ATI Capstone Fundamentals Post-Study Quiz and Correct Answers
A nurse enters a client's room and finds the client on the floor experiencing a seizure. Which of the following
actions should the nurse take? - ansPosition the client on their side.
The nurse should position the client on their side. This assists the client's airway to remain open and can
prevent aspiration if the client has emesis or secretions in their mouth.
A nurse is assessing a client who has enlarged lymph nodes. In which of the following locations should the
nurse palpate to locate the postauricular nodes? - ansOver the mastoid
The nurse should palpate over the mastoid or behind the ear to assess the postauricular nodes. The detection
of an enlarged or tender lymph node can indicate the presence of an infection or a malignancy and should be
reported to the provider.
A nurse is assessing a client who has multiple sclerosis. Which of the following assessments is the nurse's
priority? - ansAbility to swallow
The greatest risk to the client is aspiration due to dysphagia. Therefore, the nurse's priority assessment is the
client's ability to swallow.
A nurse is assisting a client to ambulate to the bathroom when the client begins to fall. Which of the following
actions should the nurse take? - ansPlace one foot in front of the other while spreading the feet apart.
The nurse should place one foot in front of the other while spreading the feet farther apart to widen their own
base of support. Then the nurse should lower the client to the floor as smoothly as possible. This will assist with
supporting the client's weight and help to prevent injury to the nurse.
A nurse is caring for a client who has a new tracheostomy. The nurse should ensure that which of the following
pieces of equipment is present in the client's room? - ansAn obturator
The nurse should ensure that a client who has a tracheostomy has an obturator at their bedside. If the
A nurse enters a client's room and finds the client on the floor experiencing a seizure. Which of the following
actions should the nurse take? - ansPosition the client on their side.
The nurse should position the client on their side. This assists the client's airway to remain open and can
prevent aspiration if the client has emesis or secretions in their mouth.
A nurse is assessing a client who has enlarged lymph nodes. In which of the following locations should the
nurse palpate to locate the postauricular nodes? - ansOver the mastoid
The nurse should palpate over the mastoid or behind the ear to assess the postauricular nodes. The detection
of an enlarged or tender lymph node can indicate the presence of an infection or a malignancy and should be
reported to the provider.
A nurse is assessing a client who has multiple sclerosis. Which of the following assessments is the nurse's
priority? - ansAbility to swallow
The greatest risk to the client is aspiration due to dysphagia. Therefore, the nurse's priority assessment is the
client's ability to swallow.
A nurse is assisting a client to ambulate to the bathroom when the client begins to fall. Which of the following
actions should the nurse take? - ansPlace one foot in front of the other while spreading the feet apart.
The nurse should place one foot in front of the other while spreading the feet farther apart to widen their own
base of support. Then the nurse should lower the client to the floor as smoothly as possible. This will assist with
supporting the client's weight and help to prevent injury to the nurse.
A nurse is caring for a client who has a new tracheostomy. The nurse should ensure that which of the following
pieces of equipment is present in the client's room? - ansAn obturator
The nurse should ensure that a client who has a tracheostomy has an obturator at their bedside. If the
