ATI Capstone Fundamentals
A fee nurse discovers that a nurse did no longer notify the issuer that a purchaser's condition
had modified. The price nurse have to identify that the nurse is accountable for which of the
subsequent torts? - ANS-negligence
a rate nurse is making assignments for the upcoming shift, what assignments must the rate
nurse assign to a LPN? - ANS-a client who has dehydration and IBD
(does no longer require complicated med admin or evaluation)
a customer with cystocele is encouraged to workout to bolster pelvic ground muscle tissues and
prevent pelvic organ prolapse. What workout will the consumer need to carry out - ANS-Kegals
(reduce pelvic prolapse and stress urinary incontinence)
a consumer with hearing loss has been fitted for a listening to useful resource. Which of the
following coaching factors are crucial for the nurse to discuss with the patron? - ANS-use
moderate soap and water to easy the ear mould
a network fitness nurse is coaching a group of customers approximately first aid for unique sorts
of wounds. Which of the following patron statements shows an understanding of the teaching? -
ANS-i ought to apply smooth dressings over the top of blood saturated dressings and hold strain
(to save you disruption of wound tissue)
a menopausal client is having issue getting to sleep and asks what actions she should contain
in her daily routine to promote sleep. The nurse might encourage, which of the underneath
measures to sell sleep? - ANS-restrict alcohol and nicotine previous to bedtime
(as a minimum 4 hours)
a nurse enters a customers room and sees smoke coming from the trash can. Which of the
following actions have to the nurse take first - ANS-evacuate the room
(RACE)
a nurse finds a patron at the floor in their room experiencing a seizure, which of the subsequent
movements is the nurse's priority - ANS-place the patron on their sided with their head forward
(ABC)
a nurse in a provider's office is assessing a customer who reviews a lower within the
effectiveness in their arthritis remedy. Which of the following customer statistics have to the
nurse become aware of as a contributing issue to the decrease in the medicine's effectiveness?
- ANS-the purchaser has a records of recurring bowel inflammation
(GI issues decrease motility, lowering med effectiveness, so oral meds should be averted)
, a nurse in a carriers workplace is assessing the motor ability improvement of a 15 month
antique infant at some stage in a well-toddler visit, what gross motor skills ought to the nurse
assume? - ANS-walks with out assistance the use of a wide stance
a nurse is admitting a purchaser who has meningococal meningitis, what must the nurse do
first? - ANS-provoke droplet precaution
(put in non-public room and wear surgical masks within 3ft)
a nurse is admitting a consumer who has currently advanced fever, confusion, and a reduced
stage of focus. Which of the following actions should the nurse take first after acquiring the
patron's history and assessment? - ANS-perceive the client's needs
a nurse is admitting a client who has TB and a productive cough. What types of isolation
precautions must the nurse provoke for the patron? - ANS-airborne
(measles, bird pox, herpes zoster, TB)
TB requires bad strain room, and group of workers need to put on N95
a nurse is assessing a purchaser who has Parkinsons disorder, what manifestations must be
anticipated? - ANS-bradykinesia
a nurse is assessing four customers for fluid balance, the nurse need to pick out what as
dehydration? - ANS-a patron that has a temperature of 39C or 102F
a nurse is assessing the IV infusion website online of a client who reviews pain on the web site.
The web site is pink and there is warmth alongside the coarse of the vein, what have to the
nurse do? - ANS-d/c the infusion
(assessment advocate phlebitis, d/c, apply heat compress//if endured therapy required, start
new IV)
a nurse is assessing the pain degree of a purchaser who has dementia and difficulty speaking,
which ache evaluation method ought to the nurse use? - ANS-behavioral signs
(extended agitation, restlessness)
a nurse is helping a customer who signed an knowledgeable consent shape for surgery
however has because expressed doubts about the need for surgical treatment, which of the
following statements have to the nurse make? - ANS-the general practitioner will solution your
questions earlier than surgical treatment
a nurse is supporting a client along with his meal this is at risk for aspiration d/t stroke, what
interventions should the nurse take to save you aspiration? - ANS-role upright
upper again and head are supported
tuck chin when swallowing
a nurse is helping with meal making plans for a patron who has been prescribed a mechanical
smooth food regimen. The nurse ought to teach the customer to avoid which of the subsequent
meals? - ANS-orange slices
(membranes of the oranges are difficult to swallow, so are other difficult meals and uncooked
end result/veggies)
A fee nurse discovers that a nurse did no longer notify the issuer that a purchaser's condition
had modified. The price nurse have to identify that the nurse is accountable for which of the
subsequent torts? - ANS-negligence
a rate nurse is making assignments for the upcoming shift, what assignments must the rate
nurse assign to a LPN? - ANS-a client who has dehydration and IBD
(does no longer require complicated med admin or evaluation)
a customer with cystocele is encouraged to workout to bolster pelvic ground muscle tissues and
prevent pelvic organ prolapse. What workout will the consumer need to carry out - ANS-Kegals
(reduce pelvic prolapse and stress urinary incontinence)
a consumer with hearing loss has been fitted for a listening to useful resource. Which of the
following coaching factors are crucial for the nurse to discuss with the patron? - ANS-use
moderate soap and water to easy the ear mould
a network fitness nurse is coaching a group of customers approximately first aid for unique sorts
of wounds. Which of the following patron statements shows an understanding of the teaching? -
ANS-i ought to apply smooth dressings over the top of blood saturated dressings and hold strain
(to save you disruption of wound tissue)
a menopausal client is having issue getting to sleep and asks what actions she should contain
in her daily routine to promote sleep. The nurse might encourage, which of the underneath
measures to sell sleep? - ANS-restrict alcohol and nicotine previous to bedtime
(as a minimum 4 hours)
a nurse enters a customers room and sees smoke coming from the trash can. Which of the
following actions have to the nurse take first - ANS-evacuate the room
(RACE)
a nurse finds a patron at the floor in their room experiencing a seizure, which of the subsequent
movements is the nurse's priority - ANS-place the patron on their sided with their head forward
(ABC)
a nurse in a provider's office is assessing a customer who reviews a lower within the
effectiveness in their arthritis remedy. Which of the following customer statistics have to the
nurse become aware of as a contributing issue to the decrease in the medicine's effectiveness?
- ANS-the purchaser has a records of recurring bowel inflammation
(GI issues decrease motility, lowering med effectiveness, so oral meds should be averted)
, a nurse in a carriers workplace is assessing the motor ability improvement of a 15 month
antique infant at some stage in a well-toddler visit, what gross motor skills ought to the nurse
assume? - ANS-walks with out assistance the use of a wide stance
a nurse is admitting a purchaser who has meningococal meningitis, what must the nurse do
first? - ANS-provoke droplet precaution
(put in non-public room and wear surgical masks within 3ft)
a nurse is admitting a consumer who has currently advanced fever, confusion, and a reduced
stage of focus. Which of the following actions should the nurse take first after acquiring the
patron's history and assessment? - ANS-perceive the client's needs
a nurse is admitting a client who has TB and a productive cough. What types of isolation
precautions must the nurse provoke for the patron? - ANS-airborne
(measles, bird pox, herpes zoster, TB)
TB requires bad strain room, and group of workers need to put on N95
a nurse is assessing a purchaser who has Parkinsons disorder, what manifestations must be
anticipated? - ANS-bradykinesia
a nurse is assessing four customers for fluid balance, the nurse need to pick out what as
dehydration? - ANS-a patron that has a temperature of 39C or 102F
a nurse is assessing the IV infusion website online of a client who reviews pain on the web site.
The web site is pink and there is warmth alongside the coarse of the vein, what have to the
nurse do? - ANS-d/c the infusion
(assessment advocate phlebitis, d/c, apply heat compress//if endured therapy required, start
new IV)
a nurse is assessing the pain degree of a purchaser who has dementia and difficulty speaking,
which ache evaluation method ought to the nurse use? - ANS-behavioral signs
(extended agitation, restlessness)
a nurse is helping a customer who signed an knowledgeable consent shape for surgery
however has because expressed doubts about the need for surgical treatment, which of the
following statements have to the nurse make? - ANS-the general practitioner will solution your
questions earlier than surgical treatment
a nurse is supporting a client along with his meal this is at risk for aspiration d/t stroke, what
interventions should the nurse take to save you aspiration? - ANS-role upright
upper again and head are supported
tuck chin when swallowing
a nurse is helping with meal making plans for a patron who has been prescribed a mechanical
smooth food regimen. The nurse ought to teach the customer to avoid which of the subsequent
meals? - ANS-orange slices
(membranes of the oranges are difficult to swallow, so are other difficult meals and uncooked
end result/veggies)
