Ati capstone fundamentals pre-
assessment Exam Rated A+
A nurse is preparing to admin TPN to a client which of the following findings indicates a
need to obtain a new bag of TPN before admin?
- TPN has an oily appearance and a layer of fat on top of the solution (YES)
- TPN solution contains added electrolytes, vitamins, and trace elements (no,
electrolytes, vitamins, and trace elements are essential for normal body functions.
vitamin K may also be added)
- Bag of TPN was prepared by the pharmacy 12 hours prior (no, to prevent interruption
of therapy the next bag SHOULD be available prior to previous bags completion)
- Bag of TPN is labeled with the pt's name, medical record number & prescription (no,
this should be done) - Answers -✔✔ TPN has an oily appearance and a layer of fat on
top of the solution
Before admin, nurse should look for "cracking" of TPN solution this occurs if the calcium
or phosphorus content is high or if poor-salt albumin is added. A "cracked" TPN solution
has an oily appearance or a layer of fat on top of the solution and should not be used
A nurse is assessing a client who has Parkinson’s disease. Which of the following
manifestations should the nurse expect?
- Pruritus (no, nurse should expect oily skin, which results from autonomic dysfunction,
rather than pruritus, which results from dry skin)
- Hypertension (no, should expect orthostatic hypotension which results from autonomic
dysfunction)
- Bradykinesia (YES)
- Xerostomia (no, should expect to find uncontrollable drooling especially at night
instead of xerostomia/dry mouth) - Answers -✔✔ bradykinesia
Aka difficulty moving
A nurse is caring for a client who is admitted for observation and has full ROM. Which is
the best manner to encourage the client to void?
- Urinal
- Bedpan
- Bedside commode
- Client bathroom - Answers -✔✔ client bathroom
, A nurse is reviewing psychosocial stages of development for a school-age child. What
would be an expected behavioral finding for this child?
- personalize values and beliefs and base reasoning on ethical fairness principles.
Establish close relationships. Have influences that help with formation of healthy self-
concept, such as family & friends (no, this is young adults 20-35 years)
- develop sense of personal identity that family expectations influence peer relationships
develop as support system Concerned with body images that media portray (no, this is
adolescents 12-20 years)
- develop sense of industry through advances in learning strive to develop healthy self-
respect by finding out in what areas they excel peer groups play important role in social
development (YES)
- take on new experiences and when unable to accomplish task may feel guilty or
misbehave generally don’t exhibit stranger anxiety under - Answers -✔✔ develop sense
of industry through advances in learning strive to develop healthy self-respect by finding
out in what areas they excel peer groups play important role in social development
This is expected in school-age children 6-12 years
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?
- consume a warm drink before bedtime (no, limit fluids 2-4 hrs before bed)
- take an evening walk before bedtime (no, limit exercise at least 2 hrs before bed)
- take an afternoon nap (no, establish a bedtime routine and regular sleep pattern)
- Limit alcohol and nicotine prior to bedtime (YES) - Answers -✔✔ limit alcohol and
nicotine prior to bedtime
Limit alcohol, caffeine, & nicotine at least 4 hr before bedtime
A nurse is caring for a client w heart failure who has evidence of dyspnea, bibasilar
crackles & frothy sputum, what dietary recommendations should be provided to this
client in management of their heart failure?
- decrease protein intake (no, want to increase protein for HF)
- decrease sodium intake (YES)
assessment Exam Rated A+
A nurse is preparing to admin TPN to a client which of the following findings indicates a
need to obtain a new bag of TPN before admin?
- TPN has an oily appearance and a layer of fat on top of the solution (YES)
- TPN solution contains added electrolytes, vitamins, and trace elements (no,
electrolytes, vitamins, and trace elements are essential for normal body functions.
vitamin K may also be added)
- Bag of TPN was prepared by the pharmacy 12 hours prior (no, to prevent interruption
of therapy the next bag SHOULD be available prior to previous bags completion)
- Bag of TPN is labeled with the pt's name, medical record number & prescription (no,
this should be done) - Answers -✔✔ TPN has an oily appearance and a layer of fat on
top of the solution
Before admin, nurse should look for "cracking" of TPN solution this occurs if the calcium
or phosphorus content is high or if poor-salt albumin is added. A "cracked" TPN solution
has an oily appearance or a layer of fat on top of the solution and should not be used
A nurse is assessing a client who has Parkinson’s disease. Which of the following
manifestations should the nurse expect?
- Pruritus (no, nurse should expect oily skin, which results from autonomic dysfunction,
rather than pruritus, which results from dry skin)
- Hypertension (no, should expect orthostatic hypotension which results from autonomic
dysfunction)
- Bradykinesia (YES)
- Xerostomia (no, should expect to find uncontrollable drooling especially at night
instead of xerostomia/dry mouth) - Answers -✔✔ bradykinesia
Aka difficulty moving
A nurse is caring for a client who is admitted for observation and has full ROM. Which is
the best manner to encourage the client to void?
- Urinal
- Bedpan
- Bedside commode
- Client bathroom - Answers -✔✔ client bathroom
, A nurse is reviewing psychosocial stages of development for a school-age child. What
would be an expected behavioral finding for this child?
- personalize values and beliefs and base reasoning on ethical fairness principles.
Establish close relationships. Have influences that help with formation of healthy self-
concept, such as family & friends (no, this is young adults 20-35 years)
- develop sense of personal identity that family expectations influence peer relationships
develop as support system Concerned with body images that media portray (no, this is
adolescents 12-20 years)
- develop sense of industry through advances in learning strive to develop healthy self-
respect by finding out in what areas they excel peer groups play important role in social
development (YES)
- take on new experiences and when unable to accomplish task may feel guilty or
misbehave generally don’t exhibit stranger anxiety under - Answers -✔✔ develop sense
of industry through advances in learning strive to develop healthy self-respect by finding
out in what areas they excel peer groups play important role in social development
This is expected in school-age children 6-12 years
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?
- consume a warm drink before bedtime (no, limit fluids 2-4 hrs before bed)
- take an evening walk before bedtime (no, limit exercise at least 2 hrs before bed)
- take an afternoon nap (no, establish a bedtime routine and regular sleep pattern)
- Limit alcohol and nicotine prior to bedtime (YES) - Answers -✔✔ limit alcohol and
nicotine prior to bedtime
Limit alcohol, caffeine, & nicotine at least 4 hr before bedtime
A nurse is caring for a client w heart failure who has evidence of dyspnea, bibasilar
crackles & frothy sputum, what dietary recommendations should be provided to this
client in management of their heart failure?
- decrease protein intake (no, want to increase protein for HF)
- decrease sodium intake (YES)
