ATI Capstone EXAM 2 Questions and Answers
a nurse is completing a nutritional assessment on a client and measures BMI, which of the
following readings correlates with a BMI of an overweight client? <<ANSWER>>as 25
below 18.5 - underweight range.
between 18.5 and 24.9 - healthy weight range.
between 25 and 29.9 - overweight range.
between 30 and 39.9 - obese range.
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the
following pH values provides a good indication of correct tube placement? <<ANSWER>>as 2
(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? <<ANSWER>>as 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? <<ANSWER>>as 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? <<ANSWER>>as
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? <<ANSWER>>as 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 <<ANSWER>>as 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? <<ANSWER>>as 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? <<ANSWER>>as oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for
a potassium wasting diuretic)
a nurse is completing a nutritional assessment on a client and measures BMI, which of the
following readings correlates with a BMI of an overweight client? <<ANSWER>>as 25
below 18.5 - underweight range.
between 18.5 and 24.9 - healthy weight range.
between 25 and 29.9 - overweight range.
between 30 and 39.9 - obese range.
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the
following pH values provides a good indication of correct tube placement? <<ANSWER>>as 2
(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? <<ANSWER>>as 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? <<ANSWER>>as 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? <<ANSWER>>as
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? <<ANSWER>>as 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 <<ANSWER>>as 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? <<ANSWER>>as 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? <<ANSWER>>as oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for
a potassium wasting diuretic)
