ATI Capstone Fundamentals
|Comprehensive Q&A For Certification
Success
a nurse manager is providing staff education on the correct use of restraints. what
should be included in this education?-correct-answer-restraints are a last resort
NV and NS status should be assessed every 2h
use the least restrictive intervention possible and never let it interfere with
treatment
thorough and timely documentation need to be completed when restraints are
applied
a nurse is caring for a client receiving chemo that is experiencing neutropenia,
what should the nurse include in pt education?-correct-answer-avoid crowded
events
(can't fight infection)
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a nurse is caring for a client with a stage 2 pressure ulcer, define the
characteristics of this ulcer?-correct-answer-partial-thickness kin loss involving the
epidermis and the dermis
ulcer is visible and superficial, may appear as abrasion, blister, or shallow crater
edema persists, ulcer may become infected with possible pain and scant drainage
a nurse is preparing to administer 250mg of an antibiotic IM. available is 3g/5mL.
how many mL would the nurse administer per dose?-correct-answer-0.4
a nurse is reviewing psychosocial stages of development for a school-age child,
what would be an expected behavioral finding for this child?-correct-answer-
develop sense of industry through advances in learning, strive to develop healthy
self-respect by finding out in what areas they excel
peer groups plays important role in social development
a nurse is assessing a client who has Parkinsons disease, what manifestations
should be expected?-correct-answer-bradykinesia
a nurse is caring for a client receiving radiation treatments for cancer. the client
states he is experiencing dryness, redness, and scaling at the treatment area.
which of the following should the nurse instruct the client to do?-correct-answer-
liberally apply prescribed lotion to the area
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a nurse is assessing the pain level of a client who has dementia and difficulty
communicating, which pain assessment technique should the nurse use?-correct-
answer-behavioral indicators
(increased agitation, restlessness)
a nurse receives a report from an assistive personnel that a client's BP is 160/95,
what should the nurse do first?-correct-answer-recheck the clients BP
(reassess prior to any intervention)
a nurse is caring for a client who has an indwelling urinary cath, what should the
nurse identify as a cath occlusion?-correct-answer-bladder distention
(inability to empty the bladder, impaired elimination)
a nurse is discussing immunity with a client who has received an immunization,
the nurse should identify that an immunization functions as part of which of the
following types of immunity?-correct-answer-acquired immunity