CAPSTONE FUNDAMENTALS ASSESSMENT
client with dysphagia, which interventions include in plan - Answers-have the client seat
upright for 1 hr following meals
Assessing Infussion IV site, client reports pain, site is red, warmth.
What the nurse do - Answers-Disontinue Infussion
Routine abdominal assessment. action by the nurse - Answers-perform palpitation after
ascultation
teachin new nurses about immunity. Include in the teaching - Answers-The body
produces antibodies in response to an antigen with active immunity
Risk factors for oler adulrs that increase risk of developing infections - Answers-
Lowered immune system function
Teaching Meter dose Inhaler. What instructions teach - Answers-Inhale medication
deeply for 3-5 seconds
A nurse is preparing to administer meperidine 35mg IM to an adolescent who is
preoperative. Available in meperidine 50mg how much should the nurse administer?
(Round the to the tenth - Answers-0.7 mg
1. a nurse is documenting client care, which of the following entries should the nurse
identify as an example of implementation of client care? - Answers-a. contacted the
provider to report client findings
1. a nurse is assisting with meal planning for a client who has been prescribed a
mechanical soft diet. the nurse should instruct the client to avoid which of the following
foods? - Answers-a. Orange slices
1. a nurse is teaching about measures to promote sleep with insomnia, what statement
indicates understanding? - Answers-a. I should reduce my fluid intake to 2 hours before
bedtime
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? - Answers-a.
Behavioral indicators
1. a nurse is in an emergency department (ED) monitoring the hydration status of a
client receiving oral rehydration, what should the intervene for? - Answers-a. Heart rate
120/min
, 1. a nurse in a provider's office is assessing the motor skill development of a 15-month-
old toddler during a well-child visit, what gross motor skills should the nurse expect? -
Answers-walks without assistance using a wide stance
1. a nurse is teaching about safety risks for adolescents, what should be included? -
Answers-a. at this age, peer influence to participate in high-risk behaviors can lead to
injury
1. a nurse is caring for a client who expresses anxiety about an upcoming surgery, what
should the nurse do? - Answers-a. ask the client to describe feelings
1. 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? -
Answers-I have a living will that outlines my wishes when I am unable to make a
decision
1. a nurse is planning a community education program about colorectal cancer. which of
the following risk factors should the nurse identify as modifiable? (SATA) - Answers-a.
Smoking
b. alcohol consumption
c. high-fat diet
a nurse is performing a focused assessment on a client who has a history of COPD and
is experiencing dyspnea, which of the findings should the nurse expect? - Answers-
flaring of the nostrils
a nurse is teaching a client about the correct use of a cane, what should the nurse
include? (SATA) - Answers-ensure the cane has a rubber cap
hold the can on the stronger side
flex the elbow slightly when using the cane
use a quad cane for increased support
1. a nurse is teaching a group of assistive personal about the expected integumentary
changes in older adults, which should the nurse include: - Answers-a. decreased in
elasticity
1. a nurse in a provider's office is assessing a client who reports a decrease in the
effectiveness of their arthritis medication. which of the following client information should
the nurse identify as a contributing factor to the decrease in the medication's
effectiveness? - Answers-a. the client has a history of recurring bowel inflammation
1. a nurse is monitoring a client who has been receiving intermittent enteral feedings,
what should the nurse identify as an intolerance to the feeding? - Answers-a. Nausea
1. 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
client with dysphagia, which interventions include in plan - Answers-have the client seat
upright for 1 hr following meals
Assessing Infussion IV site, client reports pain, site is red, warmth.
What the nurse do - Answers-Disontinue Infussion
Routine abdominal assessment. action by the nurse - Answers-perform palpitation after
ascultation
teachin new nurses about immunity. Include in the teaching - Answers-The body
produces antibodies in response to an antigen with active immunity
Risk factors for oler adulrs that increase risk of developing infections - Answers-
Lowered immune system function
Teaching Meter dose Inhaler. What instructions teach - Answers-Inhale medication
deeply for 3-5 seconds
A nurse is preparing to administer meperidine 35mg IM to an adolescent who is
preoperative. Available in meperidine 50mg how much should the nurse administer?
(Round the to the tenth - Answers-0.7 mg
1. a nurse is documenting client care, which of the following entries should the nurse
identify as an example of implementation of client care? - Answers-a. contacted the
provider to report client findings
1. a nurse is assisting with meal planning for a client who has been prescribed a
mechanical soft diet. the nurse should instruct the client to avoid which of the following
foods? - Answers-a. Orange slices
1. a nurse is teaching about measures to promote sleep with insomnia, what statement
indicates understanding? - Answers-a. I should reduce my fluid intake to 2 hours before
bedtime
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? - Answers-a.
Behavioral indicators
1. a nurse is in an emergency department (ED) monitoring the hydration status of a
client receiving oral rehydration, what should the intervene for? - Answers-a. Heart rate
120/min
, 1. a nurse in a provider's office is assessing the motor skill development of a 15-month-
old toddler during a well-child visit, what gross motor skills should the nurse expect? -
Answers-walks without assistance using a wide stance
1. a nurse is teaching about safety risks for adolescents, what should be included? -
Answers-a. at this age, peer influence to participate in high-risk behaviors can lead to
injury
1. a nurse is caring for a client who expresses anxiety about an upcoming surgery, what
should the nurse do? - Answers-a. ask the client to describe feelings
1. 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? -
Answers-I have a living will that outlines my wishes when I am unable to make a
decision
1. a nurse is planning a community education program about colorectal cancer. which of
the following risk factors should the nurse identify as modifiable? (SATA) - Answers-a.
Smoking
b. alcohol consumption
c. high-fat diet
a nurse is performing a focused assessment on a client who has a history of COPD and
is experiencing dyspnea, which of the findings should the nurse expect? - Answers-
flaring of the nostrils
a nurse is teaching a client about the correct use of a cane, what should the nurse
include? (SATA) - Answers-ensure the cane has a rubber cap
hold the can on the stronger side
flex the elbow slightly when using the cane
use a quad cane for increased support
1. a nurse is teaching a group of assistive personal about the expected integumentary
changes in older adults, which should the nurse include: - Answers-a. decreased in
elasticity
1. a nurse in a provider's office is assessing a client who reports a decrease in the
effectiveness of their arthritis medication. which of the following client information should
the nurse identify as a contributing factor to the decrease in the medication's
effectiveness? - Answers-a. the client has a history of recurring bowel inflammation
1. a nurse is monitoring a client who has been receiving intermittent enteral feedings,
what should the nurse identify as an intolerance to the feeding? - Answers-a. Nausea
1. 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
