ATI CAPSTONE FUNDAMENTALS EXAMPREP
MATERIAL SOLVED QUESTIONS AND VERIFIED
SOLUTIONS PREMIUM COLLECTION
◉ A nurse on a med surg unit is caring for a group of clients. The
nurse should notify the rapid response team for which of the
following clients?
A. Client who has an ulceration of the right heel whose blood glucose
is 300
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area
following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent pedal
pulse. Answer: B
◉ A nurse is caring for a client who has ingested a toxic agent. Which
of the following actions should the nurse plan to take? (Select all that
apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
,D. Administer syrup of ipecac
E. Infuse IV fluids. Answer: B, C, E
◉ A nurse in the emergency department is caring for a client who fell
through the ice on a pond and is unresponsive and breathing slowly.
Which of the following actions should the nurse take? (Select all that
apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids. Answer: A, C, D, E
◉ A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and slumped
to the ground." Which of the following techniques should the nurse
use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head. Answer: A
, ◉ A nurse is reviewing the common emergency management protocol
for clients who have asystole. Which of the following actions should
the nurse plan to take during this cardiac emergency?
A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
D. Elevate the client's lower extremities. Answer: C
◉ A nurse is caring for a client who is postprocedural following LP
and reports throbbing headache when sitting upright. Which of the
following actions should the nurse take? (Select all that apply)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing exercises and
coughing exercises. Answer: B, C, D
◉ A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?
A. Headache
MATERIAL SOLVED QUESTIONS AND VERIFIED
SOLUTIONS PREMIUM COLLECTION
◉ A nurse on a med surg unit is caring for a group of clients. The
nurse should notify the rapid response team for which of the
following clients?
A. Client who has an ulceration of the right heel whose blood glucose
is 300
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area
following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent pedal
pulse. Answer: B
◉ A nurse is caring for a client who has ingested a toxic agent. Which
of the following actions should the nurse plan to take? (Select all that
apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
,D. Administer syrup of ipecac
E. Infuse IV fluids. Answer: B, C, E
◉ A nurse in the emergency department is caring for a client who fell
through the ice on a pond and is unresponsive and breathing slowly.
Which of the following actions should the nurse take? (Select all that
apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids. Answer: A, C, D, E
◉ A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and slumped
to the ground." Which of the following techniques should the nurse
use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head. Answer: A
, ◉ A nurse is reviewing the common emergency management protocol
for clients who have asystole. Which of the following actions should
the nurse plan to take during this cardiac emergency?
A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
D. Elevate the client's lower extremities. Answer: C
◉ A nurse is caring for a client who is postprocedural following LP
and reports throbbing headache when sitting upright. Which of the
following actions should the nurse take? (Select all that apply)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing exercises and
coughing exercises. Answer: B, C, D
◉ A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?
A. Headache
