ATI Capstone Fundamentals 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES| ATI Capstone Fundamentals
202/2027{NEW!!}
Pain Management & Opiates
Question: A nurse is caring for a client receiving opiates for pain management.
Initially after the pain management plan was started, the client was sedated and
sleeping most of the time. After three days on the plan the client is no longer
sedated and sleeping regularly. What action should the nurse take?
A. Initiate additional non-pharmacological pain management techniques.
B. Notify the provider that a dosage adjustment is needed.
C. No action is needed at this time.
D. Contact the provider to request an alternate method of pain management.
Correct Answer: C. No action is needed at this time.
Rationale: Opiates initially cause sedation, but this effect subsides with
maintenance pain control. The pain management plan is working. There is no need
to change or add additional methods at this time.
Heart Failure Management
Question: 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?
A. Decrease protein intake.
B. Reduce sodium intake.
C. Increase fluid intake.
D. Decrease calcium intake.
Correct Answer: B. Reduce sodium intake.
, Rationale: It is encouraged to stop smoking, reduce sodium intake, monitor fluid
intake (restricting intake to 2 L per day), and increase protein intake.
Crutch Walking (Three-Point Gait)
Question: A nurse should teach which of the following clients requiring crutches
about how to use a three-point gait?
A. A client who is able to 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-replacements with partial weight bearing on
both legs.
Correct Answer: C. A client who has a right femur fracture with no weight
bearing on the affected leg.
Rationale: A three-point gait requires the client to bear all of his weight on one
foot.
Aspiration Prevention (Stroke Client)
Question: A nurse is assisting a client with his meal that is at risk for aspiration
due to a stroke. What interventions should the nurse take to prevent aspiration?
(Select all that apply)
Position the client in Fowler's position.
Instruct the client to tuck his chin when swallowing.
Provide oral hygiene before meals.
Position the client in Trendelenburg position.
Support client's upper back, neck and head during feeding.
ANSWERS WITH RATIONALES| ATI Capstone Fundamentals
202/2027{NEW!!}
Pain Management & Opiates
Question: A nurse is caring for a client receiving opiates for pain management.
Initially after the pain management plan was started, the client was sedated and
sleeping most of the time. After three days on the plan the client is no longer
sedated and sleeping regularly. What action should the nurse take?
A. Initiate additional non-pharmacological pain management techniques.
B. Notify the provider that a dosage adjustment is needed.
C. No action is needed at this time.
D. Contact the provider to request an alternate method of pain management.
Correct Answer: C. No action is needed at this time.
Rationale: Opiates initially cause sedation, but this effect subsides with
maintenance pain control. The pain management plan is working. There is no need
to change or add additional methods at this time.
Heart Failure Management
Question: 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?
A. Decrease protein intake.
B. Reduce sodium intake.
C. Increase fluid intake.
D. Decrease calcium intake.
Correct Answer: B. Reduce sodium intake.
, Rationale: It is encouraged to stop smoking, reduce sodium intake, monitor fluid
intake (restricting intake to 2 L per day), and increase protein intake.
Crutch Walking (Three-Point Gait)
Question: A nurse should teach which of the following clients requiring crutches
about how to use a three-point gait?
A. A client who is able to 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-replacements with partial weight bearing on
both legs.
Correct Answer: C. A client who has a right femur fracture with no weight
bearing on the affected leg.
Rationale: A three-point gait requires the client to bear all of his weight on one
foot.
Aspiration Prevention (Stroke Client)
Question: A nurse is assisting a client with his meal that is at risk for aspiration
due to a stroke. What interventions should the nurse take to prevent aspiration?
(Select all that apply)
Position the client in Fowler's position.
Instruct the client to tuck his chin when swallowing.
Provide oral hygiene before meals.
Position the client in Trendelenburg position.
Support client's upper back, neck and head during feeding.
