ATI Capstone Fundamentals

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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

A charge nurse discovers that a nurse did not notify the provider that a client's condition

had changed. The charge nurse should identify that the nurse is accountable for which of

the following torts?

- Negligence

A nurse is completing an admission assessment for a client who has hearing loss, what

action should the nurse take?

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- 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)

- Turn on the bed alarm

- maintain the bed in the lowest position

- encourage the family to stay with the pt 

A nurse is preparing a client for transfer to another unit? Which finding does the nurse

include in the transfer report?

- Response to pain medication

- review of ongoing discharge plan

- recent physical changes

A nurse in a provider’s office is assessing the motor skill development of a 15-month-old

toddler during a well-child visit, what gross motor skills should the nurse expect?

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- Walks without assistance using a wide stance

A nurse is admitting a client who has recently developed fever, confusion, and a

decreased level of consciousness. Which of the following actions should the nurse take

first after obtaining the client's history and assessment?

- Identify the client's needs

A nurse is planning a community education program about colorectal cancer. Which of

the following risk factors should the nurse identify as modifiable?

- Smoking

- alcohol consumption

- high-fat diet

A nurse manager is providing staff education on the correct use of restraints. What

should be included in this education?

- Restraints are a last resort

NY and NS status should be assessed every 2h

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use the least restrictive intervention possible and never let it interfere with

treatment

thorough and timely documentation need to be completed when restraints

are applied 

A nurse is caring for a client receiving chemo that is experiencing neutropenia, what

should the nurse include in pt education?

- Avoid crowded events

(can't fight infection)

A nurse is caring for a client with a stage 2 pressure ulcer, define the characteristics of

this ulcer?

- Partial-thickness kin loss involving the epidermis and the dermis

ulcer is visible and superficial, may appear as abrasion, blister, or shallow

crater

edema persists, ulcer may become infected with possible pain and scant

drainage

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A nurse is preparing to administer 250mg of an antibiotic IM. Available is 3g/5ml. How

many ml would the nurse administer per dose?

- 0.4

A nurse is reviewing psychosocial stages of development for a school-age child, what

would be an expected behavioral finding for this child?

- Develop sense of industry through advances in learning, strive to develop

healthy self-respect by finding out in what areas they excel

peer groups plays important role in social development

A nurse is assessing a client who has Parkinson’s disease, what manifestations should be

expected?

- 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 

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