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? -Correct Answer 25
(25-29.9)
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following pH values...
ATI Capstone Fundamentals Exam Study
Guide Questions and Answers 2024
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? -Correct Answer
✔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? -Correct
Answer ✔2
(pH between 0-4)
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? -
Correct Answer ✔7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring crutches about how to use
a three point gait? -Correct Answer ✔a client who has a R femur fracture with no weight
bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and uninvolved leg, the
affected leg does not touch the ground)
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? -
Correct Answer ✔i will limit my intake of red meat to 2x weekly
(should be limited to 2x monthly)
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? -Correct Answer ✔roast turkey, rice pilaf, green beans
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 -Correct
Answer ✔Kegals
ATI Capstone Fundamentals
, ATI Capstone Fundamentals
(reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which intervention will most likely
reduce the client's risk for falls? -Correct Answer ✔hourly rounding by the nurse
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? -Correct Answer ✔oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are
good for a potassium wasting diuretic)
a menopausal client is having difficulty getting to sleep and asks what actions she
should incorporate in her daily routine to promote sleep. the nurse would encourage,
which of the below measures to promote sleep? -Correct Answer ✔limit alcohol and
nicotine prior to bedtime
(at least 4 hours)
a nurse is caring for several clients prescribed heat/cold therapies. which of the
following clients are at risk of injury from these therapies? SATA -Correct Answer ✔use
caution with clients who are very young, older adult, fair skinned, impaired cognition,
and comorbidities --> higher risk for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea, bibasalar crackles
and frothy sputum. what dietary recommendations should be provided to this client in
management of their HF? -Correct Answer ✔reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, consume small frequent
meals that are soft and easy to chew)
a nurse is caring for a client receiving opiates for PM, initially after PM plan was started
the client was sedated and sleeping most of the time. after three days the client is no
longer sedated and sleeping regularly. what action should the nurse take? -Correct
Answer ✔no action is needed at this time
(opiates initially cause sedation but it subsides with maintenance pain control)
a nurse is caring for a client who is admitted for observation and has full range of
motion. which is the best manner to encourage the client to void? -Correct Answer
✔client bathroom
(promotes independence and ADLs)
ATI Capstone Fundamentals
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