ATI Capstone Post Assessments
Questions And All Correct Answers.
A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2 early
spontaneous abortions. What is her gravida and para? - Answer She is gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant, regardless of whether these
pregnancies were carried to term. A current pregnancy, if any, is included in this count.
Para indicates the number of >20 wks births (including viable and non-viable i.e. stillbirths). Pregnancies
consisting of multiples, such as twins or triplets, count as ONE birth for the purpose of this notation.
A nurse is providing care for an uncircumcised male newborn and his mother. What information should
be provided during discharge regarding bathing of the penile area of the newborn male? - Answer To
cleanse an uncircumcised penis, wash with soap and water and rinse the penis. The foreskin should not
be forced back or constriction may result.
The 24-year-old client inquires about use of the diaphragm for birth control. What five (5) instructions
would be provided by the nurse to explain use of the diaphragm? - Answer ●A client should be
properly fitted with a diaphragm by a provider.
●Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or pelvic surgery, and
after every pregnancy.
●Requires proper insertion and removal. Prior to coitus, the diaphragm is inserted vaginally over the
cervix with spermicidal jelly or cream that is applied to the cervical side of the dome and around the rim.
The diaphragm can be inserted up to 6 hr before intercourse and must stay in place 6 hr after intercourse
but for no more than 24 hr.
●Spermicide must be reapplied with each act of coitus.
●A client should empty her bladder prior to insertion of the diaphragm.
●Diaphragm should be washed with mild soap and warm water after each use.
A nurse is providing teaching about fibrocystic breast tissue with a client. What information will the
nurse share with the client about diagnostics used to confirm the diagnosis? - Answer Diagnostics for
fibrocystic breast tissue include breast ultrasound and fine-needle aspiration.
A client asks the nurse how often she should get a Papanicolaou (Pap) test. What is the correct response
by the nurse to the client? - Answer 21: All women begin screening for cervical cancer
, 21-29: Pap test every 3 years; HPV unnecessary unless needed following an abnormalPap test
30-65: Pap and HPV every 5 years
Older than 65: May discontinue testing if regular screenings have been negative; If diagnosed with
cervical precancer, continue to screen
List three (3) actions by the nurse should take during the assessment and data collection steps. - Answer
Recognize patterns or trends.
Compare the data with expected standards or reference ranges.
Arrive at conclusions to guide nursing care.
When witnessing an informed consent the nurse must ensure that the provider gives the client the
necessary procedural information. Identify information the provider should disclose to the client to
obtain an informed consent. What is the role of the nurse in this process? - Answer The Provider
obtains the informed consent. To do so, the provider must give the client:
· The purpose of the procedure· A complete description of the procedure.
· A description of the professional who will perform and participate in the procedure.
· A description of the potential harm, pain or discomfort that might occur.
· Options for other treatments.
· The option to refuse treatment and the consequences of doing so. The nurse must notify the provider if
the client has more questions or appears not to understand any of the information. The provider is then
responsible for giving clarification.
Discuss passive and active immunity. - Answer Passive: Antibodies are produced by an external source.
Temporary immunity that does not have memory of past exposures. Intact skin, the body's first line of
defense. Mucous membranes, secretions, enzymes, phagocytic cells, and protective proteins.
Inflammatory response with phagocytic cells, the complement system, and interferons to localize the
invasion and prevent its spreadActive: Antibodies are produced in response to an antigen. Requires time
to react to antigens. Provides permanent immunity. Involves B- and T-lymphocytes. Produces specific
antibodies against specific antigens (immunoglobulins [IgA, IgD, IgE, IgG, IgM])
List at least three (3) priority considerations when performing a sterile dressing change. - Answer -
Prolonged exposure to airborne micro-organisms can make sterile items non-sterile.
-Avoid coughing, sneezing, and talking directly over a sterile field.
-Air movement should be controlled by special ventilation.
Questions And All Correct Answers.
A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2 early
spontaneous abortions. What is her gravida and para? - Answer She is gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant, regardless of whether these
pregnancies were carried to term. A current pregnancy, if any, is included in this count.
Para indicates the number of >20 wks births (including viable and non-viable i.e. stillbirths). Pregnancies
consisting of multiples, such as twins or triplets, count as ONE birth for the purpose of this notation.
A nurse is providing care for an uncircumcised male newborn and his mother. What information should
be provided during discharge regarding bathing of the penile area of the newborn male? - Answer To
cleanse an uncircumcised penis, wash with soap and water and rinse the penis. The foreskin should not
be forced back or constriction may result.
The 24-year-old client inquires about use of the diaphragm for birth control. What five (5) instructions
would be provided by the nurse to explain use of the diaphragm? - Answer ●A client should be
properly fitted with a diaphragm by a provider.
●Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or pelvic surgery, and
after every pregnancy.
●Requires proper insertion and removal. Prior to coitus, the diaphragm is inserted vaginally over the
cervix with spermicidal jelly or cream that is applied to the cervical side of the dome and around the rim.
The diaphragm can be inserted up to 6 hr before intercourse and must stay in place 6 hr after intercourse
but for no more than 24 hr.
●Spermicide must be reapplied with each act of coitus.
●A client should empty her bladder prior to insertion of the diaphragm.
●Diaphragm should be washed with mild soap and warm water after each use.
A nurse is providing teaching about fibrocystic breast tissue with a client. What information will the
nurse share with the client about diagnostics used to confirm the diagnosis? - Answer Diagnostics for
fibrocystic breast tissue include breast ultrasound and fine-needle aspiration.
A client asks the nurse how often she should get a Papanicolaou (Pap) test. What is the correct response
by the nurse to the client? - Answer 21: All women begin screening for cervical cancer
, 21-29: Pap test every 3 years; HPV unnecessary unless needed following an abnormalPap test
30-65: Pap and HPV every 5 years
Older than 65: May discontinue testing if regular screenings have been negative; If diagnosed with
cervical precancer, continue to screen
List three (3) actions by the nurse should take during the assessment and data collection steps. - Answer
Recognize patterns or trends.
Compare the data with expected standards or reference ranges.
Arrive at conclusions to guide nursing care.
When witnessing an informed consent the nurse must ensure that the provider gives the client the
necessary procedural information. Identify information the provider should disclose to the client to
obtain an informed consent. What is the role of the nurse in this process? - Answer The Provider
obtains the informed consent. To do so, the provider must give the client:
· The purpose of the procedure· A complete description of the procedure.
· A description of the professional who will perform and participate in the procedure.
· A description of the potential harm, pain or discomfort that might occur.
· Options for other treatments.
· The option to refuse treatment and the consequences of doing so. The nurse must notify the provider if
the client has more questions or appears not to understand any of the information. The provider is then
responsible for giving clarification.
Discuss passive and active immunity. - Answer Passive: Antibodies are produced by an external source.
Temporary immunity that does not have memory of past exposures. Intact skin, the body's first line of
defense. Mucous membranes, secretions, enzymes, phagocytic cells, and protective proteins.
Inflammatory response with phagocytic cells, the complement system, and interferons to localize the
invasion and prevent its spreadActive: Antibodies are produced in response to an antigen. Requires time
to react to antigens. Provides permanent immunity. Involves B- and T-lymphocytes. Produces specific
antibodies against specific antigens (immunoglobulins [IgA, IgD, IgE, IgG, IgM])
List at least three (3) priority considerations when performing a sterile dressing change. - Answer -
Prolonged exposure to airborne micro-organisms can make sterile items non-sterile.
-Avoid coughing, sneezing, and talking directly over a sterile field.
-Air movement should be controlled by special ventilation.
