ATI Capstone Fundamentals QUESTIONS AND ANSWERS EXAM
2025 ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE
EXAM | GUARANTEED PASS | LATEST UPDATE
a nurse is caring for a pt receiving opiates for pain. initially after the
pain plan was started, the pt was sedated and sleeping most of the
time. after 3 days on the plan the pt is no longer sedated and sleeping
regularly. what action should the nurse take?
- initiate additional non-pharmacological pain management
techniques
- notify provider that a dosage adjustment is needed
- no action is needed at this time
- contact provider to request an alternate method of pain
management - CORRECT ANSWER no action is needed at this time
opiates initially cause sedation but this effect subsides with
maintenance pain control. The pain mangement plan is working.
There is no need to change or add additional methods at this time.
Glascow Coma Scale - CORRECT ANSWER Eye opening (E) - The best
eye response, with responses ranging from 4 to 1 4 = Eye opening
occurs spontaneously.
3 = Eye opening occurs secondary to voice.
2 = Eye opening occurs secondary to pain.
1 = Eye opening does not occur.
,Verbal (V) - The best verbal response, with responses ranging from 5
to 1
5 = Conversation is coherent and oriented.
4 = Conversation is incoherent and disoriented.
3 = Words are spoken, but inappropriately.
2 = Sounds are made, but no words.
1 = Vocalization does not occur.
Motor (M) - The best motor response, with responses ranging from 6
to 1
6 = Commands are followed.
5 = Local reaction to pain occurs.
4 = There is a general withdrawal to pain.
3 = Decorticate posture (adduction of arms, flexion of elbows and
wrists) is present.
2 = Decerebrate posture (abduction of arms, extension of elbows and
wrists) is present.
1 = Motor response does not occur.
Responses within each subscale are added, with the total score
quantitatively describing the client's level of consciousness. E + V + M
= Total GCS
which of the following can cause a low pulse oximetry reading?
- hyperthermia (no, hypothermia can)
- increase hemoglobin level (no decreased hemoglobin can)
- inadequate peripheral circulation (YES)
,- low altitudes (no, low altitudes dont impact pulse ox readings) -
CORRECT ANSWER inadequate peripheral circulation
a nurse is caring for a patient with encephalopathy secondary to liver
failure. the pt has been prescribed a high calorie, low protein diet.
which of the following meal selections is appropriate for this client?
- scrambled eggs, bacon, & pancakes
- grilled cheese, potato chips, chocolate pudding
- steak, french fries, corn
- chicken breast, mashed potatoes, spinach - CORRECT ANSWER
chicken breast, mashed potatoes, spinach
This option meets the prescribed diet. It is high in calories and while
chicken does provide protein it is a low-fat source and can be eaten in
moderation on a low-protein diet. Spinach will provide additional
vitamin K for this client at risk for bleeding due to liver failure.
a nurse is caring for a pt receiving chemo that is experiencing
neutropenia, which of the following should the nurse include in the
pt's education?
- track oral temp weekly (no, monitor daily)
- gardening is a good form of mild exercise (no, pts with neutropenia
do not have enough circulating neutrophils to fight off infections.
Gardening would expose the client to microbes in the soil that could
cause illness.)
- avoid crowded events (YES)
, - eat plenty of fresh fruits & veggies (no, Clients with neutropenia do
not have enough circulating neutrophils to fight off infections. Fruits
and vegetables are covered with microbes that while not normally
harmful to non-immunocompromised clients can cause infection in
clients with myleosuppression. These food should be cooked before
the client ingests them.) - CORRECT ANSWER avoid crowded events
a pt w/ hearing loss has been fitted for a hearing aid. which of the
following teaching points are important for the nurse to discuss with
the pt?
- use highest setting to promote full auditory comprehension (no, use
lowest setting that allows hearing w/o feedback)
- use mild soap and water to clean the ear mold (YES)
- turn hearing aid off to conserve battery life during hours of sleep
only (no, when aid isnt in use turn it off or remove batteries to
conserve battery power & keep replacement batteries on hand)
- immerse aid in saline solution to keep it hygienic (no, use mild soap
& water) - CORRECT ANSWER
a nurse is caring for a pt who has been prescribed furosemide, which
of the following foods should the nurse encourage this pt to include in
his diet?
- table salt
- egg yolks
- white wine
- oranges - CORRECT ANSWER Oranges
2025 ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE
EXAM | GUARANTEED PASS | LATEST UPDATE
a nurse is caring for a pt receiving opiates for pain. initially after the
pain plan was started, the pt was sedated and sleeping most of the
time. after 3 days on the plan the pt is no longer sedated and sleeping
regularly. what action should the nurse take?
- initiate additional non-pharmacological pain management
techniques
- notify provider that a dosage adjustment is needed
- no action is needed at this time
- contact provider to request an alternate method of pain
management - CORRECT ANSWER no action is needed at this time
opiates initially cause sedation but this effect subsides with
maintenance pain control. The pain mangement plan is working.
There is no need to change or add additional methods at this time.
Glascow Coma Scale - CORRECT ANSWER Eye opening (E) - The best
eye response, with responses ranging from 4 to 1 4 = Eye opening
occurs spontaneously.
3 = Eye opening occurs secondary to voice.
2 = Eye opening occurs secondary to pain.
1 = Eye opening does not occur.
,Verbal (V) - The best verbal response, with responses ranging from 5
to 1
5 = Conversation is coherent and oriented.
4 = Conversation is incoherent and disoriented.
3 = Words are spoken, but inappropriately.
2 = Sounds are made, but no words.
1 = Vocalization does not occur.
Motor (M) - The best motor response, with responses ranging from 6
to 1
6 = Commands are followed.
5 = Local reaction to pain occurs.
4 = There is a general withdrawal to pain.
3 = Decorticate posture (adduction of arms, flexion of elbows and
wrists) is present.
2 = Decerebrate posture (abduction of arms, extension of elbows and
wrists) is present.
1 = Motor response does not occur.
Responses within each subscale are added, with the total score
quantitatively describing the client's level of consciousness. E + V + M
= Total GCS
which of the following can cause a low pulse oximetry reading?
- hyperthermia (no, hypothermia can)
- increase hemoglobin level (no decreased hemoglobin can)
- inadequate peripheral circulation (YES)
,- low altitudes (no, low altitudes dont impact pulse ox readings) -
CORRECT ANSWER inadequate peripheral circulation
a nurse is caring for a patient with encephalopathy secondary to liver
failure. the pt has been prescribed a high calorie, low protein diet.
which of the following meal selections is appropriate for this client?
- scrambled eggs, bacon, & pancakes
- grilled cheese, potato chips, chocolate pudding
- steak, french fries, corn
- chicken breast, mashed potatoes, spinach - CORRECT ANSWER
chicken breast, mashed potatoes, spinach
This option meets the prescribed diet. It is high in calories and while
chicken does provide protein it is a low-fat source and can be eaten in
moderation on a low-protein diet. Spinach will provide additional
vitamin K for this client at risk for bleeding due to liver failure.
a nurse is caring for a pt receiving chemo that is experiencing
neutropenia, which of the following should the nurse include in the
pt's education?
- track oral temp weekly (no, monitor daily)
- gardening is a good form of mild exercise (no, pts with neutropenia
do not have enough circulating neutrophils to fight off infections.
Gardening would expose the client to microbes in the soil that could
cause illness.)
- avoid crowded events (YES)
, - eat plenty of fresh fruits & veggies (no, Clients with neutropenia do
not have enough circulating neutrophils to fight off infections. Fruits
and vegetables are covered with microbes that while not normally
harmful to non-immunocompromised clients can cause infection in
clients with myleosuppression. These food should be cooked before
the client ingests them.) - CORRECT ANSWER avoid crowded events
a pt w/ hearing loss has been fitted for a hearing aid. which of the
following teaching points are important for the nurse to discuss with
the pt?
- use highest setting to promote full auditory comprehension (no, use
lowest setting that allows hearing w/o feedback)
- use mild soap and water to clean the ear mold (YES)
- turn hearing aid off to conserve battery life during hours of sleep
only (no, when aid isnt in use turn it off or remove batteries to
conserve battery power & keep replacement batteries on hand)
- immerse aid in saline solution to keep it hygienic (no, use mild soap
& water) - CORRECT ANSWER
a nurse is caring for a pt who has been prescribed furosemide, which
of the following foods should the nurse encourage this pt to include in
his diet?
- table salt
- egg yolks
- white wine
- oranges - CORRECT ANSWER Oranges
