Capstone Fundamentals Assessment
Questions with Correct Answers
client with dysphagia, which interventions include in plan - ANSWERShave the client
seat upright for 1 hr following meals
Assessing Infussion IV site, client reports pain, site is red, warmth.
What the nurse do - ANSWERSDisontinue Infussion
Routine abdominal assessment. action by the nurse - ANSWERSperform palpitation
after ascultation
teachin new nurses about immunity. Include in the teaching - ANSWERSThe body
produces antibodies in response to an antigen with active immunity
Risk factors for oler adulrs that increase risk of developing infections -
ANSWERSLowered immune system function
Teaching Meter dose Inhaler. What instructions teach - ANSWERSInhale medication
deeply for 3-5 seconds
a nurse is performing a focused assessment on a client who has a history of COPD and
is experiencing dyspnea, which of the findings should the nurse expect? -
ANSWERSflaring of the nostrils
a nurse is teaching a client about the correct use of a cane, what should the nurse
include? (SATA) - ANSWERSensure the cane has a rubber cap
hold the can on the stronger side
flex the elbow slightly when using the cane
use a quad cane for increased support
1. a nurse is teaching a group of assistive personal about the expected integumentary
changes in older adults, which should the nurse include: - ANSWERSa. decreased in
elasticity
1. a nurse in a provider's office is assessing a client who reports a decrease in the
effectiveness of their arthritis medication. which of the following client information should
the nurse identify as a contributing factor to the decrease in the medication's
effectiveness? - ANSWERSa. the client has a history of recurring bowel inflammation
1. a nurse is monitoring a client who has been receiving intermittent enteral feedings,
what should the nurse identify as an intolerance to the feeding? - ANSWERSa. Nausea
, 1. a nurse is assisting a client who signed an informed consent form for surgery but has
since expressed doubts about the need for surgery, which of the following statements
should the nurse make? - ANSWERSThe surgeon will answer your questions before
surgery
A nurse is preparing to administer meperidine 35mg IM to an adolescent who is
preoperative. Available in meperidine 50mg how much should the nurse administer?
(Round the to the tenth - ANSWERS0.7 mg
1. a nurse is documenting client care, which of the following entries should the nurse
identify as an example of implementation of client care? - ANSWERSa. contacted the
provider to report client findings
1. a nurse is assisting with meal planning for a client who has been prescribed a
mechanical soft diet. the nurse should instruct the client to avoid which of the following
foods? - ANSWERSa. Orange slices
1. a nurse is teaching about measures to promote sleep with insomnia, what statement
indicates understanding? - ANSWERSa. I should reduce my fluid intake to 2 hours
before bedtime
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? -
ANSWERSa. Behavioral indicators
1. a nurse is in an emergency department (ED) monitoring the hydration status of a
client receiving oral rehydration, what should the intervene for? - ANSWERSa. Heart
rate 120/min
1. a nurse in a provider's office is assessing the motor skill development of a 15-month-
old toddler during a well-child visit, what gross motor skills should the nurse expect? -
ANSWERSwalks without assistance using a wide stance
1. a nurse is teaching about safety risks for adolescents, what should be included? -
ANSWERSa. at this age, peer influence to participate in high-risk behaviors can lead to
injury
1. a nurse is caring for a client who expresses anxiety about an upcoming surgery, what
should the nurse do? - ANSWERSa. ask the client to describe feelings
1. a nurse is reviewing info about advance directives with a newly admitted client. which
of the following statements by the client indicates an understanding of the teaching? -
ANSWERSI have a living will that outlines my wishes when I am unable to make a
decision
Questions with Correct Answers
client with dysphagia, which interventions include in plan - ANSWERShave the client
seat upright for 1 hr following meals
Assessing Infussion IV site, client reports pain, site is red, warmth.
What the nurse do - ANSWERSDisontinue Infussion
Routine abdominal assessment. action by the nurse - ANSWERSperform palpitation
after ascultation
teachin new nurses about immunity. Include in the teaching - ANSWERSThe body
produces antibodies in response to an antigen with active immunity
Risk factors for oler adulrs that increase risk of developing infections -
ANSWERSLowered immune system function
Teaching Meter dose Inhaler. What instructions teach - ANSWERSInhale medication
deeply for 3-5 seconds
a nurse is performing a focused assessment on a client who has a history of COPD and
is experiencing dyspnea, which of the findings should the nurse expect? -
ANSWERSflaring of the nostrils
a nurse is teaching a client about the correct use of a cane, what should the nurse
include? (SATA) - ANSWERSensure the cane has a rubber cap
hold the can on the stronger side
flex the elbow slightly when using the cane
use a quad cane for increased support
1. a nurse is teaching a group of assistive personal about the expected integumentary
changes in older adults, which should the nurse include: - ANSWERSa. decreased in
elasticity
1. a nurse in a provider's office is assessing a client who reports a decrease in the
effectiveness of their arthritis medication. which of the following client information should
the nurse identify as a contributing factor to the decrease in the medication's
effectiveness? - ANSWERSa. the client has a history of recurring bowel inflammation
1. a nurse is monitoring a client who has been receiving intermittent enteral feedings,
what should the nurse identify as an intolerance to the feeding? - ANSWERSa. Nausea
, 1. a nurse is assisting a client who signed an informed consent form for surgery but has
since expressed doubts about the need for surgery, which of the following statements
should the nurse make? - ANSWERSThe surgeon will answer your questions before
surgery
A nurse is preparing to administer meperidine 35mg IM to an adolescent who is
preoperative. Available in meperidine 50mg how much should the nurse administer?
(Round the to the tenth - ANSWERS0.7 mg
1. a nurse is documenting client care, which of the following entries should the nurse
identify as an example of implementation of client care? - ANSWERSa. contacted the
provider to report client findings
1. a nurse is assisting with meal planning for a client who has been prescribed a
mechanical soft diet. the nurse should instruct the client to avoid which of the following
foods? - ANSWERSa. Orange slices
1. a nurse is teaching about measures to promote sleep with insomnia, what statement
indicates understanding? - ANSWERSa. I should reduce my fluid intake to 2 hours
before bedtime
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? -
ANSWERSa. Behavioral indicators
1. a nurse is in an emergency department (ED) monitoring the hydration status of a
client receiving oral rehydration, what should the intervene for? - ANSWERSa. Heart
rate 120/min
1. a nurse in a provider's office is assessing the motor skill development of a 15-month-
old toddler during a well-child visit, what gross motor skills should the nurse expect? -
ANSWERSwalks without assistance using a wide stance
1. a nurse is teaching about safety risks for adolescents, what should be included? -
ANSWERSa. at this age, peer influence to participate in high-risk behaviors can lead to
injury
1. a nurse is caring for a client who expresses anxiety about an upcoming surgery, what
should the nurse do? - ANSWERSa. ask the client to describe feelings
1. a nurse is reviewing info about advance directives with a newly admitted client. which
of the following statements by the client indicates an understanding of the teaching? -
ANSWERSI have a living will that outlines my wishes when I am unable to make a
decision
