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ATI Capstone- Fundamentals Pre-Assessment

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ATI Capstone Fundamentals Pre Assessment Leave the first rating Save Terms in this set (29) A nurse is completing a nutritional assessment on a client and measures body mass index (BMI). Which of the following readings correlates with a BMI of an overweight client? A. 18.5 B. 24.9 C. 25 D. 32 C. 25 Rationale: Healthy weight is indicates by a BMI of 18.5-24.9. Overweight is defined as an increased body weight in relation to height. It is indicated by a BMI of 25-29.9. Obesity is an excess amount of body fat. It is indicated by a BMI greater than or equal to 30. Underweight- less than 18.5 A nurse is verifying nasogastric tube placement by the pH of aspirated gastric fluid. Which of the following pH values provides a good indication of correct tube placement? A. 2 B. 5 C. 7 D. 9 A. 2 Rationale: A good indication of appropriate placement is obtaining gastric contents with a pH between 0 and 4. A nurse is caring for a client with a closed head injury. When pressure is applied to client's nail beds, the client's 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 client's Glascow Coma Score? A. 4 B. 7 C. 9 D. 10 B. 7 (comatose) Rationale: Eye Opening (ranges from 4-1) 4 = spontaneous 3 = to voice 2 = to pain 1 = none Verbal (ranges from 5-1) 5 = oriented 4 = confused 3 = inappropriate words 2 = incomprehensible sounds 1= none Motor (raged from 6-1) 6 = obeys command 5 = localizes pain 4 = withdraws 3 = flexion (decorticate posturing) 2 = extension (decerebrate posturing) 1 = none

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ATI Capstone-
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Terms in this set (29)


A nurse is C. 25
completing a Rationale: Healthy weight is
nutritional indicates by a BMI of 18.5-24.9.
assessment Overweight is defined as an
on a client increased body weight in
and measures relation to height. It is
body mass indicated by a BMI of 25-29.9.
index (BMI). Obesity is an excess amount of
Which of the body fat. It is indicated by a
following BMI greater than or equal to
readings 30.
correlates Underweight- less than 18.5
with a BMI of
an
overweight
client?
A. 18.5
B. 24.9
C. 25
D. 32

,A nurse is A. 2
verifying Rationale: A good indication of
nasogastric appropriate placement is
tube obtaining gastric contents with
placement by a pH between 0 and 4.
the pH of
aspirated
gastric fluid.
Which of the
following pH
values
provides a
good
indication of
correct tube
placement?
A. 2
B. 5
C. 7
D. 9

,A nurse is B. 7 (comatose)
caring for a Rationale:
client with a Eye Opening (ranges from 4-1)
closed head 4 = spontaneous
injury. When 3 = to voice
pressure is 2 = to pain
applied to 1 = none
client's nail Verbal (ranges from 5-1)
beds, the 5 = oriented
client's eyes 4 = confused
open and 3 = inappropriate words
adduction of 2 = incomprehensible sounds
the arms with 1= none
flexion of the Motor (raged from 6-1)
elbows and 6 = obeys command
wrists is 5 = localizes pain
noted. The 4 = withdraws
client also 3 = flexion (decorticate
moans with posturing)
stimulation. 2 = extension (decerebrate
What is the posturing)
client's 1 = none
Glascow
Coma Score?
A. 4
B. 7
C. 9
D. 10

, A nurse C. A client who has a right
should teach femur fracture with no weight
which of the bearing on the affected leg.
following Rationale: A three-point gait
clients requires the client to bear all
requiring of his weight on one foot. With
crutches a three-point gait, the client
about how to bears weight on both crutches
use a three- and then on the uninvolved
point gait? leg, repeating the sequence.
A. A client The affected leg does not
who is able to touch the ground.
bear full
weight on
both lower
extremities.
B. A client
who has
bilateral leg
braces due to
paralysis of
the lower
extremities.
C. A client
who has a
right femur
fracture with
no weight
bearing on
the affected
leg.
D. A client
who has
bilateral
knee-

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