Download Capstone Fundamentals Q&A: Nursing Practice Questions and more Exams Nursing in PDF only on Docsity!
ATI CAPSTONE FUNDAMENTALS EXAM|| 2025 -
2026||250 QUESTIONS WITH 100% CORRECT
ANSWERS. RATED A+
A nurse is talking with a client who has a new diagnosis of acute bursitis in her right shoulder. Which of the following self - care strategies should the nurse recommend? - correct ANS:->>Intermittent ice and heat A nurse is assisting with the preparation of a presentation at a community center about complementary and alternative therapies
. Which of the following therapies should the nurse describe as the use of an electronic monitoring device to help clients learn to control physical responses? - ANS:Biofeedback Flexion is an action that decreases the angle between two connecting bones. Flexion of the fingers would be making a fist with the hand - ANS:Flexion An action that increases the angle between two connecting bones Extension of the fingers would be to straighten the fingers of the hand - ANS:Extension
A nurse is caring for a client who is Hindu and adheres strictly to the traditional dietary laws of this religion. The client has no other dietary restrictions. Which of the following foods should the nurse select as a component of the client's meals? - correct ANS:->>Steamed Vegetables Select all that apply. ) - ANS:Sharing a personal password with a coworker, Discussing clients at the table in the cafeteria ,Disposing of written report sheet into the facility trash receptacle A nurse is reinforcing teaching with a family member about how to position a client when administering enteral feedings at home. Which of the following statements from the family member should the nurse identify as an indication that he understands the instructions? - ANS:I will position the head of the bed 45 degrees during the feeding A nursing is caring for a client who presents to an urgent care with a laceration on his forearm. Which of the following activities is an example of primary prevention? - correct A nurse is caring for a group of clients on a medical - surgical unit
. Which of the following actions jeopardize client confidentiality? (
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take? - ANS:Add fluid and fiber to the diet A nurse working on a medical - surgical unit suspects that several clients have Clostridium difficile when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results - correct ANS:->>Place all clients who have manifestations on contact precautions. A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take? - ANS:Support extremities above and below joints. A nurse is participating in an interdisciplinary treatment meeting for a client who is to go home within a week. Which of the following health care providers should the nurse identify will assist the client with activities of daily living? - correct ANS:->>Occupational therapist
Who assist the client with obtaining resources to assist with issues such as finances , nutrition , transportation , and in - home care. - ANS:social worker Assist with strength training improve movement - ANS:Physical Therapist A nurse is implementing a bladder - training program for a client. For which of the following actions by the assistive personnel ( AP ) who is helping with the client's care should the nurse intervene?
- ANS:Instructs the client to urinate whenever the urge occurs A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect? - ANS:Pitting edema A nurse is caring for a client who has a stage - 3 pressure ulcer that now has some granulating tissue. Which of the following interventions should the nurse recommend for inclusion in the plan of care? - ANS:Cleanse with 0.9 % sodium chloride irrigation A nurse is reviewing a provider's prescriptions for a group of clients.
age - related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include? - ANS:Decreased muscle mass A nurse is reinforcing teaching to a group of older adults about sources of complete and incomplete protein. Which of the following foods should the nurse include as a complete protein? - ANS:Yogurt A nurse is caring for a client who is unconscious. With the help of an assistive personnel , the nurse has repositioned the client from a left lateral to a right lateral position. The client's daughter asks why the nurse keeps her father lying on his side. Which of the following rationales should the nurse give the family member? - ANS:To prevent aspiration problems A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson's stages of psychosocial development from birth through 18 years of. ( Move the steps into the box on the right , placing them in the selected order of performance. Use all the steps. ) - ANS:Trust vs. mistrust ( birth - 1
year )autonomy vs. shame and doubt between (1 - 3 years ). (3- 6 years ) initiative vs. guilt stage , industry inferiority( 6 - 11 years ). identity vs. role confusion (puberty) A nurse is preparing a sterile field for the insertion of a urinary catheter. Identify the sequence of actions the nurse should follow
. ( Move the steps into the box on the right , placing them in the selected order of performance. Use all the steps. ) - ANS:Hand hygiene, place package on work surface, open outermost flap, side flaps, then inner most flap toward body A nurse is verifying that a client is giving informed consent to undergo electroconvulsive therapy. Which if the following actions should the nurse take? - ANS:Confirm signature is authentic a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain assessment technique should the nurse use? - ANS:behavioral indicators (increased agitation, restlessness)
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor tissue perfusion, friction and shear, immobility, alterations in sensory perception) a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red and there is warmth along the coarse of the vein, what should the nurse do? - ANS:d/c the infusion (assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required, start new IV) a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in) in diameter. which of the following terms should the nurse use to document this finding? - ANS:macule (nonpalpable smaller than 1cm, ex: freckle) a community health nurse is teaching a group of clients about first aid for different types of wounds. which of the following client statements indicates an understanding of the teaching? - ANS:i should apply clean dressings over the top of blood saturated dressings and hold pressure
(to prevent disruption of wound tissue) a nurse is sitting with the partner of a client who recently died. which of the following actions should the nurse take to facilitate mourning? - ANS:encourage the partner to ask for help when needed a nurse is in an acute care facility is caring for a client who is postop following abdominal surgery. which of the following behaviors should the nurse identify as increasing the client's risk for constipation? - ANS:urge suppression history of chronic stimulant laxative use inadequate fluid intake a nurse is caring for a client who expresses anxiety about an upcoming surgery, what should the nurse do? - ANS:ask the client to describe feelings a nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. which of the following actions should the nurse take to prevent contamination during the dressing change? -
elasticity (increase in pigmentation, decrease in subq and moisture levels) a nurse is monitoring a client who has been receiving intermittent enteral feedings, what should the nurse identify as an intolerance to the feeding? - ANS:nausea (vomiting, dumping syndrome-change the rate or type of formula) a nurse enters a clients room and sees smoke coming from the trash can. which of the following actions should the nurse take first - ANS:evacuate the room (RACE) a nurse is assisting a client who signed an informed consent form for surgery but has since expressed doubts about the need for surgery, which of the following statements should the nurse make? - ANS:the surgeon will ANS:->> your questions before surgery a nurse is reviewing info about advance directives with a newly admitted
client. which of the following statements by the client indicates an understanding of the teaching? - ANS:i have a living will that outlines my wishes when i am unable to make a decision a nurse is admitting a client who has meningococal meningitis, what should the nurse do first? - ANS:initiate droplet precaution (put in private room and wear surgical mask within 3ft) a nurse finds a client on the floor of their room experiencing a seizure, which of the following actions is the nurse's priority - ANS:place the client on their sided with their head forward (ABC) a nurse is providing discharge teaching to a client who has a prescription for home O2, which info should the nurse teach? - ANS:wear cotton socks when the O2 is in use (other fabrics cause static)
a nurse is assisting with meal planning for a client who has been prescribed a mechanical soft diet. the nurse should instruct the client to avoid which of the following foods? - correct ANS:->>orange slices (membranes of the oranges are hard to swallow, so are other hard foods and raw fruits/veggies) a nurse is reviewing the medical records of a group of OA clients. the nurse should identify that which of the following is a risk factor that places OA at an increased risk for developing infections? - ANS:lowered immune system function (manifest as fever, redness, confusion, agitation, general fatigue) a nurse is caring for a client who has a prescription for a narcotic med, after admin the nurse is left with an unused portion, what should the nurse do? - ANS:discard the med with another nurse as a witness (2 person for controlled substance)
a nurse is performing a focused assessment for a client who has dysrhythmias, what indicates ineffective cardiac contractions? - ANS:pulse deficit (comparing apical and radial pulses at the same time can help detect pulse deficit indicating ineffective cardiac contraction and presence of cardiac dysrhythmias) a nurse is preparing to transfer a client from a chair to the bed. the client can bear partial weight and has upper body strength. which of the following devices should the nurse use to transfer the pt? - ANS:a stand-assist lift (for pt with upper body strength and able to bear partial bodyweight) a nurse is planning to administer several meds to a client through a ng tube, which actions should the nurse take? - ANS:dissolve crushed tablet meds in sterile water (in 15 - 30mL sterile water)
(increased USG and BUN) a nurse is updating a plan of care after an evaluation of a client who has dysphagia, which interventions should the nurse include in the plan? - ANS:have the client sit upright for 1 hr following meals (facilitates swallowing of undigested food and reduce risk of aspiration) a nurse is caring for a client who reports burning around the peripheral IV site, which finding should the nurse identify as a manifestation of infiltration? - ANS:edema (leakage of the IV solution into the extravascular tissue) a charge nurse is making assignments for the upcoming shift, what assignments should the charge nurse assign to a LPN? - ANS:a client who has dehydration and IBD (does not require complex med admin or assessment)
a nurse is in an ED monitoring the hydration status of a client receiving oral rehydration, what should the intervene for? - ANS:heart rate 120/min (initiate IV fluid replacement) a nurse is documenting client care, which of the following entries should the nurse identify as an example of implementation of client care? - ANS:contacted the provider to report client findings a charge nurse discovers that a nurse did not notify the provider torts? - ANS:negligence a nurse is completing an admission assessment for a client who has hearing lsos, what action should the nurse take? - ANS:use written communication to assist with communication a nurse is caring for a client who has dementia and frequently tries to get out of bed, which of the following actions should the nurse take? (SATA) - ANS:turn on the bed alarm maintain the bed in the lowest that a client's condition had changed. the charge nurse should identify that the nurse is accountable for which of the following
