ATI Capstone- Fundamentals
Pre-Assessment
***A nurse is caring for a customer receiving opiates for ache management. Initially after the
pain management plan become started, the customer changed into sedated and drowsing most
of the time. After 3 days at the plan the consumer is now not sedated and snoozing often. What
motion must the nurse take?
A. Initiate extra non-pharmacological ache management strategies.
B. Notify the issuer that a dosage adjustment is wanted.
C. No action is wanted right now.
D. Contact the issuer to request an alternate technique of pain management. - ANS-C. No
action is wanted at this time.
Rationale: Opiates initially cause sedation however this impact subsides with protection ache
manipulate. The pain control plan is operating. There is not any need to trade or add additional
methods at the moment.
***A nurse is being concerned for a client receiving radiation remedies for cancer. The customer
states he is experiencing dryness, redness and scaling at the remedy place. Which of the
subsequent must the nurse train the customer to do?
A. Sit inside the solar for 15 mins according to day.
B. Apply wet warmth to the place two times every day.
C. Liberally apply prescribed lotion to the place.
D. Wash the affected region each day with antimicrobial soap. - ANS-C. Liberally apply
prescribed lotion to the area.
Rationale: Hydrating lotions are usually prescribed to deal with irradiated regions. Antimicrobial
soaps can be harsh and in addition traumatize new epidermal cells. The purchaser must avoid
applying different lotions now not prescribed by using the radiologist to affected regions. Clients
receiving radiation therapy ought to keep away from exposing irradiated regions to solar. Moist
warmness ought to be avoided over irradiated regions.
A purchaser with a cystocele is endorsed to exercise to reinforce pelvic floor muscle groups and
save you pelvis organ prolapse. What workout will the client need to perform?
A. Kegel sports
B. Isometric sporting activities
C. Circumduction sports
D. Uterine extension sports - ANS-A. Kegel sporting activities
Rationale: Kegel sports fortify the pelvic floor muscle tissues, which leads to reduction or
prevention of pelvic prolapse and stress urinary incontinence. The other cited physical games
have no direct effect on prevention or reduction of a cystocele.
A customer with hearing loss has been equipped for a hearing resource. Which of the following
teaching points are crucial for the nurse to talk about with the client?
, A. Use the best placing to promote full auditory comprehension.
B. Use slight cleaning soap and water to clean the ear mold.
C. Turn the hearing aid off to preserve battery lifestyles in the course of hours of sleep best.
D. Immerse the listening to resource in saline approach to maintain it hygienic. - ANS-B. Use
slight cleaning soap and water to clean the ear mold.
Rationale: To smooth the ear mold, use moderate cleaning soap and water at the same time as
retaining the listening to aid dry. Use the lowest putting that allows listening to without
comments. When the hearing useful resource is not in use, flip it off or cast off the batteries to
conserve battery electricity. Keep alternative batteries accessible.
A menopausal patron is having problem attending to sleep and asks what moves she must
contain in her every day routine to promote sleep. The nurse might inspire which of the
underneath measures to sell sleep?
A. Consume a heat drink at bedtime.
B. Take an night stroll before bedtime.
C. Take an afternoon nap.
D. Limit alcohol and nicotine prior to bedtime. - ANS-D. Limit alcohol and nicotine previous to
bedtime.
Rationale: Limit alcohol, caffeine (stimulant), and nicotine (stimulant) at least four hr earlier than
bedtime. Exercise often; limit exercising at least 2 hr before bedtime. Limit fluids 2 to 4 hr earlier
than bedtime.
A nurse is admitting a consumer who has tuberculosis and a efficient cough. Which of the
subsequent styles of isolation precautions must the nurse initiate for the consumer?
A. Contact
B. Droplet
C. Protective
D. Airborne - ANS-D. Airborne
Rationale: The nurse need to provoke airborne precautions whilst a consumer has an
contamination that spreads via small droplets that continue to be airborne for longer periods,
which includes tuberculosis and measles. The customer requires a negative-pressure airflow
room, and workforce ought to put on an N95 respirator when in touch with the purchaser. The
nurse must initiate touch precautions when a purchaser has an infection that spreads thru
oblique touch, such as essential wound infections or contamination with multi-drug resistant
organisms inclusive of MRSA. The nurse have to initiate droplet precautions when a patron has
an contamination that spreads thru droplets larger than 5 microns, together with pneumonia or
streptococcal pharyngitis. The nurse need to provoke a defensive environment when customers
require a room with positive-pressure airflow, which include the ones who have undergone
stem-mobile transplants.
A nurse is assessing a customer who has Parkinson's disorder. Which of the following
manifestations need to the nurse count on?
A. Pruritus
B. Hypertension
C. Bradykinesia
D. Xerostomia - ANS-C. Bradykinesia
Pre-Assessment
***A nurse is caring for a customer receiving opiates for ache management. Initially after the
pain management plan become started, the customer changed into sedated and drowsing most
of the time. After 3 days at the plan the consumer is now not sedated and snoozing often. What
motion must the nurse take?
A. Initiate extra non-pharmacological ache management strategies.
B. Notify the issuer that a dosage adjustment is wanted.
C. No action is wanted right now.
D. Contact the issuer to request an alternate technique of pain management. - ANS-C. No
action is wanted at this time.
Rationale: Opiates initially cause sedation however this impact subsides with protection ache
manipulate. The pain control plan is operating. There is not any need to trade or add additional
methods at the moment.
***A nurse is being concerned for a client receiving radiation remedies for cancer. The customer
states he is experiencing dryness, redness and scaling at the remedy place. Which of the
subsequent must the nurse train the customer to do?
A. Sit inside the solar for 15 mins according to day.
B. Apply wet warmth to the place two times every day.
C. Liberally apply prescribed lotion to the place.
D. Wash the affected region each day with antimicrobial soap. - ANS-C. Liberally apply
prescribed lotion to the area.
Rationale: Hydrating lotions are usually prescribed to deal with irradiated regions. Antimicrobial
soaps can be harsh and in addition traumatize new epidermal cells. The purchaser must avoid
applying different lotions now not prescribed by using the radiologist to affected regions. Clients
receiving radiation therapy ought to keep away from exposing irradiated regions to solar. Moist
warmness ought to be avoided over irradiated regions.
A purchaser with a cystocele is endorsed to exercise to reinforce pelvic floor muscle groups and
save you pelvis organ prolapse. What workout will the client need to perform?
A. Kegel sports
B. Isometric sporting activities
C. Circumduction sports
D. Uterine extension sports - ANS-A. Kegel sporting activities
Rationale: Kegel sports fortify the pelvic floor muscle tissues, which leads to reduction or
prevention of pelvic prolapse and stress urinary incontinence. The other cited physical games
have no direct effect on prevention or reduction of a cystocele.
A customer with hearing loss has been equipped for a hearing resource. Which of the following
teaching points are crucial for the nurse to talk about with the client?
, A. Use the best placing to promote full auditory comprehension.
B. Use slight cleaning soap and water to clean the ear mold.
C. Turn the hearing aid off to preserve battery lifestyles in the course of hours of sleep best.
D. Immerse the listening to resource in saline approach to maintain it hygienic. - ANS-B. Use
slight cleaning soap and water to clean the ear mold.
Rationale: To smooth the ear mold, use moderate cleaning soap and water at the same time as
retaining the listening to aid dry. Use the lowest putting that allows listening to without
comments. When the hearing useful resource is not in use, flip it off or cast off the batteries to
conserve battery electricity. Keep alternative batteries accessible.
A menopausal patron is having problem attending to sleep and asks what moves she must
contain in her every day routine to promote sleep. The nurse might inspire which of the
underneath measures to sell sleep?
A. Consume a heat drink at bedtime.
B. Take an night stroll before bedtime.
C. Take an afternoon nap.
D. Limit alcohol and nicotine prior to bedtime. - ANS-D. Limit alcohol and nicotine previous to
bedtime.
Rationale: Limit alcohol, caffeine (stimulant), and nicotine (stimulant) at least four hr earlier than
bedtime. Exercise often; limit exercising at least 2 hr before bedtime. Limit fluids 2 to 4 hr earlier
than bedtime.
A nurse is admitting a consumer who has tuberculosis and a efficient cough. Which of the
subsequent styles of isolation precautions must the nurse initiate for the consumer?
A. Contact
B. Droplet
C. Protective
D. Airborne - ANS-D. Airborne
Rationale: The nurse need to provoke airborne precautions whilst a consumer has an
contamination that spreads via small droplets that continue to be airborne for longer periods,
which includes tuberculosis and measles. The customer requires a negative-pressure airflow
room, and workforce ought to put on an N95 respirator when in touch with the purchaser. The
nurse must initiate touch precautions when a purchaser has an infection that spreads thru
oblique touch, such as essential wound infections or contamination with multi-drug resistant
organisms inclusive of MRSA. The nurse have to initiate droplet precautions when a patron has
an contamination that spreads thru droplets larger than 5 microns, together with pneumonia or
streptococcal pharyngitis. The nurse need to provoke a defensive environment when customers
require a room with positive-pressure airflow, which include the ones who have undergone
stem-mobile transplants.
A nurse is assessing a customer who has Parkinson's disorder. Which of the following
manifestations need to the nurse count on?
A. Pruritus
B. Hypertension
C. Bradykinesia
D. Xerostomia - ANS-C. Bradykinesia
