lOMoAR cPSD| 19500986
AlOMoARc PSD| 19500986
ATI CAPSTONE FUNDAMENTAL PRACTICE QUESTIONS WITH
ANSWERS
1. a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which
pain assessment technique should the nurse use?
behavioral indicators, (increased agitation, restlessness)
2. a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the
nurse do first?
recheck the clients BP, (reassess prior to any intervention)
3. a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as a
cath occlusion?
bladder distention, (inability to empty the bladder, impaired elimination)
4. a nurse is discussing immunity with a client who has received an immunization, the nurse should
identify that an immunization functions as part of which of the following types of immunity?
acquired immunity, (artificial/acquired immunity occurs when antigens from toxoids or
immunizations are ADMINISTERED to a client, once in the body, the stimulate the production of
antibodies)
5. a nurse is reviewing the health history of an OA who has a hip fracture
the nurse should identify what is a risk of developing pressure injuries?
urinary incontinence, (r/f skin breakdown--> pressure injury, poor nutrition, infection, poor
tissue perfusion, friction and shear, immobility, alterations in sensory perception)
6. a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red and
there is warmth along the coarse of the vein, what should the nurse do?
d/c the infusion, (assessment suggest phlebitis, d/c, apply warm compress//if continued
therapy required, start new IV)
7. a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in) in
diameter. which of the following terms should the nurse use to document this finding?
Macule, (nonpalpable smaller than 1cm, ex: freckle)
8. a community health nurse is teaching a group of clients about first aid for different types of wounds.
which of the following clieont statements indicates an understanding of the teaching?
I should apply clean dressings over the top of blood saturated dressings and hold pressure, (to
prevent disruption of wound tissue)
9.a nurse is sitting with the partner of a client who recently died. which of the following actions should
the nurse take to facilitate mourning?
encourage the partner to ask for help when needed
, lOMoAR cPSD| 19500986
10. a nurse is in an acute care facility is caring for a client who is postop following abdominal surgery. which
of the following behaviors should the nurse identify as increasing the client's risk for constipation?
urge suppression, history of chronic stimulant laxative use, inadequate fluid intake
11. a nurse is caring for a client who expresses anxiety about an upcoming surgery, what should the
nurse do?
ask the client to describe feelings
12. a nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. which
of the following actions should the nurse take to prevent contamination during the dressing change?
restart the procedure if the sterile solution splashes onto the sterile field when pouring the
solution into the dressing tray, (if liquid comes in contact with the sterile field at any point it is
considered contaminated and unsterile)
13. a nurse is caring for a pt who is scheduled for a cataract surgery, the client states "is see just fine and
have decided to cancel my surgery". which of the following responses should the nurse make?
share with me more about the thoughts that are concerning you
14. a nurse is teaching a client about the use of a MDI, which instruction should the nurse include in the
teaching?
inhale the medication deeply for 3-5seconds, (hold breath for 10s after inhalation, shake MDI
vigorously, hold mouthpiece 2.5-5cm/1-2in in front of mouth)
15. a nurse is teaching a group of AP about the expected integumentary changes in Older Adult, which
should the nurse include
decrease in elasticity, (increase in pigmentation, decrease in subq and moisture levels)
16. a nurse is monitoring a client who has been receiving intermittent enteral feedings, what should the
nurse identify as an intolerance to the feeding?
Nausea, (vomiting, dumping syndrome-change the rate or type of formula)
17. a nurse enters a clients room and sees smoke coming from the trash can. which of the following
actions should the nurse take first
evacuate the room, (RACE)
18. a nurse is assisting a client who signed an informed consent form for surgery but has since expressed
doubts about the need for surgery, which of the following statements should the nurse make?
the surgeon will answer your questions before surgery
19. a nurse is reviewing info about advance directives with a newly admitted client. which of the
following statements by the client indicates an understanding of the teaching?
i have a living will that outlines my wishes when i am unable to make a decision
AlOMoARc PSD| 19500986
ATI CAPSTONE FUNDAMENTAL PRACTICE QUESTIONS WITH
ANSWERS
1. a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which
pain assessment technique should the nurse use?
behavioral indicators, (increased agitation, restlessness)
2. a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the
nurse do first?
recheck the clients BP, (reassess prior to any intervention)
3. a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as a
cath occlusion?
bladder distention, (inability to empty the bladder, impaired elimination)
4. a nurse is discussing immunity with a client who has received an immunization, the nurse should
identify that an immunization functions as part of which of the following types of immunity?
acquired immunity, (artificial/acquired immunity occurs when antigens from toxoids or
immunizations are ADMINISTERED to a client, once in the body, the stimulate the production of
antibodies)
5. a nurse is reviewing the health history of an OA who has a hip fracture
the nurse should identify what is a risk of developing pressure injuries?
urinary incontinence, (r/f skin breakdown--> pressure injury, poor nutrition, infection, poor
tissue perfusion, friction and shear, immobility, alterations in sensory perception)
6. a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red and
there is warmth along the coarse of the vein, what should the nurse do?
d/c the infusion, (assessment suggest phlebitis, d/c, apply warm compress//if continued
therapy required, start new IV)
7. a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in) in
diameter. which of the following terms should the nurse use to document this finding?
Macule, (nonpalpable smaller than 1cm, ex: freckle)
8. a community health nurse is teaching a group of clients about first aid for different types of wounds.
which of the following clieont statements indicates an understanding of the teaching?
I should apply clean dressings over the top of blood saturated dressings and hold pressure, (to
prevent disruption of wound tissue)
9.a nurse is sitting with the partner of a client who recently died. which of the following actions should
the nurse take to facilitate mourning?
encourage the partner to ask for help when needed
, lOMoAR cPSD| 19500986
10. a nurse is in an acute care facility is caring for a client who is postop following abdominal surgery. which
of the following behaviors should the nurse identify as increasing the client's risk for constipation?
urge suppression, history of chronic stimulant laxative use, inadequate fluid intake
11. a nurse is caring for a client who expresses anxiety about an upcoming surgery, what should the
nurse do?
ask the client to describe feelings
12. a nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. which
of the following actions should the nurse take to prevent contamination during the dressing change?
restart the procedure if the sterile solution splashes onto the sterile field when pouring the
solution into the dressing tray, (if liquid comes in contact with the sterile field at any point it is
considered contaminated and unsterile)
13. a nurse is caring for a pt who is scheduled for a cataract surgery, the client states "is see just fine and
have decided to cancel my surgery". which of the following responses should the nurse make?
share with me more about the thoughts that are concerning you
14. a nurse is teaching a client about the use of a MDI, which instruction should the nurse include in the
teaching?
inhale the medication deeply for 3-5seconds, (hold breath for 10s after inhalation, shake MDI
vigorously, hold mouthpiece 2.5-5cm/1-2in in front of mouth)
15. a nurse is teaching a group of AP about the expected integumentary changes in Older Adult, which
should the nurse include
decrease in elasticity, (increase in pigmentation, decrease in subq and moisture levels)
16. a nurse is monitoring a client who has been receiving intermittent enteral feedings, what should the
nurse identify as an intolerance to the feeding?
Nausea, (vomiting, dumping syndrome-change the rate or type of formula)
17. a nurse enters a clients room and sees smoke coming from the trash can. which of the following
actions should the nurse take first
evacuate the room, (RACE)
18. a nurse is assisting a client who signed an informed consent form for surgery but has since expressed
doubts about the need for surgery, which of the following statements should the nurse make?
the surgeon will answer your questions before surgery
19. a nurse is reviewing info about advance directives with a newly admitted client. which of the
following statements by the client indicates an understanding of the teaching?
i have a living will that outlines my wishes when i am unable to make a decision
