ATI CAPSTONE FUNDAMENTALS UPDATED
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS FULL SOLUTION GRADED A+
◉ 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? Answer: 2
◉ 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? Answer: 7
◉ a nurse should teach which of the following clients requiring
crutches about how to use a three point gait? 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? 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? 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 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? 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? 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? 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 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 recommenda- tions
should be provided to this client in management of their HF? Answer:
reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, con-
sume 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? Answer: no action is
needed at this time
(opiates initially cause sedation but it subsides with maintenance pain
control)
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS FULL SOLUTION GRADED A+
◉ 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? Answer: 2
◉ 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? Answer: 7
◉ a nurse should teach which of the following clients requiring
crutches about how to use a three point gait? 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? 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? 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 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? 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? 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? 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 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 recommenda- tions
should be provided to this client in management of their HF? Answer:
reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, con-
sume 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? Answer: no action is
needed at this time
(opiates initially cause sedation but it subsides with maintenance pain
control)
