ATI CAPSTONE FUNDAMENTALS ASSESSMENT TESTBANK
CURRENTLY TESTING
VERSION 2025-2026
a nurse is completing a nutritional assessment on a client and measures BMI, which of the following readings
correlates with a BMI of an overweight client?
CORRECT ANSWER - 25
below 18.5 - underweight range.
between 18.5 and 24.9 - healthy weight range.
between 25 and 29.9 - overweight range.
between 30 and 39.9 - obese range.
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?
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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
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(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?