ATI Capstone Fundamentals QUESTIONS AND ANSWERS EXAM
2025 ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE
EXAM | GUARANTEED PASS | LATEST UPDATE
a nurse is verifying ng tube placement by the pH of aspirated gastric
fluid. which of the following pH values provides a good indication of
correct tube placement? - CORRECT ANSWER 2
(pH between 0-4)
a nurse is caring for a client with a closed head injury. when pressure
is applied to the client's nail beds, the clients eyes open and adduction
of the arms with flexion of the elbows and wrists is noted. the client
also moans with stimulation, what is the GCS? - CORRECT ANSWER 7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring crutches
about how to use a three point gait? - CORRECT ANSWER a client
who has a R femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and
uninvolved leg, the affected leg does not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client
newly who has a new diagnosis of hypertension. what statement
indicates need for further teaching? - CORRECT ANSWER i will limit
my intake of red meat to 2x weekly
,(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis
who has been prescribed a low-fat diet. which of the following meal
selections by the client indicates understanding of education? -
CORRECT ANSWER roast turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic
floor muscles and prevent pelvic organ prolapse. What exercise will
the client need to perform - CORRECT ANSWER Kegals
(reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which
intervention will most likely reduce the client's risk for falls? -
CORRECT ANSWER hourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide.
which of the following foods should the nurse encourage this to
include in his diet? - CORRECT ANSWER oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats,
broccoli, bananas are good for a potassium wasting diuretic)
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? - CORRECT ANSWER limit alcohol and nicotine prior to
bedtime
(at least 4 hours)
,a nurse is caring for several clients prescribed heat/cold therapies.
which of the following clients are at risk of injury from these
therapies? SATA - CORRECT ANSWER use caution with clients who
are very young, older adult, fair skinned, impaired cognition, and
comorbidities --> higher risk for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea,
bibasalar crackles and frothy sputum. what dietary recommendations
should be provided to this client in management of their HF? -
CORRECT ANSWER reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein,
consume small frequent meals that are soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM
plan was started the client was sedated and sleeping most of the
time. after three days the client is no longer sedated and sleeping
regularly. what action should the nurse take? - CORRECT ANSWER
no action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain
control)
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 the client
to void? - CORRECT ANSWER client bathroom
(promotes independence and ADLs)
a nurse is caring for a client with encephalopathy secondary to liver
failure, the client has been prescribed a high calorie, low protein diet.
which of the following meals are appropriate? - CORRECT ANSWER
chicken breast, mashed potatoes, spinach
, a client with hearing loss has been fitted for a hearing aid. which of
the following teaching points are important for the nurse to discuss
with the client? - CORRECT ANSWER use mild soap and water to
clean the ear mold
what is the name of a legal document that instructs hcp's and family
members about what, if any life-sustaining treatment and individual
wants if at some time the individual is unable to make decisions? -
CORRECT ANSWER living will
a nurse is caring for a client with celiac disease, which food should be
removed? - CORRECT ANSWER tortillas
(contain gluten)
a nurse is assisting a client with his meal that is at risk for aspiration
d/t stroke, what interventions should the nurse take to prevent
aspiration? - CORRECT ANSWER position upright
upper back and head are supported
tuck chin when swallowing
a nurse is assessing four clients for fluid balance, the nurse should
identify what as dehydration? - CORRECT ANSWER a client that has a
temperature of 39C or 102F
a nurse is preparing to administer TPN, what indicates a need to
obtain a new bag? - CORRECT ANSWER the TPN solution has an oily
appearance and a layer of fat on top of the solution
("cracking")
which can cause a low pulse ox reading? - CORRECT ANSWER
inadequate peripheral circulation
2025 ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE
EXAM | GUARANTEED PASS | LATEST UPDATE
a nurse is verifying ng tube placement by the pH of aspirated gastric
fluid. which of the following pH values provides a good indication of
correct tube placement? - CORRECT ANSWER 2
(pH between 0-4)
a nurse is caring for a client with a closed head injury. when pressure
is applied to the client's nail beds, the clients eyes open and adduction
of the arms with flexion of the elbows and wrists is noted. the client
also moans with stimulation, what is the GCS? - CORRECT ANSWER 7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring crutches
about how to use a three point gait? - CORRECT ANSWER a client
who has a R femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and
uninvolved leg, the affected leg does not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client
newly who has a new diagnosis of hypertension. what statement
indicates need for further teaching? - CORRECT ANSWER i will limit
my intake of red meat to 2x weekly
,(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis
who has been prescribed a low-fat diet. which of the following meal
selections by the client indicates understanding of education? -
CORRECT ANSWER roast turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic
floor muscles and prevent pelvic organ prolapse. What exercise will
the client need to perform - CORRECT ANSWER Kegals
(reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which
intervention will most likely reduce the client's risk for falls? -
CORRECT ANSWER hourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide.
which of the following foods should the nurse encourage this to
include in his diet? - CORRECT ANSWER oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats,
broccoli, bananas are good for a potassium wasting diuretic)
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? - CORRECT ANSWER limit alcohol and nicotine prior to
bedtime
(at least 4 hours)
,a nurse is caring for several clients prescribed heat/cold therapies.
which of the following clients are at risk of injury from these
therapies? SATA - CORRECT ANSWER use caution with clients who
are very young, older adult, fair skinned, impaired cognition, and
comorbidities --> higher risk for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea,
bibasalar crackles and frothy sputum. what dietary recommendations
should be provided to this client in management of their HF? -
CORRECT ANSWER reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein,
consume small frequent meals that are soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM
plan was started the client was sedated and sleeping most of the
time. after three days the client is no longer sedated and sleeping
regularly. what action should the nurse take? - CORRECT ANSWER
no action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain
control)
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 the client
to void? - CORRECT ANSWER client bathroom
(promotes independence and ADLs)
a nurse is caring for a client with encephalopathy secondary to liver
failure, the client has been prescribed a high calorie, low protein diet.
which of the following meals are appropriate? - CORRECT ANSWER
chicken breast, mashed potatoes, spinach
, a client with hearing loss has been fitted for a hearing aid. which of
the following teaching points are important for the nurse to discuss
with the client? - CORRECT ANSWER use mild soap and water to
clean the ear mold
what is the name of a legal document that instructs hcp's and family
members about what, if any life-sustaining treatment and individual
wants if at some time the individual is unable to make decisions? -
CORRECT ANSWER living will
a nurse is caring for a client with celiac disease, which food should be
removed? - CORRECT ANSWER tortillas
(contain gluten)
a nurse is assisting a client with his meal that is at risk for aspiration
d/t stroke, what interventions should the nurse take to prevent
aspiration? - CORRECT ANSWER position upright
upper back and head are supported
tuck chin when swallowing
a nurse is assessing four clients for fluid balance, the nurse should
identify what as dehydration? - CORRECT ANSWER a client that has a
temperature of 39C or 102F
a nurse is preparing to administer TPN, what indicates a need to
obtain a new bag? - CORRECT ANSWER the TPN solution has an oily
appearance and a layer of fat on top of the solution
("cracking")
which can cause a low pulse ox reading? - CORRECT ANSWER
inadequate peripheral circulation
