ATI Capstone Fundamentals QUESTIONS AND ANSWERS EXAM
- ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM |
GUARANTEED PASS | LATEST UPDATE
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;
A nurse is caring for a client who has a new tracheostomy. The nurse
should ensure that which of the following pieces of equipment is
present in the client's room? - CORRECT ANSWER An obturator
The nurse should ensure that a client who has a tracheostomy has an
obturator at their bedside. If the tracheostomy is dislodged, an
obturator is used to reinsert the outer cannula of the tracheostomy.
The nurse should also ensure that a spare tracheostomy of the client's
size, as well as a tracheostomy of one size smaller, supplemental
humidified air or oxygen, and suction equipment are at the client's
bedside to ensure safe client care.
A nurse is assessing a client who has multiple sclerosis. Which of the
following assessments is the nurse's priority? - CORRECT ANSWER
Ability to swallow
, The greatest risk to the client is aspiration due to dysphagia.
Therefore, the nurse's priority assessment is the client's ability to
swallow.
A nurse is teaching a client who is scheduled for an intravenous
pyelogram. The nurse should identify that which of the following client
statements indicates an understanding of the procedure? - CORRECT
ANSWER "Contrast dye will be used for this test."
The nurse should ensure the client understands that a contrast dye is
injected through a vein to visualize the passage of urine from the renal
pelvis to the bladder. This study is used to diagnose hematuria or
obstruction of the urinary tract and can identify the presence of renal
calculi or tumors.
A nurse manager is teaching about the rights of delegation to assistive
personnel (AP) and practical nurses (PN). Which of the following
examples should the nurse manager include in the teaching? -
CORRECT ANSWER Delegating a PN to insert an indwelling urinary
catheter
The insertion of an indwelling urinary catheter is a nursing
responsibility. The RN must be the one to assess the client's need for
catheterization and can then delegate the responsibility of insertion to
a PN. Due to the knowledge of anatomy and sterile technique, this
task does not fall within the range of function for an AP.
A nurse is planning to discharge a client who had a stroke 1 week ago
to home. The nurse should collaborate with which of the following
members of the interprofessional team to assist the client with the
preparation of nutritious meals? - CORRECT ANSWER Registered
dietitian
The nurse should collaborate with the registered dietitian for
assistance with the preparation of nutritious meals. The registered
dietitian has the specific dietary knowledge to assist both the client
and those who may be assisting the client.
- ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM |
GUARANTEED PASS | LATEST UPDATE
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;
A nurse is caring for a client who has a new tracheostomy. The nurse
should ensure that which of the following pieces of equipment is
present in the client's room? - CORRECT ANSWER An obturator
The nurse should ensure that a client who has a tracheostomy has an
obturator at their bedside. If the tracheostomy is dislodged, an
obturator is used to reinsert the outer cannula of the tracheostomy.
The nurse should also ensure that a spare tracheostomy of the client's
size, as well as a tracheostomy of one size smaller, supplemental
humidified air or oxygen, and suction equipment are at the client's
bedside to ensure safe client care.
A nurse is assessing a client who has multiple sclerosis. Which of the
following assessments is the nurse's priority? - CORRECT ANSWER
Ability to swallow
, The greatest risk to the client is aspiration due to dysphagia.
Therefore, the nurse's priority assessment is the client's ability to
swallow.
A nurse is teaching a client who is scheduled for an intravenous
pyelogram. The nurse should identify that which of the following client
statements indicates an understanding of the procedure? - CORRECT
ANSWER "Contrast dye will be used for this test."
The nurse should ensure the client understands that a contrast dye is
injected through a vein to visualize the passage of urine from the renal
pelvis to the bladder. This study is used to diagnose hematuria or
obstruction of the urinary tract and can identify the presence of renal
calculi or tumors.
A nurse manager is teaching about the rights of delegation to assistive
personnel (AP) and practical nurses (PN). Which of the following
examples should the nurse manager include in the teaching? -
CORRECT ANSWER Delegating a PN to insert an indwelling urinary
catheter
The insertion of an indwelling urinary catheter is a nursing
responsibility. The RN must be the one to assess the client's need for
catheterization and can then delegate the responsibility of insertion to
a PN. Due to the knowledge of anatomy and sterile technique, this
task does not fall within the range of function for an AP.
A nurse is planning to discharge a client who had a stroke 1 week ago
to home. The nurse should collaborate with which of the following
members of the interprofessional team to assist the client with the
preparation of nutritious meals? - CORRECT ANSWER Registered
dietitian
The nurse should collaborate with the registered dietitian for
assistance with the preparation of nutritious meals. The registered
dietitian has the specific dietary knowledge to assist both the client
and those who may be assisting the client.
