CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90
QUESTIONS AND ANSWERS
a charge nurse discovers that a nurse did not notify the provider that a client's condition had changed. the
charge nurse should identify that the nurse is accountable for which of the following torts? -
ANSnegligence
a charge nurse is making assignments for the upcoming shift, what assignments should the charge nurse
assign to a LPN? - ANSa client who has dehydration and IBD
(does not require complex med admin or assessment)
a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvic
organ prolapse. What exercise will the client need to perform - ANSKegals
(reduce pelvic prolapse and stress urinary incontinence)
a client with hearing loss has been fitted for a hearing aid. which of the following teaching points are
important for the nurse to discuss with the client? - ANSuse mild soap and water to clean the ear mold
a community health nurse is teaching a group of clients about first aid for different types of wounds. which
of the following client statements indicates an understanding of the teaching? - ANSi should apply clean
dressings over the top of blood saturated dressings and hold pressure
(to prevent disruption of wound tissue)
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? - ANSlimit alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse enters a clients room and sees smoke coming from the trash can. which of the following actions
should the nurse take first - ANSevacuate the room
(RACE)
a nurse finds a client on the floor of their room experiencing a seizure, which of the following actions is
the nurse's priority - ANSplace the client on their sided with their head forward
(ABC)
a nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their
arthritis medication. which of the following client information should the nurse identify as a contributing
factor to the decrease in the medication's effectiveness? - ANSthe client has a history of recurring bowel
inflammation
(GI issues decrease motility, decreasing med effectiveness, so oral meds should be avoided)
a nurse in a providers office is assessing the motor skill development of a 15 month old toddler during a
well-child visit, what gross motor skills should the nurse expect? - ANSwalks without assistance using a
wide stance
a nurse is admitting a client who has meningococal meningitis, what should the nurse do first? -
ANSinitiate droplet precaution
(put in private room and wear surgical mask within 3ft)
,CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90
QUESTIONS AND ANSWERS
a nurse is admitting a client who has recently developed fever, confusion, and a decreased level of
consciousness. which of the following actions should the nurse take first after obtaining the client's history
and assessment? - ANSidentify the client's needs
a nurse is admitting a client who has TB and a productive cough. what types of isolation precautions
should the nurse initiate for the client? - ANSairborne
(measles, chicken pox, herpes zoster, TB)
TB requires negative pressure room, and staff need to wear N95
a nurse is assessing a client who has Parkinsons disease, what manifestations should be expected? -
ANSbradykinesia
a nurse is assessing four clients for fluid balance, the nurse should identify what as dehydration? - ANSa
client that has a temperature of 39C or 102F
a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red and there is
warmth along the coarse of the vein, what should the nurse do? - ANSd/c the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required, start new IV)
a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain
assessment technique should the nurse use? - ANSbehavioral indicators
(increased agitation, restlessness)
a nurse is assisting a client who signed an informed consent form for surgery but has since expressed
doubts about the need for surgery, which of the following statements should the nurse make? - ANSthe
surgeon will answer your questions before surgery
a nurse is assisting a client with his meal that is at risk for aspiration d/t stroke, what interventions should
the nurse take to prevent aspiration? - ANSposition upright
upper back and head are supported
tuck chin when swallowing
a nurse is assisting with meal planning for a client who has been prescribed a mechanical soft diet. the
nurse should instruct the client to avoid which of the following foods? - ANSorange slices
(membranes of the oranges are hard to swallow, so are other hard foods and raw fruits/veggies)
a nurse is caring for a client receiving chemo that is experiencing neutropenia, what should the nurse
include in pt education? - ANSavoid crowded events
(can't fight infection)
a nurse is caring for a client receiving opiates for PM, initially after PM plan was started the client was
sedated and sleeping most of the time. after three days the client is no longer sedated and sleeping
regularly. what action should the nurse take? - ANSno action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain control)
, CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90
QUESTIONS AND ANSWERS
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? - ANSliberally apply prescribed lotion to the area
a nurse is caring for a client who expresses anxiety about an upcoming surgery, what should the nurse
do? - ANSask the client to describe feelings
a nurse is caring for a client who has a prescription for a narcotic med, after admin the nurse is left with
an unused portion, what should the nurse do? - ANSdiscard the med with another nurse as a witness
(2 person for controlled substance)
a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as a cath
occlusion? - ANSbladder distention
(inability to empty the bladder, impaired elimination)
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? - ANSoranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for a
potassium wasting diuretic)
a nurse is caring for a client who has dementia and frequently tries to get out of bed, which of the
following actions should the nurse take? (SATA) - ANSturn on the bed alarm
maintain the bed in the lowest position
encourage the family to stay with the pt
a nurse is caring for a client who is admitted for observation and has full range of motion. which is the
best manner to encourage the client to void? - ANSclient bathroom
(promotes independence and ADLs)
a nurse is caring for a client who reports burning around the peripheral IV site, which finding should the
nurse identify as a manifestation of infiltration? - ANSedema
(leakage of the IV solution into the extravascular tissue)
a nurse is caring for a client with a closed head injury. when pressure is applied to the client's nail beds,
the clients 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 GCS? - ANS7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse is caring for a client with a stage 2 pressure ulcer, define the characteristics of this ulcer? -
ANSpartial-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 caring for a client with celiac disease, which food should be removed? - ANStortillas
(contain gluten)
QUESTIONS AND ANSWERS
a charge nurse discovers that a nurse did not notify the provider that a client's condition had changed. the
charge nurse should identify that the nurse is accountable for which of the following torts? -
ANSnegligence
a charge nurse is making assignments for the upcoming shift, what assignments should the charge nurse
assign to a LPN? - ANSa client who has dehydration and IBD
(does not require complex med admin or assessment)
a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvic
organ prolapse. What exercise will the client need to perform - ANSKegals
(reduce pelvic prolapse and stress urinary incontinence)
a client with hearing loss has been fitted for a hearing aid. which of the following teaching points are
important for the nurse to discuss with the client? - ANSuse mild soap and water to clean the ear mold
a community health nurse is teaching a group of clients about first aid for different types of wounds. which
of the following client statements indicates an understanding of the teaching? - ANSi should apply clean
dressings over the top of blood saturated dressings and hold pressure
(to prevent disruption of wound tissue)
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? - ANSlimit alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse enters a clients room and sees smoke coming from the trash can. which of the following actions
should the nurse take first - ANSevacuate the room
(RACE)
a nurse finds a client on the floor of their room experiencing a seizure, which of the following actions is
the nurse's priority - ANSplace the client on their sided with their head forward
(ABC)
a nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their
arthritis medication. which of the following client information should the nurse identify as a contributing
factor to the decrease in the medication's effectiveness? - ANSthe client has a history of recurring bowel
inflammation
(GI issues decrease motility, decreasing med effectiveness, so oral meds should be avoided)
a nurse in a providers office is assessing the motor skill development of a 15 month old toddler during a
well-child visit, what gross motor skills should the nurse expect? - ANSwalks without assistance using a
wide stance
a nurse is admitting a client who has meningococal meningitis, what should the nurse do first? -
ANSinitiate droplet precaution
(put in private room and wear surgical mask within 3ft)
,CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90
QUESTIONS AND ANSWERS
a nurse is admitting a client who has recently developed fever, confusion, and a decreased level of
consciousness. which of the following actions should the nurse take first after obtaining the client's history
and assessment? - ANSidentify the client's needs
a nurse is admitting a client who has TB and a productive cough. what types of isolation precautions
should the nurse initiate for the client? - ANSairborne
(measles, chicken pox, herpes zoster, TB)
TB requires negative pressure room, and staff need to wear N95
a nurse is assessing a client who has Parkinsons disease, what manifestations should be expected? -
ANSbradykinesia
a nurse is assessing four clients for fluid balance, the nurse should identify what as dehydration? - ANSa
client that has a temperature of 39C or 102F
a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red and there is
warmth along the coarse of the vein, what should the nurse do? - ANSd/c the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required, start new IV)
a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain
assessment technique should the nurse use? - ANSbehavioral indicators
(increased agitation, restlessness)
a nurse is assisting a client who signed an informed consent form for surgery but has since expressed
doubts about the need for surgery, which of the following statements should the nurse make? - ANSthe
surgeon will answer your questions before surgery
a nurse is assisting a client with his meal that is at risk for aspiration d/t stroke, what interventions should
the nurse take to prevent aspiration? - ANSposition upright
upper back and head are supported
tuck chin when swallowing
a nurse is assisting with meal planning for a client who has been prescribed a mechanical soft diet. the
nurse should instruct the client to avoid which of the following foods? - ANSorange slices
(membranes of the oranges are hard to swallow, so are other hard foods and raw fruits/veggies)
a nurse is caring for a client receiving chemo that is experiencing neutropenia, what should the nurse
include in pt education? - ANSavoid crowded events
(can't fight infection)
a nurse is caring for a client receiving opiates for PM, initially after PM plan was started the client was
sedated and sleeping most of the time. after three days the client is no longer sedated and sleeping
regularly. what action should the nurse take? - ANSno action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain control)
, CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90
QUESTIONS AND ANSWERS
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? - ANSliberally apply prescribed lotion to the area
a nurse is caring for a client who expresses anxiety about an upcoming surgery, what should the nurse
do? - ANSask the client to describe feelings
a nurse is caring for a client who has a prescription for a narcotic med, after admin the nurse is left with
an unused portion, what should the nurse do? - ANSdiscard the med with another nurse as a witness
(2 person for controlled substance)
a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as a cath
occlusion? - ANSbladder distention
(inability to empty the bladder, impaired elimination)
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? - ANSoranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for a
potassium wasting diuretic)
a nurse is caring for a client who has dementia and frequently tries to get out of bed, which of the
following actions should the nurse take? (SATA) - ANSturn on the bed alarm
maintain the bed in the lowest position
encourage the family to stay with the pt
a nurse is caring for a client who is admitted for observation and has full range of motion. which is the
best manner to encourage the client to void? - ANSclient bathroom
(promotes independence and ADLs)
a nurse is caring for a client who reports burning around the peripheral IV site, which finding should the
nurse identify as a manifestation of infiltration? - ANSedema
(leakage of the IV solution into the extravascular tissue)
a nurse is caring for a client with a closed head injury. when pressure is applied to the client's nail beds,
the clients 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 GCS? - ANS7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse is caring for a client with a stage 2 pressure ulcer, define the characteristics of this ulcer? -
ANSpartial-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 caring for a client with celiac disease, which food should be removed? - ANStortillas
(contain gluten)
