ATI Capstone- Fundamentals Pre-
b b b
b Assessment Questions and Answers
b b b b
100% Pass b
Abnursebisbcompletingbabnutritionalbassessmentbonbabclientbandbmeasuresbbodybmassbindexb(BMI).
WhichbofbthebfollowingbreadingsbcorrelatesbwithbabBMIbofbanboverweightbclient?b
A.b18.5
B.b24.9
C.b25
D.b32b✔✔C.b25
Rationale:bHealthybweightbisbindicatesbbybabBMIbofb18.5-
24.9.bOverweightbisbdefinedbasbanbincreasedbbodybweightbinbrelationbtobheight.bItbisbindicatedbby
abBMIbofb25-
b
29.9.bObesitybisbanbexcessbamountbofbbodybfat.bItbisbindicatedbbybabBMIbgreaterbthanborbequalbtob
30.
Underweight-blessbthanb18.5
AbnursebisbverifyingbnasogastricbtubebplacementbbybthebpHbofbaspiratedbgastricbfluid.bWhichbofbthebf
ollowingbpHbvaluesbprovidesbabgoodbindicationbofbcorrectbtubebplacement?
A. 2
B. 5
C. 7
,D.b9b✔✔A.b2
Rationale:bAbgoodbindicationbofbappropriatebplacementbisbobtainingbgastricbcontentsbwithbabpHbb
etweenb0bandb4.
Abnursebisbcaringbforbabclientbwithbabclosedbheadbinjury.bWhenbpressurebisbappliedbtobclient'sbnailbb
eds,bthebclient'sbeyesbopenbandbadductionbofbthebarmsbwithbflexionbofbthebelbowsbandbwristsbisbnot
ed.bThebclientbalsobmoansbwithbstimulation.bWhatbisbthebclient'sbGlascowbComabScore?
A. 4
B. 7
C. 9
D. 10b✔✔B.b7b(comatose)b
Rationale:
EyebOpeningb(rangesbfromb4-
1)b4b=bspontaneous
3b=btobvoiceb
2b=btobpainb
1b=bnone
Verbalb(rangesbfromb5-
1)b5b=boriented
, 4b=bconfused
3b=binappropriatebwords
2b=bincomprehensiblebsoundsb
1=bnone
Motorb(ragedbfromb6-
1)b6b=bobeysbcommand
5b=blocalizesbpainb
4b=bwithdraws
3b=bflexionb(decorticatebposturing)
2b=bextensionb(decerebratebposturing)b
1b=bnone
Abnursebshouldbteachbwhichbofbthebfollowingbclientsbrequiringbcrutchesbaboutbhowbtobusebabthree-
pointbgait?
b
A. Abclientbwhobisbablebtobbearbfullbweightbonbbothblowerbextremities.
B. Abclientbwhobhasbbilateralblegbbracesbduebtobparalysisbofbtheblowerbextremities.
C. Abclientbwhobhasbabrightbfemurbfracturebwithbnobweightbbearingbonbthebaffectedbleg.
D. Abclientbwhobhasbbilateralbknee-replacementsbwithbpartialbweightbbearingbonbbothblegs.b✔✔C.
Abclientbwhobhasbabrightbfemurbfracturebwithbnobweightbbearingbonbthebaffectedbleg.
b b b
b Assessment Questions and Answers
b b b b
100% Pass b
Abnursebisbcompletingbabnutritionalbassessmentbonbabclientbandbmeasuresbbodybmassbindexb(BMI).
WhichbofbthebfollowingbreadingsbcorrelatesbwithbabBMIbofbanboverweightbclient?b
A.b18.5
B.b24.9
C.b25
D.b32b✔✔C.b25
Rationale:bHealthybweightbisbindicatesbbybabBMIbofb18.5-
24.9.bOverweightbisbdefinedbasbanbincreasedbbodybweightbinbrelationbtobheight.bItbisbindicatedbby
abBMIbofb25-
b
29.9.bObesitybisbanbexcessbamountbofbbodybfat.bItbisbindicatedbbybabBMIbgreaterbthanborbequalbtob
30.
Underweight-blessbthanb18.5
AbnursebisbverifyingbnasogastricbtubebplacementbbybthebpHbofbaspiratedbgastricbfluid.bWhichbofbthebf
ollowingbpHbvaluesbprovidesbabgoodbindicationbofbcorrectbtubebplacement?
A. 2
B. 5
C. 7
,D.b9b✔✔A.b2
Rationale:bAbgoodbindicationbofbappropriatebplacementbisbobtainingbgastricbcontentsbwithbabpHbb
etweenb0bandb4.
Abnursebisbcaringbforbabclientbwithbabclosedbheadbinjury.bWhenbpressurebisbappliedbtobclient'sbnailbb
eds,bthebclient'sbeyesbopenbandbadductionbofbthebarmsbwithbflexionbofbthebelbowsbandbwristsbisbnot
ed.bThebclientbalsobmoansbwithbstimulation.bWhatbisbthebclient'sbGlascowbComabScore?
A. 4
B. 7
C. 9
D. 10b✔✔B.b7b(comatose)b
Rationale:
EyebOpeningb(rangesbfromb4-
1)b4b=bspontaneous
3b=btobvoiceb
2b=btobpainb
1b=bnone
Verbalb(rangesbfromb5-
1)b5b=boriented
, 4b=bconfused
3b=binappropriatebwords
2b=bincomprehensiblebsoundsb
1=bnone
Motorb(ragedbfromb6-
1)b6b=bobeysbcommand
5b=blocalizesbpainb
4b=bwithdraws
3b=bflexionb(decorticatebposturing)
2b=bextensionb(decerebratebposturing)b
1b=bnone
Abnursebshouldbteachbwhichbofbthebfollowingbclientsbrequiringbcrutchesbaboutbhowbtobusebabthree-
pointbgait?
b
A. Abclientbwhobisbablebtobbearbfullbweightbonbbothblowerbextremities.
B. Abclientbwhobhasbbilateralblegbbracesbduebtobparalysisbofbtheblowerbextremities.
C. Abclientbwhobhasbabrightbfemurbfracturebwithbnobweightbbearingbonbthebaffectedbleg.
D. Abclientbwhobhasbbilateralbknee-replacementsbwithbpartialbweightbbearingbonbbothblegs.b✔✔C.
Abclientbwhobhasbabrightbfemurbfracturebwithbnobweightbbearingbonbthebaffectedbleg.
