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ATI Capstone Post Assessments ALL 200
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
ATI Capstone Post Assessments
QUESTION: A nurse is caring for a client with colorectal cancer who is scheduled for a
colectomy. What pre and post-operative teaching should be provided? - ANSWER-Preoperative
Educate the client regarding preoperative diet (clear liquids several days prior to surgery).
Instruct the client to complete bowel prep with cathartics as prescribed.
Inform the client of the administration of antibiotics (neomycin, metronidazole) to eradicate
intestinal flora.Postoperative
Educate the client regarding the care of the incision, activity limits, and ostomy care, if
applicable.
QUESTION: The nurse is caring for a client with suspected bacterial meningitis. What is a
priority action for the nurse to initiate? - ANSWER-Isolate the client and maintain droplet
precautions per facility protocol.
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QUESTION: A child was sent home from school with head lice. The child's mother has called the
help line nurse for guidance. What are three (3) measures the nurse will inform the mother
about to address the infestation of pediculosis capitis? - ANSWER-Interventions for Infestation
Shampoos containing 1% permethrin as prescribed.
Remove nits with a nit comb, repeat in 7 days after shampoo treatment.
Wash cloting, bedding in hot water with detergent.
Difficult cases: use malathion 0.5% in isopropanol.Discourage sharing of personal items.
Teach the parents to boil hair accessories in lice-killing products for 1 hour.
Launder potentially infected clothing and bedding.
QUESTION: The nurse is using the FLACC pain scale. What is the recommended age range whe
using this pain scale? - ANSWER-FLACC is used for ages 2 months to 7 years
FACE (F)
0: Smile or no expression
1: Occasional frown or grimace, withdrawn
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2: Frequent or constant frown, clenched jaw, quivering chin
LEGS (L)
0: Relaxed or normal position
1: Uneasy, restless, tense
2: Kicking or legs drawn up
ACTIVITY (A)
0: Lying quietly, moves easily, normal position
1: Squirming, shifting, tense
2: Arched, ridged, or jerking
CRY (C)
0: No cry
1: moans or whimpers, occasional complaints
2: Crying, screaming, sobbing, frequent complaints
CONSOLABILITY (C)
0: Content or relaxed
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1: Reassured by occasional touching or hugging. Able to distract
2: Difficult to console or comfort
Q; A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2
early spontaneous abortions. What is her gravida and para? - ANSWER-She is gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant, regardless of whether
these pregnancies were carried to term. A current pregnancy, if any, is included in this count.
Para indicates the number of >20 wks births (including viable and non-viable i.e. stillbirths).
Pregnancies consisting of multiples, such as twins or triplets, count as ONE birth for the purpose
of this notation.
QUESTION: A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of the
newborn male? - ANSWER-To cleanse an uncircumcised penis, wash with soap and water and
rinse the penis. The foreskin should not be forced back or constriction may result.
4
ATI Capstone Post Assessments ALL 200
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
ATI Capstone Post Assessments
QUESTION: A nurse is caring for a client with colorectal cancer who is scheduled for a
colectomy. What pre and post-operative teaching should be provided? - ANSWER-Preoperative
Educate the client regarding preoperative diet (clear liquids several days prior to surgery).
Instruct the client to complete bowel prep with cathartics as prescribed.
Inform the client of the administration of antibiotics (neomycin, metronidazole) to eradicate
intestinal flora.Postoperative
Educate the client regarding the care of the incision, activity limits, and ostomy care, if
applicable.
QUESTION: The nurse is caring for a client with suspected bacterial meningitis. What is a
priority action for the nurse to initiate? - ANSWER-Isolate the client and maintain droplet
precautions per facility protocol.
1
, Page 2 of 58
QUESTION: A child was sent home from school with head lice. The child's mother has called the
help line nurse for guidance. What are three (3) measures the nurse will inform the mother
about to address the infestation of pediculosis capitis? - ANSWER-Interventions for Infestation
Shampoos containing 1% permethrin as prescribed.
Remove nits with a nit comb, repeat in 7 days after shampoo treatment.
Wash cloting, bedding in hot water with detergent.
Difficult cases: use malathion 0.5% in isopropanol.Discourage sharing of personal items.
Teach the parents to boil hair accessories in lice-killing products for 1 hour.
Launder potentially infected clothing and bedding.
QUESTION: The nurse is using the FLACC pain scale. What is the recommended age range whe
using this pain scale? - ANSWER-FLACC is used for ages 2 months to 7 years
FACE (F)
0: Smile or no expression
1: Occasional frown or grimace, withdrawn
2
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2: Frequent or constant frown, clenched jaw, quivering chin
LEGS (L)
0: Relaxed or normal position
1: Uneasy, restless, tense
2: Kicking or legs drawn up
ACTIVITY (A)
0: Lying quietly, moves easily, normal position
1: Squirming, shifting, tense
2: Arched, ridged, or jerking
CRY (C)
0: No cry
1: moans or whimpers, occasional complaints
2: Crying, screaming, sobbing, frequent complaints
CONSOLABILITY (C)
0: Content or relaxed
3
, Page 4 of 58
1: Reassured by occasional touching or hugging. Able to distract
2: Difficult to console or comfort
Q; A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2
early spontaneous abortions. What is her gravida and para? - ANSWER-She is gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant, regardless of whether
these pregnancies were carried to term. A current pregnancy, if any, is included in this count.
Para indicates the number of >20 wks births (including viable and non-viable i.e. stillbirths).
Pregnancies consisting of multiples, such as twins or triplets, count as ONE birth for the purpose
of this notation.
QUESTION: A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of the
newborn male? - ANSWER-To cleanse an uncircumcised penis, wash with soap and water and
rinse the penis. The foreskin should not be forced back or constriction may result.
4
