ATI Capstone- Fundamentals PreAssessment

ATI Capstone- Fundamentals Pre-
z z z




Assessment
Aznurseziszcompletingzaznutritionalzassessmentzonzazclientzandzmeasureszbodyzmasszindex
z(BMI).zWhichzofzthezfollowingzreadingszcorrelateszwithzazBMIzofzanzoverweightzclient?z

A.z18.5
B.z24.9
C.z25
D.z32z-zAnswerzC.z25z
Rationale:zHealthyzweightziszindicateszbyzazBMIzofz18.5-
24.9.zOverweightziszdefinedzaszanzincreasedzbodyzweightzinzrelationztozheight.zItziszindicate
dzbyzazBMIzofz25-
29.9.zObesityziszanzexcesszamountzofzbodyzfat.zItziszindicatedzbyzazBMIzgreaterzthanzorzequa
lztoz30.z
Underweight-zlesszthanz18.5

AznurseziszverifyingznasogastricztubezplacementzbyzthezpHzofzaspiratedzgastriczfluid.zWhichz
ofzthezfollowingzpHzvalueszprovideszazgoodzindicationzofzcorrectztubezplacement?z
A.z2
B.z5
C.z7
D.z9z-zAnswerzA.z2
Rationale:zAzgoodzindicationzofzappropriatezplacementziszobtainingzgastriczcontentszwithzaz
pHzbetweenz0zandz4.

Aznurseziszcaringzforzazclientzwithzazclosedzheadzinjury.zWhenzpressureziszappliedztozclient'sz
nailzbeds,zthezclient'szeyeszopenzandzadductionzofzthezarmszwithzflexionzofzthezelbowszandz
wristszisznoted.zThezclientzalsozmoanszwithzstimulation.zWhatziszthezclient'szGlascowzComaz
Score?z
A.z4
B.z7
C.z9
D.z10z-zAnswerzB.z7z(comatose)z
Rationale:z
EyezOpeningz(rangeszfromz4-1)
4z=zspontaneousz
3z=ztozvoicez
2z=ztozpain
1z=znonez
Verbalz(rangeszfromz5-1)
5z=zorientedz
4z=zconfusedz
3z=zinappropriatezwords
2z=zincomprehensiblezsoundsz

, 1=znone
Motorz(ragedzfromz6-1)
6z=zobeyszcommandz
5z=zlocalizeszpain
4z=zwithdrawsz
3z=zflexionz(decorticatezposturing)
2z=zextensionz(decerebratezposturing)
1z=znone

Aznursezshouldzteachzwhichzofzthezfollowingzclientszrequiringzcrutcheszaboutzhowztozusezazt
hree-pointzgait?z
A.zAzclientzwhoziszableztozbearzfullzweightzonzbothzlowerzextremities.z
B.zAzclientzwhozhaszbilateralzlegzbraceszdueztozparalysiszofzthezlowerzextremities.z
C.zAzclientzwhozhaszazrightzfemurzfracturezwithznozweightzbearingzonzthezaffectedzleg.z
D.zAzclientzwhozhaszbilateralzknee-replacementszwithzpartialzweightzbearingzonzbothzlegs.z-
zAnswerzC.zAzclientzwhozhaszazrightzfemurzfracturezwithznozweightzbearingzonzthezaffectedzle

g.
Rationale:zAzthree-
pointzgaitzrequireszthezclientztozbearzallzofzhiszweightzonzonezfoot.zWithzazthree-
pointzgait,zthezclientzbearszweightzonzbothzcrutcheszandzthenzonzthezuninvolvedzleg,zrepeati
ngzthezsequence.zThezaffectedzlegzdoesznotztouchzthezground.

AznurseziszprovidingzteachingzaboutzthezMediterraneanzdietztozazclientzwhozhaszaznewzdiag
nosiszifzhypertension.zWhichzofzthezfollowingzstatementszbyzthezclientzindicateszazneedzforzf
urtherzteaching?z
A.z"Izwillzlimitzmyzintakezofzredzmeatztoztwicezweekly."
B.z"Izcanzhavezdairyzinzmoderatezportionszdaily."
C.z"Izcanzhavezfishztwoztimeszazweek."
D.z"Izcanzdrinkzwinezinzmoderation."z-
zAnswerzA.z"Izwillzlimitzmyzintakezofzredzmeatztoztwicezweekly."

Rationale:zFollowingzthezMediterraneanzdiet,zredzmeatzshouldzbezlimitedztoztwoztimeszmont
hly.zThezclientzshouldzhavezdairyzinzmoderatezportionszdailyztozweekly.zThezintakezofzfishzan
dzseafoodziszatzleastztwoztimeszperzweek.zDrinkingzwineziszacceptablezinzmoderation.

Aznurseziszprovidingzdietaryzeducationztozazclientzwithzcholecystitiszwhozhaszbeenzprescribe
dzazlow-
fatzdiet.zWhichzofzthezfollowingzmealzselectionszbyzthezclientzindicateszunderstandingzofzedu
cation?z
A.zRoastzbeefzwithzgravy,zmashedzpotatoes,zicezcreamz
B.zMacaronizandzcheese,zsalad,zpudding
C.zCreamedzchickenzonzazrollzwithzpeasz
D.zRoastzturkey,zricezpilaf,zgreenzbeansz-zAnswerzD.zRoastzturkey,zricezpilaf,zgreenzbeansz
Rationale:zRoastzturkeyziszazlow-
fatzproteinzoptionzthatzwouldzbezanzexcellentzchoicezforzazlow-fatzdiet.