ATI CAPSTONE FUNDAMENTALS
EXAM WITH CORRECT
ANSWERS 2025
a nurse is completing a nutritional assessment on a client and measures
the
BMI,following
which of readings correlates with a BMI of an ( correct
overweight client? answers
) 25
(25-29.9)
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid.
following pH values provides a good indication of correct tube
which of the ( corre
placement? answers ) 2 ct
(pH between 0-4)
a nurse is caring for a client with a closed head injury. when pressure is
applied to the client's nail beds, the clients eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. the client also moans
with stimulation, what is the GCS?
( correct answers )
7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring crutches about
how to use a three point gait? ( correct answers ) a client who has a R
femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and
uninvolved leg, the affected leg does not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client newly
who has a new diagnosis of hypertension. what statement indicates need
for further teaching? ( correct answers ) i will limit my intake of red meat
to 2x weekly
(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis who has
been prescribed a low-fat diet. which of the following meal selections by the
client indicates understanding of education? ( correct answers ) roast
turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic floor
muscles and prevent pelvic organ prolapse. What exercise will the client
need to perform
( correct answers ) Kegals
, (reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which intervention
will most likely reduce the client's risk for falls? ( correct answers )
hourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide. which of
the following foods should the nurse encourage this to include in his diet?
( correct answers )
oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli,
bananas are good for a potassium wasting diuretic)
a menopausal client is having difficulty getting to sleep and asks what
actions she should incorporate in her daily routine to promote sleep. the
nurse would encourage, which of the below measures to promote sleep?
( correct answers ) limit
alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse is caring for several clients prescribed heat/cold therapies. which
of the following clients are at risk of injury from these therapies? SATA
( correct answers ) use caution with clients who are very young, older
adult, fair skinned, impaired cognition, and comorbidities --> higher risk
for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea,
bibasalar crackles and frothy sputum. what dietary recommendations
should be provided to this client in management of their HF? ( correct
answers ) reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, consume
small frequent meals that are soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM plan
was started the client was sedated and sleeping most of the time. after
three days the client is no longer sedated and sleeping regularly. what
action should the nurse take? ( correct
answers ) no action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain
control)
a nurse is caring for a client who is admitted for observation and has full
range of motion. which is the best manner to encourage the client to void?
( correct
answers ) client bathroom
(promotes independence and ADLs)
EXAM WITH CORRECT
ANSWERS 2025
a nurse is completing a nutritional assessment on a client and measures
the
BMI,following
which of readings correlates with a BMI of an ( correct
overweight client? answers
) 25
(25-29.9)
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid.
following pH values provides a good indication of correct tube
which of the ( corre
placement? answers ) 2 ct
(pH between 0-4)
a nurse is caring for a client with a closed head injury. when pressure is
applied to the client's nail beds, the clients eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. the client also moans
with stimulation, what is the GCS?
( correct answers )
7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring crutches about
how to use a three point gait? ( correct answers ) a client who has a R
femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and
uninvolved leg, the affected leg does not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client newly
who has a new diagnosis of hypertension. what statement indicates need
for further teaching? ( correct answers ) i will limit my intake of red meat
to 2x weekly
(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis who has
been prescribed a low-fat diet. which of the following meal selections by the
client indicates understanding of education? ( correct answers ) roast
turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic floor
muscles and prevent pelvic organ prolapse. What exercise will the client
need to perform
( correct answers ) Kegals
, (reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which intervention
will most likely reduce the client's risk for falls? ( correct answers )
hourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide. which of
the following foods should the nurse encourage this to include in his diet?
( correct answers )
oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli,
bananas are good for a potassium wasting diuretic)
a menopausal client is having difficulty getting to sleep and asks what
actions she should incorporate in her daily routine to promote sleep. the
nurse would encourage, which of the below measures to promote sleep?
( correct answers ) limit
alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse is caring for several clients prescribed heat/cold therapies. which
of the following clients are at risk of injury from these therapies? SATA
( correct answers ) use caution with clients who are very young, older
adult, fair skinned, impaired cognition, and comorbidities --> higher risk
for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea,
bibasalar crackles and frothy sputum. what dietary recommendations
should be provided to this client in management of their HF? ( correct
answers ) reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, consume
small frequent meals that are soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM plan
was started the client was sedated and sleeping most of the time. after
three days the client is no longer sedated and sleeping regularly. what
action should the nurse take? ( correct
answers ) no action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain
control)
a nurse is caring for a client who is admitted for observation and has full
range of motion. which is the best manner to encourage the client to void?
( correct
answers ) client bathroom
(promotes independence and ADLs)