ATI Capstone Fundamentals Assessment Proctored

ATI Capstone Fundamentals Assessment Proctored Related

Review ATI Capstone Fundamentals Assessment Proctored related questions and content

A nurse is caring for a client who is undergoing surgery for a hip fracture. What is a priority intervention to reduce the risk of postoperative complications?

  • A. Encourage early ambulation
  • B. Provide intravenous antibiotics
  • C. Apply anti-embolism stockings
  • D. Place a Foley catheter to monitor output
Correct Answer: A

Rationale: Encouraging early ambulation is crucial in reducing the risk of postoperative complications, such as blood clots and pneumonia. Early mobilization helps prevent complications like deep vein thrombosis and pneumonia by promoting circulation and preventing respiratory complications. Providing intravenous antibiotics (Choice B) is important for preventing infections but is not the priority immediately post-surgery. Applying anti-embolism stockings (Choice C) is beneficial in preventing venous thromboembolism but does not address the immediate need for mobility. Placing a Foley catheter (Choice D) may be necessary during surgery but is not a priority intervention to reduce postoperative complications related to immobility.

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When performing an abdominal assessment on a client, what action should the nurse take first?

  • A. Palpate the abdomen
  • B. Auscultate bowel sounds
  • C. Inspect the abdomen
  • D. Percuss the abdomen
Correct Answer: B

Rationale: The correct answer is to auscultate bowel sounds. This action should be taken first because it ensures that bowel sounds are not altered by physical manipulation. Inspecting the abdomen (choice C) may provide visual cues but does not address functional assessment. Palpating the abdomen (choice A) should follow auscultation to prevent altering bowel sounds. Percussing the abdomen (choice D) is typically done after auscultation and palpation.

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.

A nurse is updating the plan of care for a client with limited mobility. What intervention should the nurse include to prevent skin breakdown?

  • A. Reposition the client every 4 hours
  • B. Apply lotion to the skin every 2 hours
  • C. Use a special mattress to reduce pressure on the skin
  • D. Increase fluid intake to promote skin hydration
Correct Answer: C

Rationale: The correct answer is C: 'Use a special mattress to reduce pressure on the skin.' This intervention is crucial in preventing skin breakdown in clients with limited mobility as it helps to reduce pressure on bony prominences. Repositioning every 4 hours (Choice A) is important but may not be sufficient to prevent skin breakdown entirely. Applying lotion every 2 hours (Choice B) may not address the root cause of skin breakdown related to pressure. Increasing fluid intake (Choice D) is beneficial for overall skin health but may not directly prevent skin breakdown caused by pressure points.

A nurse is preparing to perform a routine abdominal assessment. Which action should the nurse take first?

  • A. Percuss the abdomen
  • B. Auscultate bowel sounds
  • C. Inspect the abdomen
  • D. Palpate the abdomen
Correct Answer: B

Rationale: The correct answer is to auscultate bowel sounds. Auscultation should be performed before palpation during an abdominal assessment to avoid altering bowel sounds. Inspecting the abdomen is important but should follow auscultation. Percussion and palpation should be done after auscultation and inspection to ensure an accurate assessment.

A client with diabetes mellitus has a foot ulcer. What is an appropriate intervention to promote wound healing?

  • A. Encourage a high-protein diet
  • B. Apply a moisture-retentive dressing
  • C. Provide daily wound irrigation
  • D. Apply an ice pack to the wound
Correct Answer: B

Rationale: The correct answer is to apply a moisture-retentive dressing. This promotes a moist wound environment, which is crucial for wound healing in clients with diabetes. Encouraging a high-protein diet may support overall health but is not directly related to wound healing. Daily wound irrigation can disrupt the wound healing process by removing necessary growth factors and cells. Applying an ice pack to the wound is contraindicated as it can impair circulation and delay wound healing.

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