ATI CAPSTONE FUNDAMENTALS EXAM PREP
STUDY GUIDE SUMMARY ACTUAL EXAM
SOLVED QUESTIONS VERIFIED ANSWERS
GRADED A PLUS REVISED EDITION
◉A nurse is preparing to administer total parenteral nutrition (TPN) to a
client. Which of the following findings indicates a need to obtain a new
bag of TPN before administering?
The TPN solution has an oily appearance and a layer of fat on top of the
solution.
The TPN solution contains added electrolytes, vitamins and trace
elements.
The bag of TPN was prepared by the pharmacy 12 hours prior.
The bag of TPN is labeled with the client's name, medical record number
and prescription. . Answer: The TPN solution has an oily appearance and
a layer of fat on top of the solution;
Before administration of TPN, the nurse should look for "cracking" of
TPN solution. This occurs if the calcium or phosphorous content is high
or if poor-salt albumin is added. A "cracked" TPN solution has an oily
appearance or a layer of fat on top of the solution and should not be
used.
,◉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?
Urinal
Bedpan
Bedside Commode
Client Bathroom . Answer: Client Bathroom;
The goal is to encourage clients to maintain independence and privacy if
the client has full function and is able to safely complete ADLs.
◉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 prominence, that may feel warmer or cooler than the
adjacent tissue.
Full-thickness tissue loss with damage to or necrosis of subcutaneous
tissue. The ulcer may extend down to, but not through, underlying
fascia.
Partial-thickness skin loss involving the epidermis and the dermis. The
ulcer is visible and superficial and may appear as an abrasion, blister, or
shallow crater.
,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. . Answer:
Partial-thickness skin loss involving the epidermis and the dermis. The
ulcer is visible and superficial and may appear as an abrasion, blister, or
shallow crater. Edema persists, and the ulcer may become infected,
possibly with pain and scant drainage;
For a stage 2 pressure ulcer, the ulcer is described as partial-thickness,
involving the epidermis and dermis.
◉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 personal identity that family expectations influence.
Peer relationships develop as support system. Concerned with body
images that media portray.
Develop sense of industry through advances in learning. Strive to
develop healthy self- 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. . Answer:
Develop sense of industry through advances in learning. Strive to
, develop healthy self- respect by finding out in what areas they excel.
Peer groups play important role in social development;
This behavior is an expected finding of School-age children 6-12 years.
◉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?
Consume a warm drink at bedtime.
Take an evening walk before bedtime.
Take an afternoon nap.
Limit alcohol and nicotine prior to bedtime. . Answer: Limit alcohol and
nicotine prior to bedtime;
Limit alcohol, caffeine, and nicotine at least 4 hr before 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?
Decrease protein intake.
Reduce sodium intake.
STUDY GUIDE SUMMARY ACTUAL EXAM
SOLVED QUESTIONS VERIFIED ANSWERS
GRADED A PLUS REVISED EDITION
◉A nurse is preparing to administer total parenteral nutrition (TPN) to a
client. Which of the following findings indicates a need to obtain a new
bag of TPN before administering?
The TPN solution has an oily appearance and a layer of fat on top of the
solution.
The TPN solution contains added electrolytes, vitamins and trace
elements.
The bag of TPN was prepared by the pharmacy 12 hours prior.
The bag of TPN is labeled with the client's name, medical record number
and prescription. . Answer: The TPN solution has an oily appearance and
a layer of fat on top of the solution;
Before administration of TPN, the nurse should look for "cracking" of
TPN solution. This occurs if the calcium or phosphorous content is high
or if poor-salt albumin is added. A "cracked" TPN solution has an oily
appearance or a layer of fat on top of the solution and should not be
used.
,◉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?
Urinal
Bedpan
Bedside Commode
Client Bathroom . Answer: Client Bathroom;
The goal is to encourage clients to maintain independence and privacy if
the client has full function and is able to safely complete ADLs.
◉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 prominence, that may feel warmer or cooler than the
adjacent tissue.
Full-thickness tissue loss with damage to or necrosis of subcutaneous
tissue. The ulcer may extend down to, but not through, underlying
fascia.
Partial-thickness skin loss involving the epidermis and the dermis. The
ulcer is visible and superficial and may appear as an abrasion, blister, or
shallow crater.
,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. . Answer:
Partial-thickness skin loss involving the epidermis and the dermis. The
ulcer is visible and superficial and may appear as an abrasion, blister, or
shallow crater. Edema persists, and the ulcer may become infected,
possibly with pain and scant drainage;
For a stage 2 pressure ulcer, the ulcer is described as partial-thickness,
involving the epidermis and dermis.
◉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 personal identity that family expectations influence.
Peer relationships develop as support system. Concerned with body
images that media portray.
Develop sense of industry through advances in learning. Strive to
develop healthy self- 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. . Answer:
Develop sense of industry through advances in learning. Strive to
, develop healthy self- respect by finding out in what areas they excel.
Peer groups play important role in social development;
This behavior is an expected finding of School-age children 6-12 years.
◉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?
Consume a warm drink at bedtime.
Take an evening walk before bedtime.
Take an afternoon nap.
Limit alcohol and nicotine prior to bedtime. . Answer: Limit alcohol and
nicotine prior to bedtime;
Limit alcohol, caffeine, and nicotine at least 4 hr before 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?
Decrease protein intake.
Reduce sodium intake.
