2025 ATI Capstone Fundamentals QUESTIONS AND ANSWERS EXAM
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM |
GUARANTEED PASS | LATEST UPDATE
The nurse should expect to find bradykinesia or difficulty moving in
a client who has Parkinson's disease.
A nurse is preparing to administer total parenteral nutrition (TPN)
to a client. Which of the following findings indicates a need to obtain
a new bag of TPN before administering?
The TPN solution has an oily appearance and a layer of fat on top of
the solution.
The TPN solution contains added electrolytes, vitamins and trace
elements.
The bag of TPN was prepared by the pharmacy 12 hours prior.
The bag of TPN is labeled with the client's name, medical record
number and prescription. - CORRECT ANSWER The TPN
solution has an oily appearance and a layer of fat on top of the
solution;
Before administration of TPN, the nurse should look for "cracking"
of TPN solution. This occurs if the calcium or phosphorous 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 range of motion. Which is the best manner to encourage this
client to void?
Urinal
,Bedpan
Bedside Commode
Client Bathroom - CORRECT ANSWER Client Bathroom;
The goal is to encourage clients to maintain independence and
privacy if the client has full function and is able to safely complete
ADLs.
A nurse is caring for a client with a stage 2 pressure ulcer. Define
the characteristics of the ulcer.
Intact skin with an area of persistent, nonblanchable redness,
typically over a bony prominence, that may feel warmer or cooler
than the adjacent tissue.
Full-thickness tissue loss with damage to or necrosis of
subcutaneous tissue. The ulcer may extend down to, but not
through, underlying fascia.
Partial-thickness skin loss involving the epidermis and the dermis.
The ulcer is visible and superficial and may appear as an abrasion,
blister, or shallow crater.
Full-thickness tissue loss with destruction, tissue necrosis, or
damage to muscle, bone, or supporting structures. There may be
sinus tracts, deep pockets of infection, tunneling, undermining,
eschar or slough. - CORRECT ANSWER Partial-thickness skin loss
involving the epidermis and the dermis. The ulcer is visible and
superficial and may appear as an abrasion, blister, or shallow
crater. Edema persists, and the ulcer may become infected, possibly
with pain and scant drainage;
For a stage 2 pressure ulcer, the ulcer is described as partial-
thickness, involving the epidermis and dermis.
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 family and friends.
Develop sense of personal identity that family expectations
influence. Peer relationships develop as support system. Concerned
with body images that media portray.
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.
Take on new experiences and when unable to accomplish task may
feel guilty or misbehave. Generally do not exhibit stranger anxiety.
Understand behavior in terms of what is socially acceptable. -
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 behavior is an expected finding of 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 at bedtime.
Take an evening walk before bedtime.
Take an afternoon nap.
Limit alcohol and nicotine prior to bedtime. - CORRECT ANSWER
Limit alcohol and nicotine prior to bedtime;
Limit alcohol, caffeine, and nicotine at least 4 hr before bedtime.
, A nurse is caring for a client with heart failure who has evidence of
dyspnea, bibasilar crackles and frothy sputum. What dietary
recommendations should be provided to this client in management
of their heart failure?
Decrease protein intake.
Reduce sodium intake.
Increase fluid intake.
Decrease calcium intake. - CORRECT ANSWER Reduce sodium
intake.
A nurse is caring for an older adult client with delirium. Which
intervention will most effectively reduce the client's risk for falls?
Use of a night-light.
Demonstrate how to use the call light.
Place bedside table in close proximity.
Hourly rounding by the nurse. - CORRECT ANSWER Hourly
rounding by the nurse;
In the health care environment, hourly rounding by nurses
significantly reduces the occurrence of client falls, as well as
reducing call light usage and increasing client satisfaction.
A nurse is caring for a client receiving radiation treatments for
cancer. The client states he is experiencing dryness, redness and
scaling at the treatment area. Which of the following should the
nurse instruct the client to do?
Sit in the sun for 15 minutes per day.
Apply moist heat to the area twice daily.
Liberally apply prescribed lotion to the area.
Wash the affected area daily with antimicrobial soap. - CORRECT
ANSWER Liberally apply prescribed lotion to the area;
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM |
GUARANTEED PASS | LATEST UPDATE
The nurse should expect to find bradykinesia or difficulty moving in
a client who has Parkinson's disease.
A nurse is preparing to administer total parenteral nutrition (TPN)
to a client. Which of the following findings indicates a need to obtain
a new bag of TPN before administering?
The TPN solution has an oily appearance and a layer of fat on top of
the solution.
The TPN solution contains added electrolytes, vitamins and trace
elements.
The bag of TPN was prepared by the pharmacy 12 hours prior.
The bag of TPN is labeled with the client's name, medical record
number and prescription. - CORRECT ANSWER The TPN
solution has an oily appearance and a layer of fat on top of the
solution;
Before administration of TPN, the nurse should look for "cracking"
of TPN solution. This occurs if the calcium or phosphorous 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 range of motion. Which is the best manner to encourage this
client to void?
Urinal
,Bedpan
Bedside Commode
Client Bathroom - CORRECT ANSWER Client Bathroom;
The goal is to encourage clients to maintain independence and
privacy if the client has full function and is able to safely complete
ADLs.
A nurse is caring for a client with a stage 2 pressure ulcer. Define
the characteristics of the ulcer.
Intact skin with an area of persistent, nonblanchable redness,
typically over a bony prominence, that may feel warmer or cooler
than the adjacent tissue.
Full-thickness tissue loss with damage to or necrosis of
subcutaneous tissue. The ulcer may extend down to, but not
through, underlying fascia.
Partial-thickness skin loss involving the epidermis and the dermis.
The ulcer is visible and superficial and may appear as an abrasion,
blister, or shallow crater.
Full-thickness tissue loss with destruction, tissue necrosis, or
damage to muscle, bone, or supporting structures. There may be
sinus tracts, deep pockets of infection, tunneling, undermining,
eschar or slough. - CORRECT ANSWER Partial-thickness skin loss
involving the epidermis and the dermis. The ulcer is visible and
superficial and may appear as an abrasion, blister, or shallow
crater. Edema persists, and the ulcer may become infected, possibly
with pain and scant drainage;
For a stage 2 pressure ulcer, the ulcer is described as partial-
thickness, involving the epidermis and dermis.
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 family and friends.
Develop sense of personal identity that family expectations
influence. Peer relationships develop as support system. Concerned
with body images that media portray.
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.
Take on new experiences and when unable to accomplish task may
feel guilty or misbehave. Generally do not exhibit stranger anxiety.
Understand behavior in terms of what is socially acceptable. -
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 behavior is an expected finding of 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 at bedtime.
Take an evening walk before bedtime.
Take an afternoon nap.
Limit alcohol and nicotine prior to bedtime. - CORRECT ANSWER
Limit alcohol and nicotine prior to bedtime;
Limit alcohol, caffeine, and nicotine at least 4 hr before bedtime.
, A nurse is caring for a client with heart failure who has evidence of
dyspnea, bibasilar crackles and frothy sputum. What dietary
recommendations should be provided to this client in management
of their heart failure?
Decrease protein intake.
Reduce sodium intake.
Increase fluid intake.
Decrease calcium intake. - CORRECT ANSWER Reduce sodium
intake.
A nurse is caring for an older adult client with delirium. Which
intervention will most effectively reduce the client's risk for falls?
Use of a night-light.
Demonstrate how to use the call light.
Place bedside table in close proximity.
Hourly rounding by the nurse. - CORRECT ANSWER Hourly
rounding by the nurse;
In the health care environment, hourly rounding by nurses
significantly reduces the occurrence of client falls, as well as
reducing call light usage and increasing client satisfaction.
A nurse is caring for a client receiving radiation treatments for
cancer. The client states he is experiencing dryness, redness and
scaling at the treatment area. Which of the following should the
nurse instruct the client to do?
Sit in the sun for 15 minutes per day.
Apply moist heat to the area twice daily.
Liberally apply prescribed lotion to the area.
Wash the affected area daily with antimicrobial soap. - CORRECT
ANSWER Liberally apply prescribed lotion to the area;
