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ATI Capstone Fundamentals, ATI Fundamentals
Exam, Capstone Test Bank, ATI Verified Answers,
Nursing Fundamentals ATI, ATI Practice Questions,
ATI Capstone Study Guide
A nurse is caring for a client with heart failure who has evidence
of dyspnea, bibasilar crackles and frothy sputum. What dietary
recommendations should be provided to this client in
management of their heart failure?
A. Decrease protein intake.
B. Reduce sodium intake.
C. Increase fluid intake.
D. Decrease calcium intake. - ANSWER-B. Reduce sodium
intake.
Rationale: It is encouraged to stop smoking, reduce sodium
intake, monitor fluid intake, restricting intake to 2 L per day.
It is also encouraged to increase protein intake to 1.12 g/kg
and consume small, frequent meals that are soft, easy-to-
chew foods. There are no recommendations on calcium
intake associated with heart failure.
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A nurse is caring for several prescribed heat/cold therapies.
Which of the following clients are at risk of injury from these
therapies? Select all that apply.
A. An older adult client prescribed heat therapy for hip pain.
B. A middle age adult client prescribed cold therapy for muscle
spasms.
C. A client with diabetes prescribed cold therapy for a fractured
toe.
D. A fair-skinned, school age client prescribed heat therapy after
a soccer injury.
E. A cognitively impaired older adult prescribed alternating heat
and cold therapy. - ANSWER-A, C, D, and E.
Rationale: The nurse should use extreme caution with clients
who are very young, an older adult, fair-skinned, impaired
cognition, and have comorbidities because they are at higher
risk for fragile skin.
A nurse is preparing to administer total parenteral nutrition
(TPN) to a client. Which of the following findings indicates a
need to obtain a new bag of TPN before administering?
A. The TPN solution has an oily appearance and a layer of fat on
top of the solution.
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B. The TPN solution contains added electrolytes, vitamins and
trace elements.
C. The bag of TPN was prepared by the pharmacy 12 hours
prior.
D. The bag of TPN is labeled with the client's name, medical
record number and prescription. - ANSWER-A. The TPN
solution has an oily appearance and a layer of fat on top of the
solution.
Rationale: Before administration of TPN, the nurse should
look for "cracking" of TPN solution. This occurs if the
calcium or phosphorus content is high or if poor-salt
albumin is added. A "cracked" TPN solution has an oily
appearance or a layer of fat on top of the solution and should
not be used. To prevent interruption of therapy the next bag
of TPN should be available prior to the previous bags
completion.
What is the name of a legal document that instructs the health
care providers and family members about what, if any, life-
sustaining treatment and individual wants if at some time the
individual is unable to make decisions?
A. Do Not Resuscitate
B. Informed consent
C. Living will
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D. Durable power of attorney for health care - ANSWER-C.
Living will
Rationale: A living will is a legal document that specifically
outlines a clients wishes regarding life-sustaining treatment.
A DNR order is written by the provider when the client
requests not the be resuscitated in the event of cardiac
arrest. Informed consent is a consent to surgery or a
procedure and is obtained after a client received complete
disclosure of all pertinent information regarding the surgery
or procedure to be performed. A durable power of attorney
for health care is a legal document that designates another
person to make health care decisions for the client when the
client becomes unable to make decisions independently.
A nurse manager is providing staff education on the correct use
of restraints. Which of the following should be included in this
education? Select all that apply.
A. Restraints should not interfere with treatment.
B. Restraints should not be used because of short staffing.
C. It is not necessary to document the behaviors making restraint
necessary.
D. Staff must document type and location of the restraint and
time applied.
ATI Capstone Fundamentals, ATI Fundamentals
Exam, Capstone Test Bank, ATI Verified Answers,
Nursing Fundamentals ATI, ATI Practice Questions,
ATI Capstone Study Guide
A nurse is caring for a client with heart failure who has evidence
of dyspnea, bibasilar crackles and frothy sputum. What dietary
recommendations should be provided to this client in
management of their heart failure?
A. Decrease protein intake.
B. Reduce sodium intake.
C. Increase fluid intake.
D. Decrease calcium intake. - ANSWER-B. Reduce sodium
intake.
Rationale: It is encouraged to stop smoking, reduce sodium
intake, monitor fluid intake, restricting intake to 2 L per day.
It is also encouraged to increase protein intake to 1.12 g/kg
and consume small, frequent meals that are soft, easy-to-
chew foods. There are no recommendations on calcium
intake associated with heart failure.
,2|Page
A nurse is caring for several prescribed heat/cold therapies.
Which of the following clients are at risk of injury from these
therapies? Select all that apply.
A. An older adult client prescribed heat therapy for hip pain.
B. A middle age adult client prescribed cold therapy for muscle
spasms.
C. A client with diabetes prescribed cold therapy for a fractured
toe.
D. A fair-skinned, school age client prescribed heat therapy after
a soccer injury.
E. A cognitively impaired older adult prescribed alternating heat
and cold therapy. - ANSWER-A, C, D, and E.
Rationale: The nurse should use extreme caution with clients
who are very young, an older adult, fair-skinned, impaired
cognition, and have comorbidities because they are at higher
risk for fragile skin.
A nurse is preparing to administer total parenteral nutrition
(TPN) to a client. Which of the following findings indicates a
need to obtain a new bag of TPN before administering?
A. The TPN solution has an oily appearance and a layer of fat on
top of the solution.
,3|Page
B. The TPN solution contains added electrolytes, vitamins and
trace elements.
C. The bag of TPN was prepared by the pharmacy 12 hours
prior.
D. The bag of TPN is labeled with the client's name, medical
record number and prescription. - ANSWER-A. The TPN
solution has an oily appearance and a layer of fat on top of the
solution.
Rationale: Before administration of TPN, the nurse should
look for "cracking" of TPN solution. This occurs if the
calcium or phosphorus content is high or if poor-salt
albumin is added. A "cracked" TPN solution has an oily
appearance or a layer of fat on top of the solution and should
not be used. To prevent interruption of therapy the next bag
of TPN should be available prior to the previous bags
completion.
What is the name of a legal document that instructs the health
care providers and family members about what, if any, life-
sustaining treatment and individual wants if at some time the
individual is unable to make decisions?
A. Do Not Resuscitate
B. Informed consent
C. Living will
, 4|Page
D. Durable power of attorney for health care - ANSWER-C.
Living will
Rationale: A living will is a legal document that specifically
outlines a clients wishes regarding life-sustaining treatment.
A DNR order is written by the provider when the client
requests not the be resuscitated in the event of cardiac
arrest. Informed consent is a consent to surgery or a
procedure and is obtained after a client received complete
disclosure of all pertinent information regarding the surgery
or procedure to be performed. A durable power of attorney
for health care is a legal document that designates another
person to make health care decisions for the client when the
client becomes unable to make decisions independently.
A nurse manager is providing staff education on the correct use
of restraints. Which of the following should be included in this
education? Select all that apply.
A. Restraints should not interfere with treatment.
B. Restraints should not be used because of short staffing.
C. It is not necessary to document the behaviors making restraint
necessary.
D. Staff must document type and location of the restraint and
time applied.
