, rather than pruritus, which results from dry skin. The
nurse should expect to find orthostatic hypotension, which results
from autonomic dysfunction. Te nurse should expect to find
uncontrolled drooling, especially at night, instead of xerostomia or
dry mouth in a client who has Parkinson's disease.
A nurse is caring for a client with celiac disease. Which food should be
removed from the meal tray?
A. Corn bread
B. Mashed potato
C. Lentils
D. Tortillas - ANSWER- D. Tortillas
Rationale: Tortillas contain gluten. Corn bread, mashed potatoes
and lentils do not contain gluten.
A nurse is assessing four clients for fluid balance. The nurse should
identify that which of the following clients is exhibiting manifestations
of dehydration?
A. A client who has a urine specific gravity of 1.010.
B. A client who has a weight gain of 2.2 kg (2 lb) in 24 hr.
C. A client who has a hematocrit of 45%.
D. A client who has a temperature of 39 degrees Celsius (102 degrees
Fahrenheit). - ANSWER- D. A client who has a temperature of 39
degrees Celsius (102 degrees Fahrenheit).
