ATI Capstone Fundamentals 1
1. A nurse in a long - term care facility enters the day room and finds the
window curtains on fire . Clients are panicking and the room is filling with
smoke . Indicate the emergency actions the nurse must take . ( Move the steps
into the box on the right , placing them in the selected order of performance .
Use all the steps . <Ans> RACE to prioritize the actions to take <Ans> R -
Rescue and remove the clients , A- Activate the alarm , C- Confine the E-
Extinguish the fire .
2. A nurse is assigned care of a client who has HIV . Which of the following
infection control precautions should the nurse plan to use while caring for
this client ? <Ans> Standard Precautions
3. What precautions are used for MTV, Herpes Zoster <Ans> Airborne
4. What precautions are used for pertussis and CDiff <Ans> Contact precaution
5. When are droplet precautions used <Ans> Measles, Influenza, Mumps,
Respiratory illnesses
6. A nurse working on a medical - surgical unit suspects that several clients
have Clostridium difficile when they all develop watery diarrhea . Which of the
following actions should the nurse plan to take while waiting for the client's
lab results <Ans> Place all clients who have manifestations on contact
precautions .
7. A nurse is planning to perform passive range of motion for a client who is
immobilized . Which of the following actions should the nurse plan to take
? <Ans> Support extremities above and below joints .
8. A nurse is participating in an interdisciplinary treatment meeting for a client
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, who is to go home within a week . Which of the following health care providers
should the nurse identify will assist the client with activities of daily living
? <Ans> Occupational therapist
9. Who assist the client with obtaining resources to assist with issues such
as finances , nutrition , transportation , and in - home care . <Ans> social
worker
10. Assist with strength training improve movement <Ans> Physical Therapist
11. A nurse is implementing a bladder - training program for a client . For
which of the following actions by the assistive personnel ( AP ) who is helping
with the client's care should the nurse intervene ? <Ans> Instructs the client to
urinate whenever the urge occurs
12. A nurse is collecting data from a client who has venous insufficiency .
Which of the following findings should the nurse expect ? <Ans> Pitting
edema
13. A nurse is caring for a client who has a stage - 3 pressure ulcer that now
has some granulating tissue . Which of the following interventions should the
nurse recommend for inclusion in the plan of care ? <Ans> Cleanse with 0.9 %
sodium chloride irrigation
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1. A nurse in a long - term care facility enters the day room and finds the
window curtains on fire . Clients are panicking and the room is filling with
smoke . Indicate the emergency actions the nurse must take . ( Move the steps
into the box on the right , placing them in the selected order of performance .
Use all the steps . <Ans> RACE to prioritize the actions to take <Ans> R -
Rescue and remove the clients , A- Activate the alarm , C- Confine the E-
Extinguish the fire .
2. A nurse is assigned care of a client who has HIV . Which of the following
infection control precautions should the nurse plan to use while caring for
this client ? <Ans> Standard Precautions
3. What precautions are used for MTV, Herpes Zoster <Ans> Airborne
4. What precautions are used for pertussis and CDiff <Ans> Contact precaution
5. When are droplet precautions used <Ans> Measles, Influenza, Mumps,
Respiratory illnesses
6. A nurse working on a medical - surgical unit suspects that several clients
have Clostridium difficile when they all develop watery diarrhea . Which of the
following actions should the nurse plan to take while waiting for the client's
lab results <Ans> Place all clients who have manifestations on contact
precautions .
7. A nurse is planning to perform passive range of motion for a client who is
immobilized . Which of the following actions should the nurse plan to take
? <Ans> Support extremities above and below joints .
8. A nurse is participating in an interdisciplinary treatment meeting for a client
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, who is to go home within a week . Which of the following health care providers
should the nurse identify will assist the client with activities of daily living
? <Ans> Occupational therapist
9. Who assist the client with obtaining resources to assist with issues such
as finances , nutrition , transportation , and in - home care . <Ans> social
worker
10. Assist with strength training improve movement <Ans> Physical Therapist
11. A nurse is implementing a bladder - training program for a client . For
which of the following actions by the assistive personnel ( AP ) who is helping
with the client's care should the nurse intervene ? <Ans> Instructs the client to
urinate whenever the urge occurs
12. A nurse is collecting data from a client who has venous insufficiency .
Which of the following findings should the nurse expect ? <Ans> Pitting
edema
13. A nurse is caring for a client who has a stage - 3 pressure ulcer that now
has some granulating tissue . Which of the following interventions should the
nurse recommend for inclusion in the plan of care ? <Ans> Cleanse with 0.9 %
sodium chloride irrigation
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