ATI RN CAPSTONE FUNDAMENTALS ASSESSMENT 2024-2025
|ACTUALCOMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (VERIFIED ANSWERS ) ALREADY GRADED A+.
A nurse is completing a nutritional assessment on a client and
measures body mass index (BMI). Which of the following readings
correlates with a BMI of an overweight client?
A. 18.5
B. 24.9
C. 25
D. 32 - ANSWER-C. 25
Rationale: Healthy weight is indicates by a BMI of 18.5-24.9.
Overweight is defined as an increased body weight in relation to
height. It is indicated by a BMI of 25-29.9. Obesity is an excess
amount of body fat. It is indicated by a BMI greater than or equal to
30.
Underweight- less than 18.5
A nurse is caring for a client with a closed head injury. When pressure
is applied to client's nail beds, the client's eyes open and adduction of
the arms with flexion of the elbows and wrists is noted. The client
also moans with stimulation. What is the client's Glascow Coma
Score?
A. 4
,B. 7
C. 9
D. 10 - ANSWER-B. 7 (comatose)
Rationale:
Eye Opening (ranges from 4-1)
4 = spontaneous
3 = to voice
2 = to pain
1 = none
Verbal (ranges from 5-1)
5 = oriented
4 = confused
3 = inappropriate words
2 = incomprehensible sounds
1= none
Motor (raged from 6-1)
6 = obeys command
5 = localizes pain
4 = withdraws
3 = flexion (decorticate posturing)
2 = extension (decerebrate posturing)
1 = none
A nurse should teach which of the following clients requiring crutches
about how to use a three-point gait?
,A. A client who is able to bear full weight on both lower extremities.
B. A client who has bilateral leg braces due to paralysis of the lower
extremities.
C. A client who has a right femur fracture with no weight bearing
on the affected leg.
D. A client who has bilateral knee-replacements with partial weight
bearing on both legs. - ANSWER-C. A client who has a right femur
fracture with no weight bearing on the affected leg.
Rationale: A three-point gait requires the client to bear all of his
weight on one foot. With a three-point gait, the client bears weight on
both crutches and then on the uninvolved leg, repeating the
sequence. The affected leg does not touch the ground.
A nurse is providing teaching about the Mediterranean diet to a client
who has a new diagnosis if hypertension. Which of the following
statements by the client indicates a need for further teaching?
A. "I will limit my intake of red meat to twice weekly."
B. "I can have dairy in moderate portions daily."
C. "I can have fish two times a week."
D. "I can drink wine in moderation." - ANSWER-A. "I will limit my
intake of red meat to twice weekly."
Rationale: Following the Mediterranean diet, red meat should be
limited to two times monthly. The client should have dairy in
moderate portions daily to weekly. The intake of fish and seafood is at
least two times per week. Drinking wine is acceptable in moderation.
, A nurse is providing dietary education to a client with cholecystitis
who has been prescribed a low-fat diet. Which of the following meal
selections by the client indicates understanding of education?
A. Roast beef with gravy, mashed potatoes, ice cream
B. Macaroni and cheese, salad, pudding
C. Creamed chicken on a roll with peas
D. Roast turkey, rice pilaf, green beans - ANSWER-D. Roast turkey,
rice pilaf, green beans
Rationale: Roast turkey is a low-fat protein option that would be an
excellent choice for a low-fat diet.
A client with a cystocele is encouraged to exercise to strengthen
pelvic floor muscles and prevent pelvis organ prolapse. What
exercise will the client need to perform?
A. Kegel exercises
B. Isometric exercises
C. Circumduction exercises
D. Uterine extension exercises - ANSWER-A. Kegel exercises
Rationale: Kegel exercises strengthen the pelvic floor muscles,
which results in reduction or prevention of pelvic prolapse and
stress urinary incontinence. The other mentioned exercises have
no direct effect on prevention or reduction of a cystocele.
A nurse is caring for an older adult client with delirium. Which
intervention will most effectively reduce the client's risk for falls? A.
Use of a night-light.
|ACTUALCOMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (VERIFIED ANSWERS ) ALREADY GRADED A+.
A nurse is completing a nutritional assessment on a client and
measures body mass index (BMI). Which of the following readings
correlates with a BMI of an overweight client?
A. 18.5
B. 24.9
C. 25
D. 32 - ANSWER-C. 25
Rationale: Healthy weight is indicates by a BMI of 18.5-24.9.
Overweight is defined as an increased body weight in relation to
height. It is indicated by a BMI of 25-29.9. Obesity is an excess
amount of body fat. It is indicated by a BMI greater than or equal to
30.
Underweight- less than 18.5
A nurse is caring for a client with a closed head injury. When pressure
is applied to client's nail beds, the client's eyes open and adduction of
the arms with flexion of the elbows and wrists is noted. The client
also moans with stimulation. What is the client's Glascow Coma
Score?
A. 4
,B. 7
C. 9
D. 10 - ANSWER-B. 7 (comatose)
Rationale:
Eye Opening (ranges from 4-1)
4 = spontaneous
3 = to voice
2 = to pain
1 = none
Verbal (ranges from 5-1)
5 = oriented
4 = confused
3 = inappropriate words
2 = incomprehensible sounds
1= none
Motor (raged from 6-1)
6 = obeys command
5 = localizes pain
4 = withdraws
3 = flexion (decorticate posturing)
2 = extension (decerebrate posturing)
1 = none
A nurse should teach which of the following clients requiring crutches
about how to use a three-point gait?
,A. A client who is able to bear full weight on both lower extremities.
B. A client who has bilateral leg braces due to paralysis of the lower
extremities.
C. A client who has a right femur fracture with no weight bearing
on the affected leg.
D. A client who has bilateral knee-replacements with partial weight
bearing on both legs. - ANSWER-C. A client who has a right femur
fracture with no weight bearing on the affected leg.
Rationale: A three-point gait requires the client to bear all of his
weight on one foot. With a three-point gait, the client bears weight on
both crutches and then on the uninvolved leg, repeating the
sequence. The affected leg does not touch the ground.
A nurse is providing teaching about the Mediterranean diet to a client
who has a new diagnosis if hypertension. Which of the following
statements by the client indicates a need for further teaching?
A. "I will limit my intake of red meat to twice weekly."
B. "I can have dairy in moderate portions daily."
C. "I can have fish two times a week."
D. "I can drink wine in moderation." - ANSWER-A. "I will limit my
intake of red meat to twice weekly."
Rationale: Following the Mediterranean diet, red meat should be
limited to two times monthly. The client should have dairy in
moderate portions daily to weekly. The intake of fish and seafood is at
least two times per week. Drinking wine is acceptable in moderation.
, A nurse is providing dietary education to a client with cholecystitis
who has been prescribed a low-fat diet. Which of the following meal
selections by the client indicates understanding of education?
A. Roast beef with gravy, mashed potatoes, ice cream
B. Macaroni and cheese, salad, pudding
C. Creamed chicken on a roll with peas
D. Roast turkey, rice pilaf, green beans - ANSWER-D. Roast turkey,
rice pilaf, green beans
Rationale: Roast turkey is a low-fat protein option that would be an
excellent choice for a low-fat diet.
A client with a cystocele is encouraged to exercise to strengthen
pelvic floor muscles and prevent pelvis organ prolapse. What
exercise will the client need to perform?
A. Kegel exercises
B. Isometric exercises
C. Circumduction exercises
D. Uterine extension exercises - ANSWER-A. Kegel exercises
Rationale: Kegel exercises strengthen the pelvic floor muscles,
which results in reduction or prevention of pelvic prolapse and
stress urinary incontinence. The other mentioned exercises have
no direct effect on prevention or reduction of a cystocele.
A nurse is caring for an older adult client with delirium. Which
intervention will most effectively reduce the client's risk for falls? A.
Use of a night-light.
