ATI CAPSTONE FUNDAMENTALS
EXAM 2024-2025 EXAM 2 VERSIONS
COMPLETE 250 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS)/ALREADY
GRADED A+
VERSION A
A nurse is caring for a client receiving IV fluids.
During a routine check, the nurse determines that
the client has developed phlebitis and removes the
IV catheter. Which of the following actions should the
nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter -
....ANSWER...A
,The greatest risk to the client is further injury. The
next action should take is to apply a warm compress
over the IV site to decrease edema and client
discomfort.
A charge nurse is observing a newly hired nurse
prepare a sterile field. Which of the following
indicates to the charge nurse that the sterile field is
contaminated?
a) Outer edges of the sterile field is touching a bottle
b) first fold is opened away from the body
c) sterile objects are held above the waist
d) sterile field is opened on a wet surface -
....ANSWER...D
Opening a sterile field on a wet surface
contaminates it because capillary action can wick
bacteria through the dressing
A nurse is caring for a client who has dementia.
Which of the following interventions should the
nurse take to minimize the risk for injury for this
client?
,a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - ....ANSWER...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
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
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"
EXAM 2024-2025 EXAM 2 VERSIONS
COMPLETE 250 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS)/ALREADY
GRADED A+
VERSION A
A nurse is caring for a client receiving IV fluids.
During a routine check, the nurse determines that
the client has developed phlebitis and removes the
IV catheter. Which of the following actions should the
nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter -
....ANSWER...A
,The greatest risk to the client is further injury. The
next action should take is to apply a warm compress
over the IV site to decrease edema and client
discomfort.
A charge nurse is observing a newly hired nurse
prepare a sterile field. Which of the following
indicates to the charge nurse that the sterile field is
contaminated?
a) Outer edges of the sterile field is touching a bottle
b) first fold is opened away from the body
c) sterile objects are held above the waist
d) sterile field is opened on a wet surface -
....ANSWER...D
Opening a sterile field on a wet surface
contaminates it because capillary action can wick
bacteria through the dressing
A nurse is caring for a client who has dementia.
Which of the following interventions should the
nurse take to minimize the risk for injury for this
client?
,a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - ....ANSWER...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
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
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"
