ATI CAPSTONE FUNDAMENTALS EXAM 2024 QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+)

ATI CAPSTONE FUNDAMENTALS EXAM
2024 QUESTIONS AND DETAILED
CORRECT ANSWERS INCLUDING
RATIONALES (GRADED A+)
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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-restart the procedure if the sterile solution
splashes onto the sterile field when pouring the solution into the dressing tray
(if liquid comes in contact with the sterile field at any point it is considered contaminated
and unsterile)
a nurse is assessing the pain level of a client who has dementia and difficulty
communicating, which pain assessment technique should the nurse use? - ANSWERbehavioral indicators
(increased agitation, restlessness)
a nurse receives a report from an assistive personnel that a client's BP is 160/95, what
should the nurse do first? - ANSWER-recheck the clients BP
(reassess prior to any intervention)
a nurse is caring for a client who has an indwelling urinary cath, what should the nurse
identify as a cath occlusion? - ANSWER-bladder distention
(inability to empty the bladder, impaired elimination)
a nurse is discussing immunity with a client who has received an immunization, the
nurse should identify that an immunization functions as part of which of the following
types of immunity? - ANSWER-acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are
ADMINISTERED to a client, once in the body, the stimulate the production of
antibodies)
a nurse is reviewing the health history of an OA who has a hip fracture
the nurse should identify what is a risk of developing pressure injuries? - ANSWERurinary incontinence
(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? -
ANSWER-d/c the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy
required, start new IV)
a nurse is caring for a pt who is scheduled for a cataract surgery, the client states "is
see just fine and have decided to cancel my surgery". which of the following responses
should the nurse make? - ANSWER-share with me more about the thoughts that are
concerning you
a nurse is teaching a client about the use of a MDI, which instruction should the nurse
include in the teaching? - ANSWER-inhale the medication deeply for 3-5seconds