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CAPSTONE FUNDAMENTALS RN ATI VERSION D
NEWEST 2024 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is implementing a plan of care for a client who is at risk for
falls. Which of the following is an appropriate nursing action?
a) implement a regular toileting schedule
b) encourage the client to wear athletic socks when ambulating
c) place all 4 bed rails in the upright position
c) require a family member to remain at the bedside - ANSWER- A
Rationale: The nurse should toilet every 1 to 3 hours to reduce the
risk of falls due to the client ambulating to the bathroom without
assistance
A nurse is completing an admission assessment of an older adult client.
Which of the following findings is a potential indication of abuse?
a) loss of skin turgor on the back of the hands
b) varicosities on lower extremities
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c) thickened discolored nail with ridges
d) presence of bruises on the arm in various stages of healing -
ANSWER- D
A nurse is educating a family member of a client who is immobile about
how to prevent back injury associated with moving the client up in bed.
Which of the following statements by the family member should
indicate to the nurse that he understands the teaching?
a) "I will relax my abdominal muscles when preparing to move her"
b) "I will keep my knees straight and my feet together"
c) I will move back from the bed and bend at the waist"
d) I will leverage my weight against my wife and shift as I move her" -
ANSWER- D
A nurse on an oncology unit is caring for a client who has tears in his
eyes and states "The doctor just told me that I don't have long to live."
Which of the following is an appropriate response of the nurse?
a) "I'm sure that you will feel better soon"
b) "Chemotherapy is almost always effective"
c) "Tell me more about how you're feeling"
d) "We will do our best to keep you as comfortable as possible" -
ANSWER- C
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Which of the following techniques should the nurse use when
performing nasotracheal suctioning for a client?
a) insert the suction catheter while the client is swallowing
b) apply intermittent suction when withdrawing the catheter
c) place the catheter in a location that is clean and dry for later use
d) hold the suction catheter with the clean, non-dominant hand -
ANSWER- B
A nurse is assisting a client with range of motion exercise of the neck.
Which of the following should the nurse suggest to promote neck
rotation?
a) move her neck backwards
b) touch her chin to chest
c) touch her ear to shoulder
d) move her head from side to side - ANSWER- D
A nurse in a long-term care facility is planning to perform hygiene care
for a new resident. Which of the following assessment questions is the
nurse's priority before beginning this procedure?
a) "When do you usually bathe, in the morning or the evening?"
b) "Do you prefer a bath or shower?"
c) "At what temperature do you prefer your bath water?"
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d) Are you able to help with your hygiene care?" - ANSWER- D
The greatest risk to the client's safety is an injury from an overestimation
of the client's ability to help with hygiene care.
A nurse is caring for a client following an acute myocardial infarction.
The client is concerned that providing self-care will be difficult due to
extreme fatigue. Which of the following strategies should the nurse
implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for
assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care -
ANSWER- C
Rationale: By gradually increasing performance of tasks, the client
can feel a sense of accomplishment before taking on additional tasks.
A nurse is reviewing the medical records of a client who has a pressure
ulcer. Which of the following is an expected finding?
a) serum albumin level of 3 g/dL
b) HDL level of 90 mg/dL
CAPSTONE FUNDAMENTALS RN ATI VERSION D
NEWEST 2024 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is implementing a plan of care for a client who is at risk for
falls. Which of the following is an appropriate nursing action?
a) implement a regular toileting schedule
b) encourage the client to wear athletic socks when ambulating
c) place all 4 bed rails in the upright position
c) require a family member to remain at the bedside - ANSWER- A
Rationale: The nurse should toilet every 1 to 3 hours to reduce the
risk of falls due to the client ambulating to the bathroom without
assistance
A nurse is completing an admission assessment of an older adult client.
Which of the following findings is a potential indication of abuse?
a) loss of skin turgor on the back of the hands
b) varicosities on lower extremities
,2|Page
c) thickened discolored nail with ridges
d) presence of bruises on the arm in various stages of healing -
ANSWER- D
A nurse is educating a family member of a client who is immobile about
how to prevent back injury associated with moving the client up in bed.
Which of the following statements by the family member should
indicate to the nurse that he understands the teaching?
a) "I will relax my abdominal muscles when preparing to move her"
b) "I will keep my knees straight and my feet together"
c) I will move back from the bed and bend at the waist"
d) I will leverage my weight against my wife and shift as I move her" -
ANSWER- D
A nurse on an oncology unit is caring for a client who has tears in his
eyes and states "The doctor just told me that I don't have long to live."
Which of the following is an appropriate response of the nurse?
a) "I'm sure that you will feel better soon"
b) "Chemotherapy is almost always effective"
c) "Tell me more about how you're feeling"
d) "We will do our best to keep you as comfortable as possible" -
ANSWER- C
,3|Page
Which of the following techniques should the nurse use when
performing nasotracheal suctioning for a client?
a) insert the suction catheter while the client is swallowing
b) apply intermittent suction when withdrawing the catheter
c) place the catheter in a location that is clean and dry for later use
d) hold the suction catheter with the clean, non-dominant hand -
ANSWER- B
A nurse is assisting a client with range of motion exercise of the neck.
Which of the following should the nurse suggest to promote neck
rotation?
a) move her neck backwards
b) touch her chin to chest
c) touch her ear to shoulder
d) move her head from side to side - ANSWER- D
A nurse in a long-term care facility is planning to perform hygiene care
for a new resident. Which of the following assessment questions is the
nurse's priority before beginning this procedure?
a) "When do you usually bathe, in the morning or the evening?"
b) "Do you prefer a bath or shower?"
c) "At what temperature do you prefer your bath water?"
, 4|Page
d) Are you able to help with your hygiene care?" - ANSWER- D
The greatest risk to the client's safety is an injury from an overestimation
of the client's ability to help with hygiene care.
A nurse is caring for a client following an acute myocardial infarction.
The client is concerned that providing self-care will be difficult due to
extreme fatigue. Which of the following strategies should the nurse
implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for
assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care -
ANSWER- C
Rationale: By gradually increasing performance of tasks, the client
can feel a sense of accomplishment before taking on additional tasks.
A nurse is reviewing the medical records of a client who has a pressure
ulcer. Which of the following is an expected finding?
a) serum albumin level of 3 g/dL
b) HDL level of 90 mg/dL
