2024/2025 ATI Capstone Fundamentals
Proctored- Pre- Quiz .
A client is prescribed antibiotic “A” 50 mg IV. The mixed IV solution contains 100 mL. The
nurse is to administer the medication over ½ hour. The drip factor of the available IV tubing
is 15gtt/mL. What is the drip rate in drops per minute? (Round to nearest whole number and
enter only the number in the answer box).
ANS: 50
Rationale: = 50 gtts /min
A nurse is providing education to a client with a fractured femur who will need to use
crutches for the next 6 weeks. Identify if the following directions provided by the nurse for
walking up stairs using crutches are true or false.
1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the 'unaffected' leg.
3. If not allowed to place weight on the 'affected' leg, hop up with the 'unaffected' leg.
4. Bring the 'affected' leg and the crutches up beside the 'unaffected' leg.
5. Remember, the 'unaffected' leg goes up first and the crutches move with the 'affected'
leg. ANS: TRUE
Match the development tasks with the correct age group.
-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. ANS: Preschool 3-6 years old
-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. ANS: Young Adults 20-35 years old
-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. ANS: School age children 6-12 years old
-Develop sense of personal identity that family expectations influence. Peer
relationships develop as support system. Concerned with body images that media
portray. ANS: Adolescence 12-20 years old
Match the following isolation precautions to the correct disease process.
Airborne precautions: Answer: Measles
● A private room.
● Masks or respiratory protection devices for caregivers and visitors.
● An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is
known or suspected to have tuberculosis.
● Negative pressure airflow exchange in the room of at least six exchanges per
hour.
Droplet precautions:
● A private room or a room with other clients with the same infectious disease.
● Masks for providers and visitors.
Answer: Pertussis Contact precautions: Answer: Vancomycin resistant enterococcus
(VRE)
● A private room or a room with other clients with the same infection.
, ● Gloves and gowns worn by the caregivers and visitors.
Match the description to the correct stage of pressure ulcer.
Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The
Answer: ulcer may extend down to, but not through, underlying fascia. The
ulcer appears as Stage 3 a deep crater with or without undermining of adjacent
tissue and without exposed muscle or bone. Drainage and infection are common.
Intact skin with an area of persistent, nonblanchable redness, typically over a bony Answer:
prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is Stage 1
swollen and has congestion, with possible discomfort at the site. With darker
skin tones, the ulcer may appear blue or purple.
Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is
Answer: visible and superficial and may appear as an abrasion, blister, or
shallow crater. Stage 2 Edema persists, and the ulcer may become infected,
possibly with pain and scant drainage.
Full-thickness tissue loss with destruction, tissue necrosis, or damage to muscle,
Answer: bone, or supporting structures. There may be sinus tracts, deep
pockets of infection, Stage 4 tunneling, undermining, eschar (black scab-like
material), or slough (tan, yellow, or green scab-like material).
What is the name of a legal document that instructs health care providers and family
members about what, if any, life-sustaining treatment an individual wants if at some time
the individual is unable to make decisions?
ANS: Living Will
Rationale: A living will is a legal document that specifically outlines a clients wishes
regarding life- sustaining treatment.
A nurse is caring for a client with encephalopathy secondary to liver failure. The client has
been prescribed a high calorie, low protein diet. Which of the following meal selections is
appropriate for this client?
ANS: Chicken breast, mashed potatoes, spinach.
Rationale: This option meets the prescribed diet. It is high in calories and while
chicken does provide protein it is a low-fat source and can be eaten in moderation on
a low-protein diet. Spinach will provide additional vitamin K for this client at risk for
bleeding due to liver failure.
A nurse is caring for an older adult client with delirium. Which intervention will most
effectively reduce the client’s risk for falls?
ANS: Hourly rounding by the nurse.
Proctored- Pre- Quiz .
A client is prescribed antibiotic “A” 50 mg IV. The mixed IV solution contains 100 mL. The
nurse is to administer the medication over ½ hour. The drip factor of the available IV tubing
is 15gtt/mL. What is the drip rate in drops per minute? (Round to nearest whole number and
enter only the number in the answer box).
ANS: 50
Rationale: = 50 gtts /min
A nurse is providing education to a client with a fractured femur who will need to use
crutches for the next 6 weeks. Identify if the following directions provided by the nurse for
walking up stairs using crutches are true or false.
1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the 'unaffected' leg.
3. If not allowed to place weight on the 'affected' leg, hop up with the 'unaffected' leg.
4. Bring the 'affected' leg and the crutches up beside the 'unaffected' leg.
5. Remember, the 'unaffected' leg goes up first and the crutches move with the 'affected'
leg. ANS: TRUE
Match the development tasks with the correct age group.
-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. ANS: Preschool 3-6 years old
-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. ANS: Young Adults 20-35 years old
-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. ANS: School age children 6-12 years old
-Develop sense of personal identity that family expectations influence. Peer
relationships develop as support system. Concerned with body images that media
portray. ANS: Adolescence 12-20 years old
Match the following isolation precautions to the correct disease process.
Airborne precautions: Answer: Measles
● A private room.
● Masks or respiratory protection devices for caregivers and visitors.
● An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is
known or suspected to have tuberculosis.
● Negative pressure airflow exchange in the room of at least six exchanges per
hour.
Droplet precautions:
● A private room or a room with other clients with the same infectious disease.
● Masks for providers and visitors.
Answer: Pertussis Contact precautions: Answer: Vancomycin resistant enterococcus
(VRE)
● A private room or a room with other clients with the same infection.
, ● Gloves and gowns worn by the caregivers and visitors.
Match the description to the correct stage of pressure ulcer.
Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The
Answer: ulcer may extend down to, but not through, underlying fascia. The
ulcer appears as Stage 3 a deep crater with or without undermining of adjacent
tissue and without exposed muscle or bone. Drainage and infection are common.
Intact skin with an area of persistent, nonblanchable redness, typically over a bony Answer:
prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is Stage 1
swollen and has congestion, with possible discomfort at the site. With darker
skin tones, the ulcer may appear blue or purple.
Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is
Answer: visible and superficial and may appear as an abrasion, blister, or
shallow crater. Stage 2 Edema persists, and the ulcer may become infected,
possibly with pain and scant drainage.
Full-thickness tissue loss with destruction, tissue necrosis, or damage to muscle,
Answer: bone, or supporting structures. There may be sinus tracts, deep
pockets of infection, Stage 4 tunneling, undermining, eschar (black scab-like
material), or slough (tan, yellow, or green scab-like material).
What is the name of a legal document that instructs health care providers and family
members about what, if any, life-sustaining treatment an individual wants if at some time
the individual is unable to make decisions?
ANS: Living Will
Rationale: A living will is a legal document that specifically outlines a clients wishes
regarding life- sustaining treatment.
A nurse is caring for a client with encephalopathy secondary to liver failure. The client has
been prescribed a high calorie, low protein diet. Which of the following meal selections is
appropriate for this client?
ANS: Chicken breast, mashed potatoes, spinach.
Rationale: This option meets the prescribed diet. It is high in calories and while
chicken does provide protein it is a low-fat source and can be eaten in moderation on
a low-protein diet. Spinach will provide additional vitamin K for this client at risk for
bleeding due to liver failure.
A nurse is caring for an older adult client with delirium. Which intervention will most
effectively reduce the client’s risk for falls?
ANS: Hourly rounding by the nurse.
