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NSG 1211 ATI Capstone Pre-Assessment
Quiz NEWEST 2026 EXAM QUESTIONS
AND EXPERT VERIFIED ANSWERS
ALREADY GRADED A+
A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the
order the nurse should perform the following actions. (Move the steps into the box on the right,
placing them in the selected order of performance. All steps must be used.) --//ANS//--Stop the
infusion
Remove the IV catheter
Apply a sterile dressing
Elevate the extremity
Apply warm or cold compresses
The nurse should first stop the infusion. Next, the nurse should remove the IV catheter and apply
a sterile dressing to the insertion site. The nurse should elevate the extremity and apply warm or
cold compresses according to agency policy.
A nurse is assessing a client who has a wrist restraint applied. For which of the following
findings should the nurse loosen the restraint? --//ANS//--The client's hand is cool and pale.
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This finding indicates a decrease in blood flow to the client's hand, which can be caused by
applying a restraint too tightly. This is the finding that indicates a complication of the restraint,
and the nurse should loosen the restraint and exercise the limb.
A nurse is interviewing a female client who is Hispanic. The client's partner answers the
questions and states, "She speaks only a little English." Which of the following actions should
the nurse take? --//ANS//--Arrange to complete the assessment with only the client and a
translator present.
As a client advocate, the nurse should provide a trained interpreter to translate for the client. It is
critical to obtain assessment information directly from the client in order to protect the client's
personal health information and collect an accurate history.
A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.
Which of the following actions should prompt the charge nurse to intervene? --//ANS//--
Withdrawing the needle and massaging the site gently.
The nurse should apply gentle pressure, not massage, after the injection. Massage can disperse
the testing substance beyond the bleb or cause it to leak out of the puncture site.
A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended
questions when assessing which of the following factors? --//ANS//--When asking if the client
took his medications this morning?
NSG 1211 ATI Capstone Pre-Assessment
Quiz NEWEST 2026 EXAM QUESTIONS
AND EXPERT VERIFIED ANSWERS
ALREADY GRADED A+
A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the
order the nurse should perform the following actions. (Move the steps into the box on the right,
placing them in the selected order of performance. All steps must be used.) --//ANS//--Stop the
infusion
Remove the IV catheter
Apply a sterile dressing
Elevate the extremity
Apply warm or cold compresses
The nurse should first stop the infusion. Next, the nurse should remove the IV catheter and apply
a sterile dressing to the insertion site. The nurse should elevate the extremity and apply warm or
cold compresses according to agency policy.
A nurse is assessing a client who has a wrist restraint applied. For which of the following
findings should the nurse loosen the restraint? --//ANS//--The client's hand is cool and pale.
, 2|Page
This finding indicates a decrease in blood flow to the client's hand, which can be caused by
applying a restraint too tightly. This is the finding that indicates a complication of the restraint,
and the nurse should loosen the restraint and exercise the limb.
A nurse is interviewing a female client who is Hispanic. The client's partner answers the
questions and states, "She speaks only a little English." Which of the following actions should
the nurse take? --//ANS//--Arrange to complete the assessment with only the client and a
translator present.
As a client advocate, the nurse should provide a trained interpreter to translate for the client. It is
critical to obtain assessment information directly from the client in order to protect the client's
personal health information and collect an accurate history.
A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.
Which of the following actions should prompt the charge nurse to intervene? --//ANS//--
Withdrawing the needle and massaging the site gently.
The nurse should apply gentle pressure, not massage, after the injection. Massage can disperse
the testing substance beyond the bleb or cause it to leak out of the puncture site.
A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended
questions when assessing which of the following factors? --//ANS//--When asking if the client
took his medications this morning?
