TIONS AND CORRECT ANSWERS WITH EXPLANATIONS | GRADED A+ | VE
FIED ANSWERS
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A nurse is assessing a client who has Parkinson's disease. Which of the following manifesta-
tions should the nurse expect?
Bradykinesia;
Pruritus
The nurse should expect to find bradykinesia or difficulty moving in a client who has Parkin-
Hypertension
son's disease.
Bradykinesia
Xerostomia
A nurse is preparing to administer total parenteral nutrition (TPN) to a client. Which of the
The TPN solution has an oily appearance and a layer of fat on top of the solution;
following findings indicates a need to obtain a new bag of TPN before administering?
Before administration of TPN, the nurse should look for "cracking" of TPN solution. This occurs
The TPN solution has an oily appearance and a layer of fat on top of the solution.
if the calcium or phosphorous content is high or if poor-salt albumin is added. A "cracked"
The TPN solution contains added electrolytes, vitamins and trace elements.
TPN solution has an oily appearance or a layer of fat on top of the solution and should not be
The bag of TPN was prepared by the pharmacy 12 hours prior.
used.
The bag of TPN is labeled with the client's name, medical record number and prescription.
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 this client to void?
Client Bathroom;
Urinal
The goal is to encourage clients to maintain independence and privacy if the client has full
Bedpan
function and is able to safely complete ADLs.
Bedside Commode
Client Bathroom
A nurse is caring for a client with a stage 2 pressure ulcer. Define the characteristics of the
ulcer.
Intact skin with an area of persistent, nonblanchable redness, typically over a bony promi- Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is visible and
nence, that may feel warmer or cooler than the adjacent tissue. superficial and may appear as an abrasion, blister, or shallow crater. Edema persists, and the
Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The ulcer may ulcer may become infected, possibly with pain and scant drainage;
extend down to, but not through, underlying fascia.
Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is visible and For a stage 2 pressure ulcer, the ulcer is described as partial-thickness, involving the epidermis
superficial and may appear as an abrasion, blister, or shallow crater. and dermis.
Full-thickness tissue loss with destruction, tissue necrosis, or damage to muscle, bone,
or supporting structures. There may be sinus tracts, deep pockets of infection, tunneling,
undermining, eschar or slough.
A nurse is reviewing psychosocial stages of development for a school-age child. What would
be an expected behavioral finding for this child?
Personalize values and beliefs and base reasoning on ethical fairness principles. Establish
close relationships. Have influences that help with formation of healthy self-concept, such
family and friends. Develop sense of industry through advances in learning. Strive to develop healthy self-
Develop sense of personal identity that family expectations influence. Peer relationships respect by finding out in what areas they excel. Peer groups play important role in social
develop as support system. Concerned with body images that media portray. development;
Develop sense of industry through advances in learning. Strive to develop healthy self-
This behavior is an expected finding of School-age children 6-12 years.
respect by finding out in what areas they excel. Peer groups play important role in social
development.
Take on new experiences and when unable to accomplish task may feel guilty or misbehave.
Generally do not exhibit stranger anxiety. Understand behavior in terms of what is socially
acceptable.
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, ATI CAPSTONE FUNDAMENTALS EXAM (LATEST EXAM 2025) | ALL QUES-
TIONS AND CORRECT ANSWERS WITH EXPLANATIONS | GRADED A+ | VE
FIED ANSWERS
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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?
Limit alcohol and nicotine prior to bedtime;
Consume a warm drink at bedtime.
Limit alcohol, caffeine, and nicotine at least 4 hr before bedtime.
Take an evening walk before bedtime.
Take an afternoon nap.
Limit alcohol and nicotine prior to bedtime.
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?
Reduce sodium intake.
Decrease protein intake.
Reduce sodium intake.
Increase fluid intake.
Decrease calcium intake.
A nurse is caring for an older adult client with delirium. Which intervention will most effectively
reduce the client's risk for falls?
Hourly rounding by the nurse;
Use of a night-light.
In the health care environment, hourly rounding by nurses significantly reduces the occur-
Demonstrate how to use the call light.
rence of client falls, as well as reducing call light usage and increasing client satisfaction.
Place bedside table in close proximity.
Hourly rounding by the nurse.
A nurse is caring for a client receiving radiation treatments for cancer. The client states he
is experiencing dryness, redness and scaling at the treatment area. Which of the following
should the nurse instruct the client to do? Liberally apply prescribed lotion to the area;
Sit in the sun for 15 minutes per day. Hydrating lotions are commonly prescribed to treat irratdiated areas. The client should avoid
Apply moist heat to the area twice daily. applying other lotions not prescribed by the radiologist to affected areas.
Liberally apply prescribed lotion to the area.
Wash the affected area daily with antimicrobial soap.
A nurse is providing teaching about the Mediterranean diet to a client who has a new
diagnosis of hypertension. Which of the following statements by the client indicates a need
for further teaching? "I will limit my intake of red meat to twice weekly.";
"I will limit my intake of red meat to twice weekly." This statement by the client indicates a need for further teaching. Following the Mediterranean
"I can have dairy in moderate portions daily." diet, red meat should be limited to two times monthly.
"I can have fish two times a week."
"I can drink wine in moderation."
Restraints should not interfere with treatment.
A nurse manager is providing staff education on the correct use of restraints. Which of the Restraints should not be used because of short staffing.
following should be included in this education? (select all that apply) Staff must document type and location of the restraint and time applied.
Assess neurovascular and neurosensory status every 2 hours.
Restraints should not interfere with treatment.
Restraints should not be used because of short staffing. Restraints should be applied as a last resort after other measures have been used. Thorough
It is not necessary to document the behaviors making restraint necessary. and timely documentation needs to be completed when restraints are applied, following
protocol and policy. Neurovascular and neurosensory status should be assessed every 2 hours,
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