Page 1 of 33
ATI Capstone Post Assessment 2026-2027 COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR
ATI Capstone Post Assessment
A nurse is reviewing medications while preparing to administer morning medications. List
three (3) risk factors that can cause a decrease in medication effectiveness.
- increase body weight
- genetics
- tolerance to the medication
- inadequate gastric acid
- diarrhea
- vascular insufficiency
- prolonged gastric emptying time.
- Always assess for constipation and teach to avoid foods that cause constipation
What may an older client complain of when experiencing decreased cardiac output and
decreased contraction strength?
- An older client may complain of poor activity tolerance.
A nurse is caring for a client who is prescribed digoxin. What is the therapeutic digoxin level
range? What are three (3) manifestations of digoxin toxicity?
,Page 2 of 33
- Therapeutic serum levels may vary, but usually range from 0.5 to 2 ng/ml.
- Manifestations of digoxin toxicity include fatigue, weakness, vision changes, and GI effects.
A nurse has an order to administer mannitol to a critical care client. What should the nurse
expect following mannitol administration?
- Osmotic diuretics reduce intracranial pressure and intraocular pressure by raising serum
osmolality and drawing fluid back into the vascular and extravascular space. Depending on
therapeutic intent, effectiveness may be evidenced by normal renal function (at least 30
mL/hr), decreased intracranial pressure, and decreased intraocular pressure. In addition, serum
creatinine between 0.6 to 1.2 mg/dL for men and 0.5 to 1.1 mg/dL for women and BUN levels
between 10 to 20 mg/dL.
The client with Klebsiella in the urine is ordered the medication ciprofloxacin. Identify three
(3) complications associated with this medication the client can develop with administration
of this medication.
- GI discomfort
- Achilles tendon rupture (assessment is critical)
- Suprainfection
- Phototoxicity
,Page 3 of 33
A nurse has provided education to a client with hypothyroidism who has a new prescription
for levothyroxine. What statements by the client would indicate they understand the
instructions?
- take the medication daily on an empty stomach 30 to 60 min before breakfast
- will verbalize the importance of lifelong replacement (even after improvement of symptoms)
and will not to discontinue the medication without checking with the provider
- will check with the provider before switching to another brand of levothyroxine
- will monitor and report signs of cardiac excitability (angina, chest pain, palpitations,
dysrhythmias)
- will have T4 and TSH levels drawn as directed by their provider.
A nurse is administering vancomycin to a client who develops an infusion reaction sometimes
referred to as red man syndrome. What action by the nurse could have prevented this
reaction?
- Infusion reactions (rashes, flushing, tachycardia, and hypotension, sometimes called "red man
syndrome") is an adverse effect of vancomycin administration that could be prevented by
administering vancomycin slowly over 60 min.
- Typically, if the patient begins to flush, the nurse can decrease the rate and it should correct
the problem.
, Page 4 of 33
A client is receiving home oxygen. What teaching points should the nurse provide the client
and the caregiver regarding home oxygen safety?
Since oxygen is combustible, the following nursing actions are important for the nurse to
implement:
- Post ""No Smoking"" or ""Oxygen in Use"" signs to alert others of the fire hazard.
- Know where to find the closest fire extinguisher.
- Educate about the fire hazard of smoking with oxygen use.
- Have clients wear a cotton gown because synthetic or wool fabrics can generate static
electricity.
- Ensure that all electric devices (razors, hearing aids, radios) are working well.
- Make sure all electric machinery (monitors, suction machines) is grounded.
- Do not use volatile, flammable materials (alcohol, acetone) near clients receiving oxygen
List two (2) examples of a primary skin lesion including description and example of each.
Provide an example of appropriate documentation of the integumentary system.
1. Macule
2. Papule
3. Nodule/tumor
4. Vesicle
5. Pustule
6. Wheal
- EXAMPLE: Skin is pink, warm, and dry. Turgor is brisk and skin is elastic. Rough, thickened skin
ATI Capstone Post Assessment 2026-2027 COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR
ATI Capstone Post Assessment
A nurse is reviewing medications while preparing to administer morning medications. List
three (3) risk factors that can cause a decrease in medication effectiveness.
- increase body weight
- genetics
- tolerance to the medication
- inadequate gastric acid
- diarrhea
- vascular insufficiency
- prolonged gastric emptying time.
- Always assess for constipation and teach to avoid foods that cause constipation
What may an older client complain of when experiencing decreased cardiac output and
decreased contraction strength?
- An older client may complain of poor activity tolerance.
A nurse is caring for a client who is prescribed digoxin. What is the therapeutic digoxin level
range? What are three (3) manifestations of digoxin toxicity?
,Page 2 of 33
- Therapeutic serum levels may vary, but usually range from 0.5 to 2 ng/ml.
- Manifestations of digoxin toxicity include fatigue, weakness, vision changes, and GI effects.
A nurse has an order to administer mannitol to a critical care client. What should the nurse
expect following mannitol administration?
- Osmotic diuretics reduce intracranial pressure and intraocular pressure by raising serum
osmolality and drawing fluid back into the vascular and extravascular space. Depending on
therapeutic intent, effectiveness may be evidenced by normal renal function (at least 30
mL/hr), decreased intracranial pressure, and decreased intraocular pressure. In addition, serum
creatinine between 0.6 to 1.2 mg/dL for men and 0.5 to 1.1 mg/dL for women and BUN levels
between 10 to 20 mg/dL.
The client with Klebsiella in the urine is ordered the medication ciprofloxacin. Identify three
(3) complications associated with this medication the client can develop with administration
of this medication.
- GI discomfort
- Achilles tendon rupture (assessment is critical)
- Suprainfection
- Phototoxicity
,Page 3 of 33
A nurse has provided education to a client with hypothyroidism who has a new prescription
for levothyroxine. What statements by the client would indicate they understand the
instructions?
- take the medication daily on an empty stomach 30 to 60 min before breakfast
- will verbalize the importance of lifelong replacement (even after improvement of symptoms)
and will not to discontinue the medication without checking with the provider
- will check with the provider before switching to another brand of levothyroxine
- will monitor and report signs of cardiac excitability (angina, chest pain, palpitations,
dysrhythmias)
- will have T4 and TSH levels drawn as directed by their provider.
A nurse is administering vancomycin to a client who develops an infusion reaction sometimes
referred to as red man syndrome. What action by the nurse could have prevented this
reaction?
- Infusion reactions (rashes, flushing, tachycardia, and hypotension, sometimes called "red man
syndrome") is an adverse effect of vancomycin administration that could be prevented by
administering vancomycin slowly over 60 min.
- Typically, if the patient begins to flush, the nurse can decrease the rate and it should correct
the problem.
, Page 4 of 33
A client is receiving home oxygen. What teaching points should the nurse provide the client
and the caregiver regarding home oxygen safety?
Since oxygen is combustible, the following nursing actions are important for the nurse to
implement:
- Post ""No Smoking"" or ""Oxygen in Use"" signs to alert others of the fire hazard.
- Know where to find the closest fire extinguisher.
- Educate about the fire hazard of smoking with oxygen use.
- Have clients wear a cotton gown because synthetic or wool fabrics can generate static
electricity.
- Ensure that all electric devices (razors, hearing aids, radios) are working well.
- Make sure all electric machinery (monitors, suction machines) is grounded.
- Do not use volatile, flammable materials (alcohol, acetone) near clients receiving oxygen
List two (2) examples of a primary skin lesion including description and example of each.
Provide an example of appropriate documentation of the integumentary system.
1. Macule
2. Papule
3. Nodule/tumor
4. Vesicle
5. Pustule
6. Wheal
- EXAMPLE: Skin is pink, warm, and dry. Turgor is brisk and skin is elastic. Rough, thickened skin
