2023 ATI Capstone Fundamentals QUESTIONS AND
ANSWERS EXAM WITH RATIONALE
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM
| GUARANTEED PASS | LATEST UPDATE
A nurse is caring for a group of clients. Which of the
following action should the nurse take to prevent the spread
of infection? - CORRECT ANSWER Place a client who has
tuberculosis in a room with negative pressure airflow
A nurse is reviewing a clients medication prescription that
reads "digoxin 0.25 by mouth every day." Which of the
following components of the prescription should the nurse
verify with the provider? - CORRECT ANSWER Medication
dose
A nurse is caring for a client reports pain. When
documenting the quality of the clients pain on an initial
assessment the nurse should record which of the following
client statement? - CORRECT ANSWER The pain is like a
dull ache in my stomach
A nurse is planning strategies to manage time effectively for
client care. Which of the following strategies should the
nurse implement? - CORRECT ANSWER Use the planning
step of the nursing process to prioritize client care delivery
The nurse is performing a Romberg test during the physical
assessment of a client. Which of the following techniques
should the nurse use? - CORRECT ANSWER Have the client
stand with her arms at their sides and their feet together
,A nurse is preparing to insert an IV catheter into a clients
are in prior to initiating IV fluid therapy. Which of the
following intervention should the nurse implement to
prevent infection? - CORRECT ANSWER Apply transparent
dressing over the IV insertion site in securement device
A nurse is teaching a client in their family how to care for
the clients tracheostomy at home. Which of the following
instruction should the nurse include in the teaching? -
CORRECT ANSWER Use the tracheostomy covers went
outdoors
The nurse is reviewing protocol in preparation for suctioning
secretions from a client who has a new tracheostomy.
Which of the following action should the nurse plan to take?
- CORRECT ANSWER Select a suction catheter that is half
the size of the lumen
A nurse is assessing an adult client who has been immobile
for the past three weeks. For which of the following findings
should the nurse interview? - CORRECT ANSWER Erythema
on pressure points
The nurse is preparing do you administer an injection of an
opioid medication to a client. The nurse draws out 1 ML of
the medication from a 2 ML vial. Which of the following
action should the nurse take? - CORRECT ANSWER Ask
another nurse to observe the medication waste
A nurse is caring for a client who has terminal liver cancer.
Which of the following statements are the nurse identify as
an indication that the client is experiencing spiritual
,distress? - CORRECT ANSWER What can I have done to
deserve this illness
The nurse is giving a change of shift report about a client
that was admitted earlier that day who has pneumonia.
Which of the following pieces of information is the priority
for the nurse to provide? - CORRECT ANSWER Breath
sounds
A nurse is caring for a client who is receiving fluid through a
peripheral IV catheter. Which of the following findings of the
IV site should the nurse identify as indicating infiltration? -
CORRECT ANSWER Skin blanching
A nurse is preparing to transfer a client who can bear weight
on one leg from the bed to a chair. After securing a safe
environment, which of the following action should the nurse
take next? - CORRECT ANSWER Assess the client for
orthostatic hypotension
The nurse is preparing the skin assessment for a client who
expresses concern about skin cancer. Which of the following
findings should the nurse identify as a potential indication of
skin malignancy? - CORRECT ANSWER A mole with an
asymmetrical appearance
A nurse is caring for a client who has dementia. Which of the
following intervention should the nurse take to minimize the
risk for injury to the client? - CORRECT ANSWER Use a bed
exit alarm system
, The nurse is caring for a client who has herpes zoster and
ask the client about the use a complementary and
alternative therapies for pain control. The nurse should
inform the client that this condition is a contraindication for
which of the following therapies? - CORRECT ANSWER
Acupuncture
The nurse is caring for a client who has decreased mobility.
which of the following action should the nurse take to
decrease the clients risk of developing plantar flexion
contractures? - CORRECT ANSWER Applying ankle foot
orthotic device to the client be
A nurse is caring for a client. Complete the following
sentence by using the list of options. - CORRECT ANSWER
The client is at risk for bleeding as evidenced by clients
platelet count.
A nurse in the MedSurg unit is caring for six clients.
Complete the following sentence by using the list of options.
- CORRECT ANSWER The first client the nurse should
assess is client 3 followed by client 4.
A nurse is caring for a client in the MedSurg unit. Click to
highlight the findings indicate an improvement in the clients
condition. - CORRECT ANSWER The nurse identifies
findings of granulation tissue covering the wound bed, no
odor present, increased comfort level, and the decrease in
the size of the wound bed and tunneling indicate an
improvement of the clients condition.
ANSWERS EXAM WITH RATIONALE
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM
| GUARANTEED PASS | LATEST UPDATE
A nurse is caring for a group of clients. Which of the
following action should the nurse take to prevent the spread
of infection? - CORRECT ANSWER Place a client who has
tuberculosis in a room with negative pressure airflow
A nurse is reviewing a clients medication prescription that
reads "digoxin 0.25 by mouth every day." Which of the
following components of the prescription should the nurse
verify with the provider? - CORRECT ANSWER Medication
dose
A nurse is caring for a client reports pain. When
documenting the quality of the clients pain on an initial
assessment the nurse should record which of the following
client statement? - CORRECT ANSWER The pain is like a
dull ache in my stomach
A nurse is planning strategies to manage time effectively for
client care. Which of the following strategies should the
nurse implement? - CORRECT ANSWER Use the planning
step of the nursing process to prioritize client care delivery
The nurse is performing a Romberg test during the physical
assessment of a client. Which of the following techniques
should the nurse use? - CORRECT ANSWER Have the client
stand with her arms at their sides and their feet together
,A nurse is preparing to insert an IV catheter into a clients
are in prior to initiating IV fluid therapy. Which of the
following intervention should the nurse implement to
prevent infection? - CORRECT ANSWER Apply transparent
dressing over the IV insertion site in securement device
A nurse is teaching a client in their family how to care for
the clients tracheostomy at home. Which of the following
instruction should the nurse include in the teaching? -
CORRECT ANSWER Use the tracheostomy covers went
outdoors
The nurse is reviewing protocol in preparation for suctioning
secretions from a client who has a new tracheostomy.
Which of the following action should the nurse plan to take?
- CORRECT ANSWER Select a suction catheter that is half
the size of the lumen
A nurse is assessing an adult client who has been immobile
for the past three weeks. For which of the following findings
should the nurse interview? - CORRECT ANSWER Erythema
on pressure points
The nurse is preparing do you administer an injection of an
opioid medication to a client. The nurse draws out 1 ML of
the medication from a 2 ML vial. Which of the following
action should the nurse take? - CORRECT ANSWER Ask
another nurse to observe the medication waste
A nurse is caring for a client who has terminal liver cancer.
Which of the following statements are the nurse identify as
an indication that the client is experiencing spiritual
,distress? - CORRECT ANSWER What can I have done to
deserve this illness
The nurse is giving a change of shift report about a client
that was admitted earlier that day who has pneumonia.
Which of the following pieces of information is the priority
for the nurse to provide? - CORRECT ANSWER Breath
sounds
A nurse is caring for a client who is receiving fluid through a
peripheral IV catheter. Which of the following findings of the
IV site should the nurse identify as indicating infiltration? -
CORRECT ANSWER Skin blanching
A nurse is preparing to transfer a client who can bear weight
on one leg from the bed to a chair. After securing a safe
environment, which of the following action should the nurse
take next? - CORRECT ANSWER Assess the client for
orthostatic hypotension
The nurse is preparing the skin assessment for a client who
expresses concern about skin cancer. Which of the following
findings should the nurse identify as a potential indication of
skin malignancy? - CORRECT ANSWER A mole with an
asymmetrical appearance
A nurse is caring for a client who has dementia. Which of the
following intervention should the nurse take to minimize the
risk for injury to the client? - CORRECT ANSWER Use a bed
exit alarm system
, The nurse is caring for a client who has herpes zoster and
ask the client about the use a complementary and
alternative therapies for pain control. The nurse should
inform the client that this condition is a contraindication for
which of the following therapies? - CORRECT ANSWER
Acupuncture
The nurse is caring for a client who has decreased mobility.
which of the following action should the nurse take to
decrease the clients risk of developing plantar flexion
contractures? - CORRECT ANSWER Applying ankle foot
orthotic device to the client be
A nurse is caring for a client. Complete the following
sentence by using the list of options. - CORRECT ANSWER
The client is at risk for bleeding as evidenced by clients
platelet count.
A nurse in the MedSurg unit is caring for six clients.
Complete the following sentence by using the list of options.
- CORRECT ANSWER The first client the nurse should
assess is client 3 followed by client 4.
A nurse is caring for a client in the MedSurg unit. Click to
highlight the findings indicate an improvement in the clients
condition. - CORRECT ANSWER The nurse identifies
findings of granulation tissue covering the wound bed, no
odor present, increased comfort level, and the decrease in
the size of the wound bed and tunneling indicate an
improvement of the clients condition.
