ATI Capstone Fundamentals, ATI FundamentalsExam QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
m
(bears all weight on one foot, then both shoulders on crutches, and uninvolved leg, the affected leg does
not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client newly who has a new diagnosis of
hypertension. what statement indicates need for further teaching? - Answeri will limit my intake of red
meat to 2x weekly
(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis who has been prescribed a low-fat
diet. which of the following meal selections by the client indicates understanding of education? -
Answerroast turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvic
organ prolapse. What exercise will the client need to perform - AnswerKegals
(reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which intervention will most likely reduce the
client's risk for falls? - Answerhourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide. which of the following foods should
the nurse encourage this to include in his diet? - Answeroranges
, (along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for a
potassium wasting diuretic)
a menopausal client is having difficulty getting to sleep and asks what actions she should incorporate in
her daily routine to promote sleep. the nurse would encourage, which of the below measures to
promote sleep? - Answerlimit alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse is caring for several clients prescribed heat/cold therapies. which of the following clients are at
risk of injury from these therapies? SATA - Answeruse caution with clients who are very young, older
adult, fair skinned, impaired cognition, and comorbidities --> higher risk for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea, bibasalar crackles and frothy sputum.
what dietary recommendations should be provided to this client in management of their HF? -
Answerreduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, consume small frequent meals that are
soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM plan was started the client was
sedated and sleeping most of the time. after three days the client is no longer sedated and sleeping
regularly. what action should the nurse take? - Answerno action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain control)
a nurse is caring for a client who is admitted for observation and has full range of motion. which is the
best manner to encourage the client to void? - Answerclient bathroom
(promotes independence and ADLs)
a nurse is completing a nutritional assessment on a client and measures BMI, which of the following
readings correlates with a BMI of an overweight client? - Answer25
below 18.5 - underweight range.
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
m
(bears all weight on one foot, then both shoulders on crutches, and uninvolved leg, the affected leg does
not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client newly who has a new diagnosis of
hypertension. what statement indicates need for further teaching? - Answeri will limit my intake of red
meat to 2x weekly
(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis who has been prescribed a low-fat
diet. which of the following meal selections by the client indicates understanding of education? -
Answerroast turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvic
organ prolapse. What exercise will the client need to perform - AnswerKegals
(reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which intervention will most likely reduce the
client's risk for falls? - Answerhourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide. which of the following foods should
the nurse encourage this to include in his diet? - Answeroranges
, (along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for a
potassium wasting diuretic)
a menopausal client is having difficulty getting to sleep and asks what actions she should incorporate in
her daily routine to promote sleep. the nurse would encourage, which of the below measures to
promote sleep? - Answerlimit alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse is caring for several clients prescribed heat/cold therapies. which of the following clients are at
risk of injury from these therapies? SATA - Answeruse caution with clients who are very young, older
adult, fair skinned, impaired cognition, and comorbidities --> higher risk for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea, bibasalar crackles and frothy sputum.
what dietary recommendations should be provided to this client in management of their HF? -
Answerreduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, consume small frequent meals that are
soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM plan was started the client was
sedated and sleeping most of the time. after three days the client is no longer sedated and sleeping
regularly. what action should the nurse take? - Answerno action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain control)
a nurse is caring for a client who is admitted for observation and has full range of motion. which is the
best manner to encourage the client to void? - Answerclient bathroom
(promotes independence and ADLs)
a nurse is completing a nutritional assessment on a client and measures BMI, which of the following
readings correlates with a BMI of an overweight client? - Answer25
below 18.5 - underweight range.
