ATI CAPSTONE FUNDAMENTALS
QUESTIONS WITH ANSWERS.
A nurse is preparing to transfer a client from a chair to the bed.
The client can bear partial weight and has upper body strength.
Which of the following devices should the nurse use to transfer
the pt? - correct answer -a stand-assist lift
(for pt with upper body strength and able to bear partial
bodyweight)
A nurse is planning to administer several meds to a client through
a ng tube, which actions should the nurse take? - correct answer -
dissolve crushed tablet meds in sterile water
(in 15-30ml sterile water)
A nurse is teaching about measures to promote sleep with
insomnia, what statement indicates understanding? - correct
answer -i should reduce my fluid intake to 2 hours before bedtime
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(2-4 hours before sleeping to prevent interruptions, a carb snack
h.s., exercise 3h prior to, avoid naps)
A nurse is teaching about foot care to a client who has DM, what
statement indicates understanding? - correct answer -i should
wear my slippers whenever i am out of bed
(barefoot poses risk of injury to feet, avoid lotion between toes,
cut nails straight across, avoid soaking in warm water)
A nurse is preparing to perform a routine abdominal assessment
for a client, which action should the nurse take? - correct answer -
perform palpation after auscultation
A nurse is reviewing the lab report of a client who has been
experiencing a fever for the last 3d, what lab results indicates the
client is experiencing FVD? - correct answer -increased
hematocrit
(increased USG and BUN)
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A nurse is updating a plan of care after an evaluation of a client
who has dysphagia, which interventions should the nurse include
in the plan? - correct answer -have the client sit upright for 1 hr
following meals
(facilitates swallowing of undigested food and reduce risk of
aspiration)
A nurse is caring for a client who reports burning around the
peripheral IV site, which finding should the nurse identify as a
manifestation of infiltration? - correct answer -edema
(leakage of the IV solution into the extravascular tissue)
A charge nurse is making assignments for the upcoming shift,
what assignments should the charge nurse assign to a LPN? -
correct answer -a client who has dehydration and IBD
(does not require complex med admin or assessment)
A nurse is in an ED monitoring the hydration status of a client
receiving oral rehydration, what should the intervene for? - correct
answer -heart rate 120/min