ATI CAPSTONE FUNDAMENTALS BUNDLED
EXAMS VERIFIED QUESTIONS AND ANSWERS
FULL SOLUTION PACKAGE
◉ A nurse in a long-term care facility enters the day room and finds
the window curtains on fire. Clients are panicking and the room is
filling with smoke. Indicate the emergency actions the nurse must
take. (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps.) Answer: - Remove the clients
from the room
- Activate the fire alarm
- Close the door
- Extinguish the fire
◉ A nurse is assessing a client following the application of an
aquathermia pad. Which of the following is the first indication to the
nurse that the client is experiencing a superficial burn injury to the
application site?
A. Blistering
B. Erythema
C. Eschar
D. Absence of pain Answer: B. Erythema
,Erythema is an indication that the client has experienced a superficial
burn with damage limited to the epidermis. Other manifestations
include edema, pain, and increased sensitivity to heat.
◉ A nurse is assessing a client who is experiencing prostatic
hypertrophy. Which of the following findings associated with urinary
retention should the nurse expect? (Select all that apply.) Answer: -
Report of feeling pressure
- Tenderness over the symphysis pubis
- Distended bladder
- Voiding 30 mL frequently
Clinical findings of urinary retention include frequent voiding of 25 to
60 mL of urine.
◉ A nurse is teaching a client who has diabetes about which dietary
source should provide the greatest percentage of calories. Which of
the following statements indicates the client understands the teaching?
A. "Most of my calories each day should be from fats."
B. "I should eat more calories from complex carbohydrates than
anything else."
C. "Simple sugars are needed more than other calorie sources."
D. "Protein should be my main source of calories." Answer: "I should
eat more calories from complex carbohydrates than anything else."
, The client who has diabetes should consume the majority of calories
from complex carbohydrates, such as whole grains, fruits, and
vegetables.
◉ A nurse is providing discharge teaching to a client who was
recently diagnosed with a latex allergy. Which of the following client
statements indicates an understanding of the teaching?
A. "I will apply elastic bandages to cuts."
B. "I will use dishwashing gloves when cleaning the dishes."
C. "I will buy balloons for my son's birthday."
D. "I will use ink pens for writing." Answer: "I will use ink pens for
writing."
The client understands pencil erasers contain latex and should use
pens for writing instead.
◉ A nurse is calculating a client's intake and output for an 8-hr shift.
The client's intake included 1,000 mL 0.9% sodium chloride IV, one
6-oz cup of coffee, 6 oz of water, one 180 mL bowl of soup, 3 oz of
flavored gelatin, and 3 oz of ice cream. How many mL should the
nurse document as the client's total intake for the shift? (Round the
answer to the nearest whole number) Answer: 1720 mL
◉ A charge nurse observes a nurse administer intermittent tube
feeding via an NG tube to a client. Which of the following actions
should prompt the charge nurse to intervene?
EXAMS VERIFIED QUESTIONS AND ANSWERS
FULL SOLUTION PACKAGE
◉ A nurse in a long-term care facility enters the day room and finds
the window curtains on fire. Clients are panicking and the room is
filling with smoke. Indicate the emergency actions the nurse must
take. (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps.) Answer: - Remove the clients
from the room
- Activate the fire alarm
- Close the door
- Extinguish the fire
◉ A nurse is assessing a client following the application of an
aquathermia pad. Which of the following is the first indication to the
nurse that the client is experiencing a superficial burn injury to the
application site?
A. Blistering
B. Erythema
C. Eschar
D. Absence of pain Answer: B. Erythema
,Erythema is an indication that the client has experienced a superficial
burn with damage limited to the epidermis. Other manifestations
include edema, pain, and increased sensitivity to heat.
◉ A nurse is assessing a client who is experiencing prostatic
hypertrophy. Which of the following findings associated with urinary
retention should the nurse expect? (Select all that apply.) Answer: -
Report of feeling pressure
- Tenderness over the symphysis pubis
- Distended bladder
- Voiding 30 mL frequently
Clinical findings of urinary retention include frequent voiding of 25 to
60 mL of urine.
◉ A nurse is teaching a client who has diabetes about which dietary
source should provide the greatest percentage of calories. Which of
the following statements indicates the client understands the teaching?
A. "Most of my calories each day should be from fats."
B. "I should eat more calories from complex carbohydrates than
anything else."
C. "Simple sugars are needed more than other calorie sources."
D. "Protein should be my main source of calories." Answer: "I should
eat more calories from complex carbohydrates than anything else."
, The client who has diabetes should consume the majority of calories
from complex carbohydrates, such as whole grains, fruits, and
vegetables.
◉ A nurse is providing discharge teaching to a client who was
recently diagnosed with a latex allergy. Which of the following client
statements indicates an understanding of the teaching?
A. "I will apply elastic bandages to cuts."
B. "I will use dishwashing gloves when cleaning the dishes."
C. "I will buy balloons for my son's birthday."
D. "I will use ink pens for writing." Answer: "I will use ink pens for
writing."
The client understands pencil erasers contain latex and should use
pens for writing instead.
◉ A nurse is calculating a client's intake and output for an 8-hr shift.
The client's intake included 1,000 mL 0.9% sodium chloride IV, one
6-oz cup of coffee, 6 oz of water, one 180 mL bowl of soup, 3 oz of
flavored gelatin, and 3 oz of ice cream. How many mL should the
nurse document as the client's total intake for the shift? (Round the
answer to the nearest whole number) Answer: 1720 mL
◉ A charge nurse observes a nurse administer intermittent tube
feeding via an NG tube to a client. Which of the following actions
should prompt the charge nurse to intervene?
