ATI CAPSTONE FUNDAMENTALS EXAM 2024 GUARANTEED PASS.
A nurse is assessing a client who has Parkinsons disease, what manifestations should be expected... [Show More] ? -bradykinesia
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? -liberally apply prescribed lotion to the area
A nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain assessment technique should the nurse use? -behavioral indicators
(increased agitation, restlessness)
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
A nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the nurse do first? -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? -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? -acquired immunity
A nurse is caring for a client with celiac disease, which food should be removed? -tortillas
(contain gluten)
A nurse is assisting a client with his meal that is at risk for aspiration d/t stroke, what interventions should the nurse take to prevent aspiration? -position upright
upper back and head are supported
tuck chin when swallowing
A nurse is assessing four clients for fluid balance, the nurse should identify what as dehydration? -a client that has a temperature of 39C or 102F
A nurse is preparing to administer TPN, what indicates a need to obtain a new bag? -the TPN solution has an oily appearance and a layer of fat on top of the solution
("cracking")
Which can cause a low pulse ox reading? -inadequate peripheral circulation
A nurse is admitting a client who has TB and a productive cough. what types of isolation precautions should the nurse initiate for the client? -airborne
(measles, chicken pox, herpes zoster, TB)
TB requires negative pressure room, and staff need to wear N95
(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? -urinary 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? -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? -macule
(nonpalpable smaller than 1cm, ex: freckle)
The following readings correlates with a BMI of an overweight client? -25
(25-29.9)
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 [Show Less]
