ATI FUNDAMENTALS CAPSTONE QUESTIONS 2019 | CAPSTONE
FUNDAMENTALS QUESTIONS AND ANSWERS NEW 2025 GUIDE
1. A nurse is assessing the pain level of a client who has dementia and difficulty
communicating, which pain assessment technique should the nurse use?
behavioral indicators
(increased agitation, restlessness)
2. A nurse receives a report from assistive personnel that a client's BP is 160/95, what
should the nurse do first?
recheck the clients BP
(Reassess prior to any intervention)
3. A nurse is caring for a client who has an indwelling urinary Cath, what should the nurse
identify as a Cath occlusion?
bladder distention
(inability to empty the bladder, impaired elimination)
4. A nurse is discussing immunity with a client who has received an immunization,
the nurse should identify that an immunization functions as part of which of the
following types of immunity? acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are
ADMINISTERED to a client, once in the body, the stimulate the production of
antibodies)
5. A nurse is reviewing the health history of an OA who has a hip fracture the nurse should
identify what is a risk of developing pressure injuries? urinary incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor
, tissue perfusion, friction and shear, immobility, alterations in sensory perception)
6. A nurse is assessing the IV infusion site of a client who reports pain at the site. the site is
red and there is warmth along the course of the vein, what should the nurse do?
Discontinue the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required,
start new IV)
7. A nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm
(0.2in) in diameter. which of the following terms should the nurse use to document
this finding?
macule
(Nonpalpable smaller than 1cm, ex: freckle)
8. A community health nurse is teaching a group of clients about first aid for different types
of wounds. which of the following client statements indicates an understanding of the
teaching?
I should apply clean dressings over the top of blood saturated dressings and hold
pressure.
(To prevent disruption of wound tissue)
9. A nurse is sitting with the partner of a client who recently died. which of the following
actions should the nurse take to facilitate mourning? Encourage the partner to ask
for help when needed
10. A nurse is in an acute care facility is caring for a client who is post operatory
following abdominal surgery. which of the following behaviors should the nurse
identify as increasing the client's risk for constipation?
urge suppression
history of chronic stimulant laxative use inadequate fluid
intake
FUNDAMENTALS QUESTIONS AND ANSWERS NEW 2025 GUIDE
1. A nurse is assessing the pain level of a client who has dementia and difficulty
communicating, which pain assessment technique should the nurse use?
behavioral indicators
(increased agitation, restlessness)
2. A nurse receives a report from assistive personnel that a client's BP is 160/95, what
should the nurse do first?
recheck the clients BP
(Reassess prior to any intervention)
3. A nurse is caring for a client who has an indwelling urinary Cath, what should the nurse
identify as a Cath occlusion?
bladder distention
(inability to empty the bladder, impaired elimination)
4. A nurse is discussing immunity with a client who has received an immunization,
the nurse should identify that an immunization functions as part of which of the
following types of immunity? acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are
ADMINISTERED to a client, once in the body, the stimulate the production of
antibodies)
5. A nurse is reviewing the health history of an OA who has a hip fracture the nurse should
identify what is a risk of developing pressure injuries? urinary incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor
, tissue perfusion, friction and shear, immobility, alterations in sensory perception)
6. A nurse is assessing the IV infusion site of a client who reports pain at the site. the site is
red and there is warmth along the course of the vein, what should the nurse do?
Discontinue the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required,
start new IV)
7. A nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm
(0.2in) in diameter. which of the following terms should the nurse use to document
this finding?
macule
(Nonpalpable smaller than 1cm, ex: freckle)
8. A community health nurse is teaching a group of clients about first aid for different types
of wounds. which of the following client statements indicates an understanding of the
teaching?
I should apply clean dressings over the top of blood saturated dressings and hold
pressure.
(To prevent disruption of wound tissue)
9. A nurse is sitting with the partner of a client who recently died. which of the following
actions should the nurse take to facilitate mourning? Encourage the partner to ask
for help when needed
10. A nurse is in an acute care facility is caring for a client who is post operatory
following abdominal surgery. which of the following behaviors should the nurse
identify as increasing the client's risk for constipation?
urge suppression
history of chronic stimulant laxative use inadequate fluid
intake
