ATI CAPSTONE PROCTORED
FUNDAMENTALS EXAM WITH
CORRECT ANSWERS 2025
a nurse is assessing the pain level of a client who has dementia
and difficulty
communicating, which pain assessment technique should the nurse use?
answers ) behavioral
( correct
indicators
(increased agitation,
restlessness)
a nurse receives a report from an assistive personnel that a client's BP is
160/95,the
should whatnurse do first? ( correct answers )
recheck the clients BP
(reassess prior to any
intervention)
a nurse is caring for a client who has an indwelling urinary cath, what
should the
identify as anurse
cath occlusion? ( correct
answers ) bladder distention
(inability to empty the bladder, impaired
elimination)
a nurse is discussing immunity with a client who has received an
immunization,
nurse the
should identify that an immunization functions as part of which of
the following
types of immunity? ( correct
answers ) 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
antibodie
s)
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?
( correct ) urinary
answers
incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor
tissue perfusion,
friction and shear, immobility, alterations in sensory
perception)
a nurse is assessing the IV infusion site of a client who reports pain at the
site.
is redthe
andsite
there is warmth along the coarse of the vein, what should the
nurse do?
correct answers ) d/c the (
infusion
(assessment suggest phlebitis, d/c, apply warm compress//if
continuedstart
required, therapy
new
IV)
GRADED
A+
, 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( correct
finding? this answers )
macule
(nonpalpable smaller than 1cm, ex:
freckle)
a community health nurse is teaching a group of clients about first aid for
of wounds.
different which of the following client statements indicates an
types
understanding
teaching? of theanswers ) i should apply clean dressings over the top
( correct
of blood dressings and hold
saturated
pressure
(to prevent disruption of wound
tissue)
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? ( correct
answers
the partner
) to ask for help when encourage
needed
a nurse is in an acute care facility is caring for a client who is
abdominal surgery. which of the following behaviors should the nurse
postop following
identify as the client's risk for constipation?
increasing ( correct
answersof) chronic stimulant
history urge suppression
inadequate
laxative usefluid intake
a nurse is caring for a client who expresses anxiety about an upcoming
surgery, what should the nurse do? ( correct answers ) ask the client
to describe feelings
wound.
a nurse which of the to
is preparing following
performactions should
a sterile the nurse
dressing changetake
for to prevent
a client who
contamination
during the dressing change? ( correct answers ) restart the procedure if
has a surgical
the sterile
solution splashes onto the sterile field when pouring the solution into the
dressing tray
(if liquid comes in contact with the sterile field at any point it is considered
contaminated and unsterile)
see just is
a nurse fine and have
caring decided
for a pt who isto cancel my
scheduled forsurgery". which
a cataract of thethe
surgery, following
client
responses
should the nurse make?( correct answers ) share with me more about the
states "is
that are concerning
thoughts
you
a nurse is teaching a client about the use of a MDI, which instruction
should the
include in thenurse
teaching?( correct answers ) inhale the medication
deeply for 3-
5second
s
(hold breath for 10s after inhalation, shake MDI vigorously, hold mouthpiece
2.5-5cm/1- 2in in front of mouth)
GRADED
A+
FUNDAMENTALS EXAM WITH
CORRECT ANSWERS 2025
a nurse is assessing the pain level of a client who has dementia
and difficulty
communicating, which pain assessment technique should the nurse use?
answers ) behavioral
( correct
indicators
(increased agitation,
restlessness)
a nurse receives a report from an assistive personnel that a client's BP is
160/95,the
should whatnurse do first? ( correct answers )
recheck the clients BP
(reassess prior to any
intervention)
a nurse is caring for a client who has an indwelling urinary cath, what
should the
identify as anurse
cath occlusion? ( correct
answers ) bladder distention
(inability to empty the bladder, impaired
elimination)
a nurse is discussing immunity with a client who has received an
immunization,
nurse the
should identify that an immunization functions as part of which of
the following
types of immunity? ( correct
answers ) 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
antibodie
s)
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?
( correct ) urinary
answers
incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor
tissue perfusion,
friction and shear, immobility, alterations in sensory
perception)
a nurse is assessing the IV infusion site of a client who reports pain at the
site.
is redthe
andsite
there is warmth along the coarse of the vein, what should the
nurse do?
correct answers ) d/c the (
infusion
(assessment suggest phlebitis, d/c, apply warm compress//if
continuedstart
required, therapy
new
IV)
GRADED
A+
, 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( correct
finding? this answers )
macule
(nonpalpable smaller than 1cm, ex:
freckle)
a community health nurse is teaching a group of clients about first aid for
of wounds.
different which of the following client statements indicates an
types
understanding
teaching? of theanswers ) i should apply clean dressings over the top
( correct
of blood dressings and hold
saturated
pressure
(to prevent disruption of wound
tissue)
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? ( correct
answers
the partner
) to ask for help when encourage
needed
a nurse is in an acute care facility is caring for a client who is
abdominal surgery. which of the following behaviors should the nurse
postop following
identify as the client's risk for constipation?
increasing ( correct
answersof) chronic stimulant
history urge suppression
inadequate
laxative usefluid intake
a nurse is caring for a client who expresses anxiety about an upcoming
surgery, what should the nurse do? ( correct answers ) ask the client
to describe feelings
wound.
a nurse which of the to
is preparing following
performactions should
a sterile the nurse
dressing changetake
for to prevent
a client who
contamination
during the dressing change? ( correct answers ) restart the procedure if
has a surgical
the sterile
solution splashes onto the sterile field when pouring the solution into the
dressing tray
(if liquid comes in contact with the sterile field at any point it is considered
contaminated and unsterile)
see just is
a nurse fine and have
caring decided
for a pt who isto cancel my
scheduled forsurgery". which
a cataract of thethe
surgery, following
client
responses
should the nurse make?( correct answers ) share with me more about the
states "is
that are concerning
thoughts
you
a nurse is teaching a client about the use of a MDI, which instruction
should the
include in thenurse
teaching?( correct answers ) inhale the medication
deeply for 3-
5second
s
(hold breath for 10s after inhalation, shake MDI vigorously, hold mouthpiece
2.5-5cm/1- 2in in front of mouth)
GRADED
A+
