ATI CAPSTONE FUNDAMENTALS PRE-
ASSESSMENT EXAM | 100% CORRECTLY
ANSWERED WITH RATIONALE | 2026/2027
GUIDE
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?
- Correct Answer - Limit alcohol and nicotine prior to bedtime.
Rationale: Limit alcohol, caffeine, and nicotine at least 4 hr before
bedtime.
A nurse is providing teaching about the Mediterranean diet to a client
newly who has a new diagnosis of hypertension. Which of the following
statements by the client indicates a need for further teaching?
- Correct Answer - "I will limit my intake of red meat to twice weekly."
Rationale: This statement by the client indicates a need for further
teaching. Following the Mediterranean diet, red meat should be limited to
two times monthly.
What is the name of a legal document that instructs health care
providers and family members about what, if any, life-sustaining
treatment an individual wants if at some time the individual is unable to
make decisions? - Correct Answer - Living will
,Rationale: A living will is a legal document that specifically outlines a
clients wishes regarding life-sustaining treatment.
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? - Correct Answer - Oranges
Rationale: Clients prescribed potassium-wasting diurectics should be
encouraged to eat foods high in potassium. Oranges, dried fruits,
tomatoes, avocados, dried peas, meats, broccoli, and bananas are all
good sources of potassium.
A nurse is caring for a client with celiac disease. Which food should be
removed from the meal tray?
- Correct Answer - Tortillas
Rationale: Tortillas contain gluten. Corn bread, mashed potatoes and
lentils do not contain gluten.
A nurse manager is providing staff education on the correct use of
restraints. Which of the following should be included in this education?
Select all that apply.
- Correct Answer - Restraints should not interfere with treatment.
Restraints should not be used because of short staffing.
Staff must document type and location of the restraint and time applied.
Assess neurovascular and neurosensory status every 2 hours.
, Rationale: Restraints should be applied as a last resort after other
measures have been used. Thorough and timely documentation needs
to be completed when restraints are applied, following protocol and
policy. Neurovascular and neurosensory status should be assessed
every 2 hours, along with frequent check ins to ensure the safety and
comfort of the client. Restraints should not be used as a way to contain
the client when a unit is short staffed. The type or technique of restraint
used must be the least restrictive intervention possible and should never
interfere with treatment.
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? - Correct Answer - 2
Rationale: A good indication of appropriate placement is obtaining
gastric contents with a pH between 0 and 4.
A nurse is admitting a client who has tuberculosis and a productive
cough. Which of the following types of isolation precautions should the
nurse initiate for the client? - Correct Answer - Airborne
Rationale: The nurse should initiate airborne precautions when a client
has an infection that spreads through small droplets that remain airborne
for longer periods, such as tuberculosis and measles. The client requires
a negative-pressure airflow room, and staff should wear an N95
respirator when in contact with the client.
ASSESSMENT EXAM | 100% CORRECTLY
ANSWERED WITH RATIONALE | 2026/2027
GUIDE
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?
- Correct Answer - Limit alcohol and nicotine prior to bedtime.
Rationale: Limit alcohol, caffeine, and nicotine at least 4 hr before
bedtime.
A nurse is providing teaching about the Mediterranean diet to a client
newly who has a new diagnosis of hypertension. Which of the following
statements by the client indicates a need for further teaching?
- Correct Answer - "I will limit my intake of red meat to twice weekly."
Rationale: This statement by the client indicates a need for further
teaching. Following the Mediterranean diet, red meat should be limited to
two times monthly.
What is the name of a legal document that instructs health care
providers and family members about what, if any, life-sustaining
treatment an individual wants if at some time the individual is unable to
make decisions? - Correct Answer - Living will
,Rationale: A living will is a legal document that specifically outlines a
clients wishes regarding life-sustaining treatment.
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? - Correct Answer - Oranges
Rationale: Clients prescribed potassium-wasting diurectics should be
encouraged to eat foods high in potassium. Oranges, dried fruits,
tomatoes, avocados, dried peas, meats, broccoli, and bananas are all
good sources of potassium.
A nurse is caring for a client with celiac disease. Which food should be
removed from the meal tray?
- Correct Answer - Tortillas
Rationale: Tortillas contain gluten. Corn bread, mashed potatoes and
lentils do not contain gluten.
A nurse manager is providing staff education on the correct use of
restraints. Which of the following should be included in this education?
Select all that apply.
- Correct Answer - Restraints should not interfere with treatment.
Restraints should not be used because of short staffing.
Staff must document type and location of the restraint and time applied.
Assess neurovascular and neurosensory status every 2 hours.
, Rationale: Restraints should be applied as a last resort after other
measures have been used. Thorough and timely documentation needs
to be completed when restraints are applied, following protocol and
policy. Neurovascular and neurosensory status should be assessed
every 2 hours, along with frequent check ins to ensure the safety and
comfort of the client. Restraints should not be used as a way to contain
the client when a unit is short staffed. The type or technique of restraint
used must be the least restrictive intervention possible and should never
interfere with treatment.
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? - Correct Answer - 2
Rationale: A good indication of appropriate placement is obtaining
gastric contents with a pH between 0 and 4.
A nurse is admitting a client who has tuberculosis and a productive
cough. Which of the following types of isolation precautions should the
nurse initiate for the client? - Correct Answer - Airborne
Rationale: The nurse should initiate airborne precautions when a client
has an infection that spreads through small droplets that remain airborne
for longer periods, such as tuberculosis and measles. The client requires
a negative-pressure airflow room, and staff should wear an N95
respirator when in contact with the client.
