ATI Capstone Fundamentals Pre-Assessment Quiz Latest Update 2025

1. A nurse is assessing four clients for fluid balance. The nurse should identify that which of the following clients is exhibiting manifestations of dehydration? a. A client who has a urine specific gravity of 1.010 b. A client who has a weight gain of 2.2 kg (2 lb) in 24 hr c. A client who has a hematocrit of 45% d. A client who has a temperature of 39 C (102 F) Answer: d 2. 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? a. The TPN solution has an oily appearance and a layer of fat on top of the solution b. The TPN solution contains added electrolytes, vitamins and trace elements c. The bag of TPN was prepared by the pharmacy 12 hours prior d. The bag of TPN is labeled with the client’s name, medical record number and prescription Answer: a 3. A nurse is caring for a client receiving radiation treatments for cancer. The client states he is experiencing dryness, redness and scaling at the treatment area. Which of the following should the nurse instruct the client to do? a. Sit in the sun 15 minutes per day b. Apply moist heat to the area twice daily c. Liberally apply prescribed lotion to the area d. Wash the affected area daily with antimicrobial soap Answer: c 4. A nurse is providing dietary information 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 5. 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? a. Scrambled eggs, bacon, and pancakes b. Grilled cheese sandwich, potato chips, chocolate pudding c. Steak, French fries, corn d. Chicken breast, mashed potatoes, spinach Answer: d