ATI CAPSTONE-
FUNDAMENTALS PRE-
ASSESSMENT EXAM WITH
CORRECT ANSWERS 2025
A nurse is completing a nutritional assessment on a client and measures
body mass index (BMI). Which of the following readings correlates with a
BMI of an overweight client?
A. 18.5
B. 24.9
C. 25
D. 32 ( correct answers ) C. 25
Rationale: Healthy weight is indicates by a BMI of 18.5-24.9. Overweight is
defined as an increased body weight in relation to height. It is indicated by
a BMI of 25-29.9.
Obesity is an excess amount of body fat. It is indicated by a BMI greater
than or equal
to 30.
Underweight- less than 18.5
A nurse is verifying nasogastric tube placement by the pH of aspirated
gastric fluid. Which of the following pH values provides a good indication of
correct tube placement?
E. 2
F. 5
G. 7
H. 9 ( correct answers ) A. 2
Rationale: A good indication of appropriate placement is obtaining gastric
contents with a pH between 0 and 4.
A nurse is caring for a client with a closed head injury. When pressure is
applied to client's nail beds, the client's eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. The client also moans
with stimulation. What is the client's Glascow Coma Score?
I. 4
J. 7
K. 9
L.10 ( correct answers ) B. 7
(comatose) Rationale:
Eye Opening (ranges from 4-1)
4=
spontaneous 3
= to voice
2 = to
pain 1 =
none
GRADED
A+
Verbal (ranges from
5-1) 5 = oriented
, 4 = confused
3 = inappropriate words
2 = incomprehensible
sounds 1= none
Motor (raged from
6-1) 6 = obeys
command
5 = localizes
pain 4 =
withdraws
3 = flexion
(decorticate
posturing)
2 = extension (decerebrate
posturing) 1 = none
A nurse should teach which of the following clients requiring crutches about
how to use a three-point gait?
A. A client who is able to bear full weight on both lower extremities.
B. A client who has bilateral leg braces due to paralysis of the lower
extremities.
C. A client who has a right femur fracture with no weight bearing on the
affected leg.
D.A client who has bilateral knee-replacements with partial weight bearing
on both legs. ( correct answers ) C. A client who has a right femur fracture
with no weight bearing on the affected leg.
Rationale: A three-point gait requires the client to bear all of his weight on
one foot. With a three-point gait, the client bears weight on both crutches
and then on the uninvolved leg, repeating the sequence. The affected leg
does not touch the ground.
A nurse is providing teaching about the Mediterranean diet to a client who
has a new diagnosis if hypertension. Which of the following statements by
the client indicates a need for further teaching?
E. "I will limit my intake of red meat to twice weekly."
F. "I can have dairy in moderate portions daily."
G. "I can have fish two times a week."
H."I can drink wine in moderation." ( correct answers ) A. "I will limit
my intake of red meat to twice weekly."
Rationale: Following the Mediterranean diet, red meat should be limited to
two times monthly. The client should have dairy in moderate portions daily
to weekly. The intake
of fish and seafood is at least two times per week. Drinking wine is
acceptable in moderation.
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?
I. Roast beef with gravy, mashed potatoes, ice cream
J. Macaroni and cheese, salad, pudding
GRADED
A+
K. Creamed chicken on a roll with peas
L.Roast turkey, rice pilaf, green beans ( correct answers )
D. Roast turkey, rice pilaf, green beans
FUNDAMENTALS PRE-
ASSESSMENT EXAM WITH
CORRECT ANSWERS 2025
A nurse is completing a nutritional assessment on a client and measures
body mass index (BMI). Which of the following readings correlates with a
BMI of an overweight client?
A. 18.5
B. 24.9
C. 25
D. 32 ( correct answers ) C. 25
Rationale: Healthy weight is indicates by a BMI of 18.5-24.9. Overweight is
defined as an increased body weight in relation to height. It is indicated by
a BMI of 25-29.9.
Obesity is an excess amount of body fat. It is indicated by a BMI greater
than or equal
to 30.
Underweight- less than 18.5
A nurse is verifying nasogastric tube placement by the pH of aspirated
gastric fluid. Which of the following pH values provides a good indication of
correct tube placement?
E. 2
F. 5
G. 7
H. 9 ( correct answers ) A. 2
Rationale: A good indication of appropriate placement is obtaining gastric
contents with a pH between 0 and 4.
A nurse is caring for a client with a closed head injury. When pressure is
applied to client's nail beds, the client's eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. The client also moans
with stimulation. What is the client's Glascow Coma Score?
I. 4
J. 7
K. 9
L.10 ( correct answers ) B. 7
(comatose) Rationale:
Eye Opening (ranges from 4-1)
4=
spontaneous 3
= to voice
2 = to
pain 1 =
none
GRADED
A+
Verbal (ranges from
5-1) 5 = oriented
, 4 = confused
3 = inappropriate words
2 = incomprehensible
sounds 1= none
Motor (raged from
6-1) 6 = obeys
command
5 = localizes
pain 4 =
withdraws
3 = flexion
(decorticate
posturing)
2 = extension (decerebrate
posturing) 1 = none
A nurse should teach which of the following clients requiring crutches about
how to use a three-point gait?
A. A client who is able to bear full weight on both lower extremities.
B. A client who has bilateral leg braces due to paralysis of the lower
extremities.
C. A client who has a right femur fracture with no weight bearing on the
affected leg.
D.A client who has bilateral knee-replacements with partial weight bearing
on both legs. ( correct answers ) C. A client who has a right femur fracture
with no weight bearing on the affected leg.
Rationale: A three-point gait requires the client to bear all of his weight on
one foot. With a three-point gait, the client bears weight on both crutches
and then on the uninvolved leg, repeating the sequence. The affected leg
does not touch the ground.
A nurse is providing teaching about the Mediterranean diet to a client who
has a new diagnosis if hypertension. Which of the following statements by
the client indicates a need for further teaching?
E. "I will limit my intake of red meat to twice weekly."
F. "I can have dairy in moderate portions daily."
G. "I can have fish two times a week."
H."I can drink wine in moderation." ( correct answers ) A. "I will limit
my intake of red meat to twice weekly."
Rationale: Following the Mediterranean diet, red meat should be limited to
two times monthly. The client should have dairy in moderate portions daily
to weekly. The intake
of fish and seafood is at least two times per week. Drinking wine is
acceptable in moderation.
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?
I. Roast beef with gravy, mashed potatoes, ice cream
J. Macaroni and cheese, salad, pudding
GRADED
A+
K. Creamed chicken on a roll with peas
L.Roast turkey, rice pilaf, green beans ( correct answers )
D. Roast turkey, rice pilaf, green beans
