ATI Capstone Fundamentals Assessment Proctored

ATI Capstone Fundamentals Assessment Proctored Related

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A healthcare professional is preparing to transfer a client from a chair to the bed. The client can bear partial weight and has upper body strength. Which device should the professional use?

  • A. Gait belt
  • B. Mechanical lift
  • C. Stand-assist lift
  • D. Slide board
Correct Answer: C

Rationale: A stand-assist lift is the most suitable device for transferring a client who can bear partial weight and has upper body strength. This lift provides support and assistance for clients to stand up and be safely transferred. A gait belt is used for providing support during walking or transferring short distances for clients who need minimal assistance with balance and strength. A mechanical lift is typically used for clients who are non-weight bearing or have limited weight-bearing capacity. A slide board is utilized for transferring clients who are unable to bear weight on their legs and need assistance in sliding from one surface to another.

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A nurse is assessing a client who has been receiving intermittent enteral feedings. What should the nurse identify as an intolerance to the feeding?

  • A. Nausea
  • B. Decreased heart rate
  • C. Weight gain
  • D. Fever
Correct Answer: A

Rationale: Nausea is a common symptom of intolerance to enteral feedings. When a client experiences nausea during enteral feeding, it can indicate issues such as feeding tube placement problems, formula intolerance, or gastroparesis. Nausea can lead to vomiting and further complications if not addressed promptly. Decreased heart rate, weight gain, and fever are not typically associated with intolerance to enteral feedings and would not be the primary indicators for this situation.

A client who is postoperative following abdominal surgery is at risk for constipation due to which behavior?

  • A. Increased fiber intake
  • B. Decreased fluid intake
  • C. Frequent urge suppression
  • D. Increased physical activity
Correct Answer: B

Rationale: Postoperative clients are at risk for constipation due to various factors, including decreased fluid intake. Insufficient fluid consumption can lead to hardening of stools, making them difficult to pass. Increased fiber intake (choice A) is actually beneficial for preventing constipation as it adds bulk to the stool. Frequent urge suppression (choice C) can contribute to constipation by disrupting normal bowel habits. Increased physical activity (choice D) generally helps promote bowel movements and reduce the risk of constipation.

A healthcare professional is teaching a group of assistive personnel about the expected integumentary changes in older adults. Which change should the healthcare professional include?

  • A. Increase in skin turgor
  • B. Increase in subcutaneous fat
  • C. Decrease in moisture levels
  • D. Increase in oil production
Correct Answer: C

Rationale: The correct answer is C: Decrease in moisture levels. In older adults, there is a reduction in oil production, leading to decreased moisture levels in the skin. This change can result in dry skin and increased risk of skin issues. The other choices are incorrect because in older adults, skin turgor tends to decrease, subcutaneous fat may decrease, and oil production typically decreases rather than increases.

A client with diabetes mellitus is being taught about the importance of foot care by a nurse. Which instruction should the nurse include?

  • A. Cut toenails straight across
  • B. Wear shoes at all times
  • C. Soak feet in hot water daily
  • D. Apply lotion between the toes
Correct Answer: B

Rationale: The correct answer is B: 'Wear shoes at all times.' Clients with diabetes are at a higher risk of foot complications due to poor circulation and nerve damage. Wearing shoes at all times helps protect their feet from injuries. Choice A is incorrect because toenails should be cut straight across to prevent ingrown toenails. Choice C is incorrect as soaking feet in hot water can lead to burns or skin damage, especially for those with diabetes who may have reduced sensation. Choice D is incorrect because applying lotion between the toes can create a moist environment, increasing the risk of fungal infections.

A nurse is providing discharge instructions to a client with a prescription for home oxygen therapy. What information should the nurse include?

  • A. Use synthetic fabrics to avoid static electricity
  • B. Turn off the oxygen when not in use
  • C. Avoid open flames or smoking near oxygen
  • D. Increase the oxygen flow rate as needed
Correct Answer: C

Rationale: The correct answer is C: 'Avoid open flames or smoking near oxygen.' This information is crucial to prevent fires because oxygen supports combustion. Choices A, B, and D are incorrect. Choice A is not relevant to oxygen therapy. Choice B is incorrect as oxygen should not be turned off when in use as prescribed. Choice D is incorrect because adjusting the oxygen flow rate without healthcare provider guidance can be dangerous.

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