ATI CAPSTONE- FUNDAMENTALS PRE-ASSESSMENT

ATI CAPSTONE- FUNDAMENTALS PRE-ASSESSMENT 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 answer -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? A. 2 B. 5 C. 7 D. 9 - correct answer -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? A. 4 B. 7 C. 9 D. 10 - correct answer -B. 7 (comatose) Rationale: Eye Opening (ranges from 4-1) 4 = spontaneous 3 = to voic