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ATI Capstone Fundamentals NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) ||VERIFIED
EXAMS!! |ALREADY GRADED A+||LATEST VERSION!!!
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?
A. Use the highest setting to promote full auditory
comprehension.
B. Use mild soap and water to clean the ear mold.
C. Turn the hearing aid off to conserve battery life during
hours of sleep only.
D. Immerse the hearing aid in saline solution to keep it
hygienic. - ANSWER-B. Use mild soap and water to clean
the ear mold.
Rationale: To clean the ear mold, use mild soap and water
while keeping the hearing aid dry. Use the lowest setting
that allows hearing without feedback. When the hearing
aid is not in use, turn it off or remove the batteries to
conserve battery power. Keep replacement batteries on
hand.
A nurse is admitting a client who has tuberculosis and a
productive cough. Which of the following types of isolation
precautions should the nurse initiate for the client?
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A. Contact
B. Droplet
C. Protective
D. Airborne - ANSWER-D. Airborne
Rationale: The nurse should initiate airborne precautions
when a client has an infection that spreads through small
droplets that remain airborne for longer periods, such as
tuberculosis and measles. The client requires a negative-
pressure airflow room, and staff should wear an N95
respirator when in contact with the client. The nurse
should initiate contact precautions when a client has an
infection that spreads through indirect contact, such as
major wound infections or infection with multi-drug
resistant organisms such as MRSA. The nurse should
initiate droplet precautions when a client has an infection
that spreads through droplets larger than 5 microns, such
as pneumonia or streptococcal pharyngitis. The nurse
should initiate a protective environment when clients
require a room with positive-pressure airflow, such as
those who have undergone stem-cell transplants.
A nurse is assessing a client who has Parkinson's disease.
Which of the following manifestations should the nurse
expect?
A. Pruritus
B. Hypertension
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C. Bradykinesia
D. Xerostomia - ANSWER-C. Bradykinesia
Rationale: The nurse should expect to find bradykinesia or
difficulty moving in a client who has Parkinson's disease.
The nurse should expect to find oily skin, which results
from autonomic dysfunction, rather than pruritus, which
results from dry skin. The nurse should expect to find
orthostatic hypotension, which results from autonomic
dysfunction. Te nurse should expect to find uncontrolled
drooling, especially at night, instead of xerostomia or dry
mouth in a client who has Parkinson's disease.
A nurse is caring for a client with celiac disease. Which
food should be removed from the meal tray?
A. Corn bread
B. Mashed potato
C. Lentils
D. Tortillas - ANSWER-D. Tortillas
Rationale: Tortillas contain gluten. Corn bread, mashed
potatoes and lentils do not contain gluten.
A nurse is assessing four clients for fluid balance. The
nurse should identify that which of the following clients is
exhibiting manifestations of dehydration?
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A. A client who has a urine specific gravity of 1.010.
B. A client who has a weight gain of 2.2 kg (2 lb) in 24 hr.
C. A client who has a hematocrit of 45%.
D. A client who has a temperature of 39 degrees Celsius
(102 degrees Fahrenheit). - ANSWER-D. A client who has
a temperature of 39 degrees Celsius (102 degrees
Fahrenheit).
Rationale: An elevated temperature is a manifestation of
dehydration. The urine specific gravity is within the
expected reference range of 1.010 to 1.025. Concentrated
urine and a specific gravity of grater than 1.030 are
manifestations of dehydration. Weight gain is a
manifestation of fluid volume excess. The hematocrit is
within expected reference range of 37% to 64%. An
elevated hematocrit is a manifestation of
hemoconcentration and dehydration.
***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?
A. Sit in the sun for 15 minutes per day.
B. Apply moist heat to the area twice daily.
C. Liberally apply prescribed lotion to the area.
ATI Capstone Fundamentals NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) ||VERIFIED
EXAMS!! |ALREADY GRADED A+||LATEST VERSION!!!
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?
A. Use the highest setting to promote full auditory
comprehension.
B. Use mild soap and water to clean the ear mold.
C. Turn the hearing aid off to conserve battery life during
hours of sleep only.
D. Immerse the hearing aid in saline solution to keep it
hygienic. - ANSWER-B. Use mild soap and water to clean
the ear mold.
Rationale: To clean the ear mold, use mild soap and water
while keeping the hearing aid dry. Use the lowest setting
that allows hearing without feedback. When the hearing
aid is not in use, turn it off or remove the batteries to
conserve battery power. Keep replacement batteries on
hand.
A nurse is admitting a client who has tuberculosis and a
productive cough. Which of the following types of isolation
precautions should the nurse initiate for the client?
,2|Page
A. Contact
B. Droplet
C. Protective
D. Airborne - ANSWER-D. Airborne
Rationale: The nurse should initiate airborne precautions
when a client has an infection that spreads through small
droplets that remain airborne for longer periods, such as
tuberculosis and measles. The client requires a negative-
pressure airflow room, and staff should wear an N95
respirator when in contact with the client. The nurse
should initiate contact precautions when a client has an
infection that spreads through indirect contact, such as
major wound infections or infection with multi-drug
resistant organisms such as MRSA. The nurse should
initiate droplet precautions when a client has an infection
that spreads through droplets larger than 5 microns, such
as pneumonia or streptococcal pharyngitis. The nurse
should initiate a protective environment when clients
require a room with positive-pressure airflow, such as
those who have undergone stem-cell transplants.
A nurse is assessing a client who has Parkinson's disease.
Which of the following manifestations should the nurse
expect?
A. Pruritus
B. Hypertension
,3|Page
C. Bradykinesia
D. Xerostomia - ANSWER-C. Bradykinesia
Rationale: The nurse should expect to find bradykinesia or
difficulty moving in a client who has Parkinson's disease.
The nurse should expect to find oily skin, which results
from autonomic dysfunction, rather than pruritus, which
results from dry skin. The nurse should expect to find
orthostatic hypotension, which results from autonomic
dysfunction. Te nurse should expect to find uncontrolled
drooling, especially at night, instead of xerostomia or dry
mouth in a client who has Parkinson's disease.
A nurse is caring for a client with celiac disease. Which
food should be removed from the meal tray?
A. Corn bread
B. Mashed potato
C. Lentils
D. Tortillas - ANSWER-D. Tortillas
Rationale: Tortillas contain gluten. Corn bread, mashed
potatoes and lentils do not contain gluten.
A nurse is assessing four clients for fluid balance. The
nurse should identify that which of the following clients is
exhibiting manifestations of dehydration?
, 4|Page
A. A client who has a urine specific gravity of 1.010.
B. A client who has a weight gain of 2.2 kg (2 lb) in 24 hr.
C. A client who has a hematocrit of 45%.
D. A client who has a temperature of 39 degrees Celsius
(102 degrees Fahrenheit). - ANSWER-D. A client who has
a temperature of 39 degrees Celsius (102 degrees
Fahrenheit).
Rationale: An elevated temperature is a manifestation of
dehydration. The urine specific gravity is within the
expected reference range of 1.010 to 1.025. Concentrated
urine and a specific gravity of grater than 1.030 are
manifestations of dehydration. Weight gain is a
manifestation of fluid volume excess. The hematocrit is
within expected reference range of 37% to 64%. An
elevated hematocrit is a manifestation of
hemoconcentration and dehydration.
***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?
A. Sit in the sun for 15 minutes per day.
B. Apply moist heat to the area twice daily.
C. Liberally apply prescribed lotion to the area.
