ATI CAPSTONE POST ASSESSMENT TEST BANK EXAM
UPDATED WITH QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
Terms in this set (90)
FLACC is used for ages 2 months to 7 years FACE (F)
0: Smile or no expression
1: Occasional frown or grimace, withdrawn
2: Frequent or constant frown, clenched jaw, quivering chin LEGS (L)
0: Relaxed or normal position 1: Uneasy, restless, tense
2: Kicking or legs drawn up ACTIVITY (A)
0: Lying quietly, moves easily, normal position 1: Squirming, shifting,
tense
2: Arched, ridged, or jerking CRY (C)
0: No cry
1: moans or whimpers, occasional complaints
The nurse is using the 2: Crying, screaming, sobbing, frequent complaints CONSOLABILITY (C)
FLACC pain scale. What is 0: Content or relaxed
the recommended age
1: Reassured by occasional touching or hugging. Able to distract 2:
range whe using this pain Difficult to console or comfort
scale?
-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.
-Only sterile items may be in a sterile field.
-The outer wrappings and 1-inch edges of packaging that contains
sterile items are not sterile.
-The inner surface of the sterile drape or kit, except for that 1-inch
border around the edges, is the sterile field to which additional sterile
items may be added.
-To position the field on the table surface, it is acceptable to grasp the
1-inch border before donning sterile gloves.
-Any object that comes into contact with the 1-inch border must be
discarded.
List at least three (3) -Touch sterile materials only with sterile gloves.
priority -Any object held below the waist or above the chest is considered
considerations when contaminated.
performing a sterile -Sterile materials may touch other sterile surfaces or materials;
dressing change. however, contact with non-sterile materials at any time renders a sterile
area contaminated, no
matter how short the contact.
-Microbes can move by gravity from a non-sterile item to a sterile item:
Do not reach across or above a sterile field.
, -Do not turn your back on a sterile field.
-Hold items to be added to a sterile field at a minimum of 6 inches
above the field.
-Any sterile, non-waterproof wrapper that comes in contact with
moisture becomes non-sterile by a wicking action that allows microbes
to travel rapidly from a non-sterile surface to the sterile surface.
-Keep all surfaces dry.
-Discard any sterile packages that become wet.
A dilemma is a choice between two unpleasant ethically troubling
alternatives.
This includes confidentiality, patient rights, and issues of death and
dying. The
An ethical dilemma nurse must use ethical and legal guidelines to make decision about
regarding sustaining life moral actions when providing care in these and many other situations.
is being examined. What
Identify whether the issue is indeed an ethical dilemma. State the
would be some
ethical dilemma including all surrounding issues and individuals
appropriate resources for
involved. List and analyze all
the nurse to use to help
possible options for resolving the dilemma and review implications of
review and address
each option.Select the option that is in concert with the ethical principle
ethical dilemmas?
applicable to this situation, the decision maker's values and beliefs, and
the profession's values set forth for client care. Justify why that one
option was selected. Apply this decision to the dilemma and evaluate the
outcomes.
She is gravida 4, Para 2
Gravida indicates the number of times the mother has been
A pregnant client has a history
pregnant, regardless of whether these pregnancies were
of giving birth to one set of
carried to term. A current pregnancy, if any, is included in
twin boys, one term girl, and
this count.
2 early spontaneous
Para indicates the number of >20 wks births (including
abortions. What is her
viable and non-viable i.e. stillbirths). Pregnancies consisting
gravida and para?
of multiples, such as twins or triplets, count as
ONE birth for the purpose of this notation.
A nurse is providing care for an To cleanse an uncircumcised penis, wash with soap and
uncircumcised male newborn water and rinse the penis. The foreskin should not be
and his mother. What forced back or constriction may result.
information should be
provided during discharge
regarding
bathing of the penile area of
the newborn male?
, ●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
The 24-year-old client inquires every pregnancy.
about use of the diaphragm ● Requires proper insertion and removal. Prior to coitus, the
for birth control. What five diaphragm is inserted vaginally over the cervix with
(5) instructions would be spermicidal jelly or cream that is applied to the
provided by the nurse to cervical side of the dome and around the rim. The
explain use of the diaphragm can be inserted up to 6 hr before intercourse
diaphragm? 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 Diagnostics for fibrocystic breast tissue include breast
about fibrocystic breast tissue ultrasound and fine-needle aspiration.
with a client.
What information will the
nurse share with the client
about diagnostics used to
confirm the diagnosis?
21: All women begin screening for cervical cancer
A client asks the nurse 21-29: Pap test every 3 years; HPV unnecessary unless
how often she should get a needed following an abnormalPap test
Papanicolaou (Pap) test. 30-65: Pap and HPV every 5 years
Older than 65: May discontinue testing if regular
What is the correct response screenings have been negative; If diagnosed with
by the nurse to the client? cervical precancer, continue to screen
List three (3) actions by the Recognize patterns or trends.
nurse should take during the Compare the data with expected standards or
assessment and data reference ranges. Arrive at conclusions to
collection steps. guide nursing care.
UPDATED WITH QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
Terms in this set (90)
FLACC is used for ages 2 months to 7 years FACE (F)
0: Smile or no expression
1: Occasional frown or grimace, withdrawn
2: Frequent or constant frown, clenched jaw, quivering chin LEGS (L)
0: Relaxed or normal position 1: Uneasy, restless, tense
2: Kicking or legs drawn up ACTIVITY (A)
0: Lying quietly, moves easily, normal position 1: Squirming, shifting,
tense
2: Arched, ridged, or jerking CRY (C)
0: No cry
1: moans or whimpers, occasional complaints
The nurse is using the 2: Crying, screaming, sobbing, frequent complaints CONSOLABILITY (C)
FLACC pain scale. What is 0: Content or relaxed
the recommended age
1: Reassured by occasional touching or hugging. Able to distract 2:
range whe using this pain Difficult to console or comfort
scale?
-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.
-Only sterile items may be in a sterile field.
-The outer wrappings and 1-inch edges of packaging that contains
sterile items are not sterile.
-The inner surface of the sterile drape or kit, except for that 1-inch
border around the edges, is the sterile field to which additional sterile
items may be added.
-To position the field on the table surface, it is acceptable to grasp the
1-inch border before donning sterile gloves.
-Any object that comes into contact with the 1-inch border must be
discarded.
List at least three (3) -Touch sterile materials only with sterile gloves.
priority -Any object held below the waist or above the chest is considered
considerations when contaminated.
performing a sterile -Sterile materials may touch other sterile surfaces or materials;
dressing change. however, contact with non-sterile materials at any time renders a sterile
area contaminated, no
matter how short the contact.
-Microbes can move by gravity from a non-sterile item to a sterile item:
Do not reach across or above a sterile field.
, -Do not turn your back on a sterile field.
-Hold items to be added to a sterile field at a minimum of 6 inches
above the field.
-Any sterile, non-waterproof wrapper that comes in contact with
moisture becomes non-sterile by a wicking action that allows microbes
to travel rapidly from a non-sterile surface to the sterile surface.
-Keep all surfaces dry.
-Discard any sterile packages that become wet.
A dilemma is a choice between two unpleasant ethically troubling
alternatives.
This includes confidentiality, patient rights, and issues of death and
dying. The
An ethical dilemma nurse must use ethical and legal guidelines to make decision about
regarding sustaining life moral actions when providing care in these and many other situations.
is being examined. What
Identify whether the issue is indeed an ethical dilemma. State the
would be some
ethical dilemma including all surrounding issues and individuals
appropriate resources for
involved. List and analyze all
the nurse to use to help
possible options for resolving the dilemma and review implications of
review and address
each option.Select the option that is in concert with the ethical principle
ethical dilemmas?
applicable to this situation, the decision maker's values and beliefs, and
the profession's values set forth for client care. Justify why that one
option was selected. Apply this decision to the dilemma and evaluate the
outcomes.
She is gravida 4, Para 2
Gravida indicates the number of times the mother has been
A pregnant client has a history
pregnant, regardless of whether these pregnancies were
of giving birth to one set of
carried to term. A current pregnancy, if any, is included in
twin boys, one term girl, and
this count.
2 early spontaneous
Para indicates the number of >20 wks births (including
abortions. What is her
viable and non-viable i.e. stillbirths). Pregnancies consisting
gravida and para?
of multiples, such as twins or triplets, count as
ONE birth for the purpose of this notation.
A nurse is providing care for an To cleanse an uncircumcised penis, wash with soap and
uncircumcised male newborn water and rinse the penis. The foreskin should not be
and his mother. What forced back or constriction may result.
information should be
provided during discharge
regarding
bathing of the penile area of
the newborn male?
, ●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
The 24-year-old client inquires every pregnancy.
about use of the diaphragm ● Requires proper insertion and removal. Prior to coitus, the
for birth control. What five diaphragm is inserted vaginally over the cervix with
(5) instructions would be spermicidal jelly or cream that is applied to the
provided by the nurse to cervical side of the dome and around the rim. The
explain use of the diaphragm can be inserted up to 6 hr before intercourse
diaphragm? 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 Diagnostics for fibrocystic breast tissue include breast
about fibrocystic breast tissue ultrasound and fine-needle aspiration.
with a client.
What information will the
nurse share with the client
about diagnostics used to
confirm the diagnosis?
21: All women begin screening for cervical cancer
A client asks the nurse 21-29: Pap test every 3 years; HPV unnecessary unless
how often she should get a needed following an abnormalPap test
Papanicolaou (Pap) test. 30-65: Pap and HPV every 5 years
Older than 65: May discontinue testing if regular
What is the correct response screenings have been negative; If diagnosed with
by the nurse to the client? cervical precancer, continue to screen
List three (3) actions by the Recognize patterns or trends.
nurse should take during the Compare the data with expected standards or
assessment and data reference ranges. Arrive at conclusions to
collection steps. guide nursing care.
