ATI Capstone Proctored Fundamentals ACTUAL EXAM NEWEST VERSION
2025/2026 WITH NGN FORMAT QUESTION AND CORRECT DETAILED AN
SWERS WITH RATIONALES RATED AGRADE
Study online at https://quizlet.com/_h66jgb
1. a nurse is assessing the pain level of behavioral indicators
a client who has dementia and difficul-
ty communicating, which pain assess- (increased agitation, restlessness)
ment technique should the nurse use?
2. a nurse receives a report from an as- recheck the clients BP
sistive personnel that a client's BP is
160/95, what should the nurse do first? (reassess prior to any intervention)
3. a nurse is caring for a client who has an bladder distention
indwelling urinary cath, what should
the nurse identify as a cath occlusion? (inability to empty the bladder, impaired elimina-
tion)
4. a nurse is discussing immunity with acquired immunity
a client who has received an immu-
nization, the nurse should identify that (artificial/acquired immunity occurs when anti-
an immunization functions as part of gens from toxoids or immunizations are ADMIN-
which of the following types of immu- ISTERED to a client, once in the body, the stimulate
nity? the production of antibodies)
5. a nurse is reviewing the health history urinary incontinence
of an OA who has a hip fracture
the nurse should identify what is a risk (r/f skin breakdown--> pressure injury, poor nutri-
of developing pressure injuries? tion, infection, poor tissue perfusion, friction and
shear, immobility, alterations in sensory percep-
tion)
6. a nurse is assessing the IV infusion d/c the infusion
site of a client who reports pain at
the site. the site is red and there is (assessment suggest phlebitis, d/c, apply warm
, ATI Capstone Proctored Fundamentals ACTUAL EXAM NEWEST VERSION
2025/2026 WITH NGN FORMAT QUESTION AND CORRECT DETAILED AN
SWERS WITH RATIONALES RATED AGRADE
Study online at https://quizlet.com/_h66jgb
warmth along the coarse of the vein, compress//if continued therapy required, start
what should the nurse do? new IV)
7. a nurse is caring for an OA who has macule
a nonpalpable skin lesion that is less
than 0.5cm (0.2in) in diameter. which of (nonpalpable smaller than 1cm, ex: freckle)
the following terms should the nurse
use to document this finding?
8. a community health nurse is teaching i should apply clean dressings over the top of
a group of clients about first aid for blood saturated dressings and hold pressure
different types of wounds. which of the
following client statements indicates (to prevent disruption of wound tissue)
an understanding of the teaching?
9. a nurse is sitting with the partner of a encourage the partner to ask for help when need-
client who recently died. which of the ed
following actions should the nurse take
to facilitate mourning?
10. a nurse is in an acute care facility is urge suppression
caring for a client who is postop follow- history of chronic stimulant laxative use
ing abdominal surgery. which of the inadequate fluid intake
following behaviors should the nurse
identify as increasing the client's risk
for constipation?
11. a nurse is caring for a client who ex- ask the client to describe feelings
presses anxiety about an upcoming
surgery, what should the nurse do?
2025/2026 WITH NGN FORMAT QUESTION AND CORRECT DETAILED AN
SWERS WITH RATIONALES RATED AGRADE
Study online at https://quizlet.com/_h66jgb
1. a nurse is assessing the pain level of behavioral indicators
a client who has dementia and difficul-
ty communicating, which pain assess- (increased agitation, restlessness)
ment technique should the nurse use?
2. a nurse receives a report from an as- recheck the clients BP
sistive personnel that a client's BP is
160/95, what should the nurse do first? (reassess prior to any intervention)
3. a nurse is caring for a client who has an bladder distention
indwelling urinary cath, what should
the nurse identify as a cath occlusion? (inability to empty the bladder, impaired elimina-
tion)
4. a nurse is discussing immunity with acquired immunity
a client who has received an immu-
nization, the nurse should identify that (artificial/acquired immunity occurs when anti-
an immunization functions as part of gens from toxoids or immunizations are ADMIN-
which of the following types of immu- ISTERED to a client, once in the body, the stimulate
nity? the production of antibodies)
5. a nurse is reviewing the health history urinary incontinence
of an OA who has a hip fracture
the nurse should identify what is a risk (r/f skin breakdown--> pressure injury, poor nutri-
of developing pressure injuries? tion, infection, poor tissue perfusion, friction and
shear, immobility, alterations in sensory percep-
tion)
6. a nurse is assessing the IV infusion d/c the infusion
site of a client who reports pain at
the site. the site is red and there is (assessment suggest phlebitis, d/c, apply warm
, ATI Capstone Proctored Fundamentals ACTUAL EXAM NEWEST VERSION
2025/2026 WITH NGN FORMAT QUESTION AND CORRECT DETAILED AN
SWERS WITH RATIONALES RATED AGRADE
Study online at https://quizlet.com/_h66jgb
warmth along the coarse of the vein, compress//if continued therapy required, start
what should the nurse do? new IV)
7. a nurse is caring for an OA who has macule
a nonpalpable skin lesion that is less
than 0.5cm (0.2in) in diameter. which of (nonpalpable smaller than 1cm, ex: freckle)
the following terms should the nurse
use to document this finding?
8. a community health nurse is teaching i should apply clean dressings over the top of
a group of clients about first aid for blood saturated dressings and hold pressure
different types of wounds. which of the
following client statements indicates (to prevent disruption of wound tissue)
an understanding of the teaching?
9. a nurse is sitting with the partner of a encourage the partner to ask for help when need-
client who recently died. which of the ed
following actions should the nurse take
to facilitate mourning?
10. a nurse is in an acute care facility is urge suppression
caring for a client who is postop follow- history of chronic stimulant laxative use
ing abdominal surgery. which of the inadequate fluid intake
following behaviors should the nurse
identify as increasing the client's risk
for constipation?
11. a nurse is caring for a client who ex- ask the client to describe feelings
presses anxiety about an upcoming
surgery, what should the nurse do?
