2023 ATI Capstone Fundamentals QUESTIONS AND
ANSWERS EXAM
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM
| GUARANTEED PASS | LATEST UPDATE
A nurse is assessing a client who has parkinsons disease.
which of the following manifestations should the nurse
expect?
- pruritis (no, nurse should expect oily skin, which results
from autonomic dysfunction, rather than pruritis, which
results from dry skin)
- hypertension (no, should expect orthostatic hypotension
which results from autonomic dysfunction)
- bradykinesia (YES)
- xerostomia (no, should expect to find uncontrollable
drooling especially at night instead of xerostomia/dry mouth)
- CORRECT ANSWER bradykinesia
aka difficulty moving
a nurse is preparing to admin TPN to a client. which of the
following findings indicates a need to obtain a new bag of
TPN before admin?
- TPN has an oily appearance and a layer of fat on top of the
solution (YES)
,- TPN solution contains added electrolytes, vitamins, and
trace elements (no, electrolytes, vitamins, and trace
elements are essential for normal body functions. vitamin K
may also be added)
- bag of TPN was prepared by the pharmacy 12 hours prior
(no, to prevent interruption of therapy the next bag SHOULD
be available prior to previous bags completion)
- bag of TPN is labeled with the pt's name, medical record
number & prescription (no, this should be done) - CORRECT
ANSWER TPN has an oily appearance and a layer of fat on
top of the solution
Before admin, nurse should look for "cracking" of TPN
solution. this occurs if the calcium or phosphorus content is
high or if poor-salt albumin is added. A "cracked" TPN
solution has an oily appearance or a layer of fat on top of the
solution and should not be used
a nurse is caring for a client who is admitted for observation
and has full ROM. Which is the best manner to encourage
the client to void?
- urinal
- bedpan
- bedside commode
- client bathroom - CORRECT ANSWER client bathroom
a nurse is reviewing psychosocial stages of development for
a school-age child. What would be an expected behavioral
finding for this child?
,- personalize values and beliefs and base reasoning on
ethical fairness principles. Establish close relationships.
Have influences that help with formation of healthy self-
concept, such as family & friends (no, this is young adults
20-35 years)
- develop sense of personal identity that family expectations
influence. peer relationships develop as support system.
concerned with body images that media portray (no, this is
adolescents 12-20 years)
- develop sense of industry through advances in learning.
strive to develop healthy self-respect by finding out in what
areas they excel. peer groups play important role in social
development (YES)
- take on new experiences and when unable to accomplish
task may feel guilty or misbehave. generally dont exhibit
stranger anxiety. unders - CORRECT ANSWER develop
sense of industry through advances in learning. strive to
develop healthy self-respect by finding out in what areas
they excel. peer groups play important role in social
development
this is expected in school-age children 6-12 years
a menopausal client is having difficulty getting to sleep and
asks what actions she should incorporate in her daily
routine to promote sleep. The nurse would encourage, which
of the below measures to promote sleep?
, - consume a warm drink before bedtime (no, limit fluids 2-4
hrs before bed)
- take an evening walk before bedtime (no, limit exercise at
least 2 hrs before bed)
- take an afternoon nap (no, establish a bedtime routine and
regular sleep pattern)
- limit alcohol and nicotine prior to bedtime (YES) - CORRECT
ANSWER limit alcohol and nicotine prior to bedtime
limiti alcohol, caffeine, & nicotine at least 4 hr before
bedtime
a nurse is caring for a client w heart failure who has
evidence of dyspnea, bibasilar crackles & frothy sputum,
what dietary recommendations should be provided to this
client in management of their heart failure?
- decrease protein intake (no, want to increase protein for
HF)
- decrease sodium intake (YES)
- increase fluid intake (no, want to restrict intake to 2 L per
day)
- decrease calcium intake (no, theres no recommendations
on calcium with HF) - CORRECT ANSWER decrease sodium
intake
ANSWERS EXAM
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM
| GUARANTEED PASS | LATEST UPDATE
A nurse is assessing a client who has parkinsons disease.
which of the following manifestations should the nurse
expect?
- pruritis (no, nurse should expect oily skin, which results
from autonomic dysfunction, rather than pruritis, which
results from dry skin)
- hypertension (no, should expect orthostatic hypotension
which results from autonomic dysfunction)
- bradykinesia (YES)
- xerostomia (no, should expect to find uncontrollable
drooling especially at night instead of xerostomia/dry mouth)
- CORRECT ANSWER bradykinesia
aka difficulty moving
a nurse is preparing to admin TPN to a client. which of the
following findings indicates a need to obtain a new bag of
TPN before admin?
- TPN has an oily appearance and a layer of fat on top of the
solution (YES)
,- TPN solution contains added electrolytes, vitamins, and
trace elements (no, electrolytes, vitamins, and trace
elements are essential for normal body functions. vitamin K
may also be added)
- bag of TPN was prepared by the pharmacy 12 hours prior
(no, to prevent interruption of therapy the next bag SHOULD
be available prior to previous bags completion)
- bag of TPN is labeled with the pt's name, medical record
number & prescription (no, this should be done) - CORRECT
ANSWER TPN has an oily appearance and a layer of fat on
top of the solution
Before admin, nurse should look for "cracking" of TPN
solution. this occurs if the calcium or phosphorus content is
high or if poor-salt albumin is added. A "cracked" TPN
solution has an oily appearance or a layer of fat on top of the
solution and should not be used
a nurse is caring for a client who is admitted for observation
and has full ROM. Which is the best manner to encourage
the client to void?
- urinal
- bedpan
- bedside commode
- client bathroom - CORRECT ANSWER client bathroom
a nurse is reviewing psychosocial stages of development for
a school-age child. What would be an expected behavioral
finding for this child?
,- personalize values and beliefs and base reasoning on
ethical fairness principles. Establish close relationships.
Have influences that help with formation of healthy self-
concept, such as family & friends (no, this is young adults
20-35 years)
- develop sense of personal identity that family expectations
influence. peer relationships develop as support system.
concerned with body images that media portray (no, this is
adolescents 12-20 years)
- develop sense of industry through advances in learning.
strive to develop healthy self-respect by finding out in what
areas they excel. peer groups play important role in social
development (YES)
- take on new experiences and when unable to accomplish
task may feel guilty or misbehave. generally dont exhibit
stranger anxiety. unders - CORRECT ANSWER develop
sense of industry through advances in learning. strive to
develop healthy self-respect by finding out in what areas
they excel. peer groups play important role in social
development
this is expected in school-age children 6-12 years
a menopausal client is having difficulty getting to sleep and
asks what actions she should incorporate in her daily
routine to promote sleep. The nurse would encourage, which
of the below measures to promote sleep?
, - consume a warm drink before bedtime (no, limit fluids 2-4
hrs before bed)
- take an evening walk before bedtime (no, limit exercise at
least 2 hrs before bed)
- take an afternoon nap (no, establish a bedtime routine and
regular sleep pattern)
- limit alcohol and nicotine prior to bedtime (YES) - CORRECT
ANSWER limit alcohol and nicotine prior to bedtime
limiti alcohol, caffeine, & nicotine at least 4 hr before
bedtime
a nurse is caring for a client w heart failure who has
evidence of dyspnea, bibasilar crackles & frothy sputum,
what dietary recommendations should be provided to this
client in management of their heart failure?
- decrease protein intake (no, want to increase protein for
HF)
- decrease sodium intake (YES)
- increase fluid intake (no, want to restrict intake to 2 L per
day)
- decrease calcium intake (no, theres no recommendations
on calcium with HF) - CORRECT ANSWER decrease sodium
intake
