ATI Capstone Fundamentals Assessment

1. a nurse is completing a nutritional assessment on a client and measures BMI, which of the following readings correlates with a BMI of an overweight client? - 25 (25-29.9) 2. a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following pH values provides a good indication of correct tube placement? - 2 (pH between 0-4) 3. a nurse is caring for a client with a closed head injury. when pressure is applied to the client's nail beds, the clients 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 GCS? - 7 eye opening 1-4 verbal 1-5 motor 1-6 4. a nurse should teach which of the following clients requiring crutches about how to use a three point gait? - a client who has a R femur fracture with no weight bearing on the affected leg 5. (bears all weight on one foot, then both shoulders on crutches, and uninvolved leg, the affected leg does not touch the ground) 6. a nurse is providing teaching about the Mediterranean diet to a client newly who has a new diagnosis of hypertension. what statement indicates need for further teaching? - i will limit my intake of red meat to 2x weekly (should be limited to 2x monthly) 7. 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? - roast turkey, rice pilaf, green beans 8. a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent pelvic organ prolapse. What exercise will the client need to perform - Kegals (reduce pelvic prolapse and stress urinary incontinence) 9. a nurse is caring for an older adult client with delirium. which intervention will most likely reduce the client's risk for falls? - hourly rounding by the nurse ATI Capstone Fundamentals Assessment 10. a nurse is caring for a client who has been prescribed furosemide. which of the following foods should the nurse encourage this to include in his diet? - oranges