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WorksheetsATI Fundamentals Capstone Weekly Tips Review
Total questions: 85
Worksheet time: 50mins
A client's sodium is 131 mEq/L. Which action is the priority?
Encourage free-water intake
Initiate seizure precautions
Administer a thiazide diuretic
Provide a low-sodium diet
Which potassium level requires immediate intervention?
3.4 mEq/L
3.8 mEq/L
5.6 mEq/L
4.2 mEq/L
Which total calcium value is within the expected range?
8.6 mg/dL
9.4 mg/dL
10.9 mg/dL
11.4 mg/dL
A client's magnesium level is 1.0 mg/dL. Which finding is most likely?
Hypoactive deep tendon reflexes
Tremors and hypertension
Bradycardia and hypotension
Prolonged PR interval with heart block
Which phosphorus value is normal?
2.2 mg/dL
2.8 mg/dL
3.6 mg/dL
4.9 mg/dL
Which BUN value is within the expected range?
6 mg/dL
12 mg/dL
24 mg/dL
28 mg/dL
A female client has creatinine 1.3 mg/dL. The nurse should:
Encourage high-protein intake
Notify the provider
Give a potassium supplement
A fasting glucose of 108 mg/dL and A1c 6.7% indicate:
Good long-term control
Risk for hypoglycemia
Poor long-term glycemic control
Laboratory error
Which WBC count suggests possible bacterial infection?
4,500/mm³
8,000/mm³
12,500/mm³
6,000/mm³
Which platelet count is most concerning?
160,000/mm³
420,000/mm³
145,000/mm³
300,000/mm³
A male client’s Hgb 11 g/dL. The nurse interprets this as:
Normal
Low
High
Inconclusive without Hct
A female client’s Hct is 48%. Which action is appropriate?
Encourage fluids and reassess
Hold anticoagulants
Place on neutropenic precautions
Restrict fluids
Which RBC value is normal for an adult woman?
3.9 million/mm³
4.4 million/mm³
5.9 million/mm³
6.1 million/mm³
Which ABG represents respiratory acidosis?
pH 7.49, PaCO₂ 33, HCO₃⁻ 24
pH 7.30, PaCO₂ 52, HCO₃⁻ 24
pH 7.28, PaCO₂ 38, HCO₃⁻ 18
pH 7.46, PaCO₂ 45, HCO₃⁻ 30
Which ABG is normal?
pH 7.36, PaCO₂ 40, PaO₂ 88, HCO₃ 24
pH 7.32, PaCO₂ 50, HCO₃ 26
pH 7.49, PaCO₂ 30, HCO₃ 22
pH 7.28, PaCO₂ 28, HCO₃ 18
For warfarin, which INR is therapeutic?
1.0
1.6
2.4
4.5
A client on heparin has PTT 64 sec (control 32 sec). The nurse should:
Stop heparin
Document therapeutic range
Administer protamine sulfate
Increase the infusion
Which PT is expected in a client not on anticoagulants?
8 sec
11.5 sec
23 sec
35 sec
Which digoxin level requires holding the dose and notifying the provider?
0.7 ng/mL
1.0 ng/mL
1.9 ng/mL with nausea and halos
0.5 ng/mL
Which finding increases risk for digoxin toxicity?
Potassium 4.1 mEq/L
Potassium 3.1 mEq/L
Calcium 9.2 mg/dL
Magnesium 2.0 mg/dL
Which instruction helps prevent lithium toxicity?
Avoid sodium in your diet.
Maintain consistent fluids and sodium intake.
Use NSAIDs for headaches.
If you miss a dose, double the next one.
A phenytoin level is 24 mcg/mL. The nurse should:
A theophylline level of 15 mcg/mL is:
Subtherapeutic
Therapeutic
Toxic
Inconclusive
Which PaO₂ value is expected on room air?
60 mmHg
72 mmHg
85 mmHg
110 mmHg
Which HCO₃⁻ value falls within the normal range?
19 mmol/L
21 mmol/L
28 mmol/L
30 mmol/L
Which client requires airborne precautions?
Rubella
Mumps
Varicella zoster (disseminated)
Influenza
Appropriate room/precautions for TB?
Private room, surgical mask
Negative pressure, N95 respirator
Contact precautions, gown and gloves
Standard precautions only
Droplet precautions are required for:
RSV
C. difficile
Pertussis
Herpes zoster (disseminated)
Contact precautions are needed for:
Measles
MRSA wound drainage
Influenza
Which PPE set is correct for C. difficile?
Gloves only
Gloves and gown; handwashing with soap and water
N95 and face shield
Surgical mask only
A client reports allergies to bananas and kiwis. The nurse should:
Use latex gloves carefully
Use nitrile or vinyl gloves
Place on droplet precautions
Avoid offering dairy products
During a general physical assessment, the correct sequence is:
Palpation, percussion, inspection, auscultation
Inspection, palpation, percussion, auscultation
Auscultation, inspection, palpation, percussion
Inspection, auscultation, percussion, palpation
During an abdominal assessment, the correct sequence is:
IPPA
IAPP
PIPA
AIPP
Teaching cane use for left leg weakness:
Hold cane left hand; move with left leg
Hold cane right hand; move cane with left leg
Hold cane either hand; move with stronger leg
Hold cane left hand; step right leg first
Going up stairs with crutches, the client should:
Crutches, bad leg, good leg
Good leg, crutches, bad leg
Bad leg, crutches, good leg
Crutches and good leg together
Going down stairs with crutches, the client should:
Good leg, crutches, bad leg
Crutches, bad leg, good leg
Bad leg, good leg, crutches
Good leg, bad leg, crutches
Which task should the RN perform (not delegate)?
Vital signs on a stable client
Ambulate a first-day post-op client for the first time
Evaluate response to a new diuretic
Assist with feeding a dementia client
The RN should not delegate which activity to a UAP?
Bathing a stable client
Reinforcing prior teaching on incentive spirometry
Transporting a client to X-ray
Recording I&O
Using the EAT rule, which cannot be delegated?
Teaching insulin administration
Collecting a urine specimen
Performing a fingerstick glucose
Stocking supplies
Which action aligns with test-taking strategy from notes?
Select the longest answer
Read stem, read options, re-read stem before choosing
Choose “all of the above” if unsure
Skip any long question
Sodium 148 mEq/L likely presents with:
Confusion and thirst
Hyperactive reflexes
Bradycardia
Orthostatic hypotension only
Potassium 2.9 mEq/L: the nurse anticipates:
Tall peaked T waves
Muscle weakness and U waves
Severe hypertension
Hyperactive bowel sounds
Which calcium level necessitates evaluation for tetany risk?
8.7 mg/dL
9.1 mg/dL
10.0 mg/dL
10.4 mg/dL
Magnesium 3.0 mg/dL. Which assessment is priority?
RBC 6.0 million/mm³ (male). Interpretation?
Anemia
Polycythemia risk
Normal
Infection
A client’s HgbA1c is 6.3%. Best interpretation?
Above goal per your sheet
Normal per your sheet
Hypoglycemia risk
Unrelated to glycemic control
PaCO₂ 55 mmHg most likely causes:
Alkalosis
Acidosis
Normal pH
Increased PaO₂
Which PaO₂ needs prompt attention?
95 mmHg
88 mmHg
60 mmHg
82 mmHg
PT 11.5 sec and INR 1.0 in a client not on warfarin mean:
Risk for bleeding
Normal coagulation
Therapeutic anticoagulation
Lab error
For a client on warfarin with INR 4.2, the nurse should:
Administer the next dose
Hold warfarin and notify the provider
Give vitamin K immediately without notifying
Document therapeutic range
PTT 30 sec on heparin infusion (control 30–32). Best action?
Increase infusion per protocol
Decrease infusion per protocol
Continue current rate (not therapeutic)
Client on digoxin reports anorexia and nausea; level 1.8 ng/mL. The nurse should:
Administer dose and give antiemetic
Hold dose and assess K+ level
Double dose to overcome nausea
Ignore and proceed
Lithium 1.5 mEq/L. Which is appropriate?
Administer dose
Hold and increase fluids; notify provider
Restrict sodium
Give NSAID for headache
Which teaching for lithium is correct?
Avoid excessive sweating and dehydration.
Low-salt diet helps prevent toxicity.
Skip water on workout days.
Take with NSAIDs routinely.
Theophylline 22 mcg/mL. The nurse should:
Continue dose
Hold and notify provider
Give with high-fat meal
Double next dose
56. Phenytoin 8 mcg/mL with breakthrough seizures. Action?
Notify provider about subtherapeutic level
Hold medication
Give antidote
Start theophylline
Which client needs contact precautions?
Scarlet fever
Adenovirus
Pediculosis (lice)
Epiglottitis
Best rooming choice for a client with rubella?
Private room, airborne
Private room, droplet
Negative pressure, N95
Standard only
Which diagnosis falls under “SPIDERMAn” droplet mnemonic?
TB
Varicella
Diphtheria
RSV
Which falls under “MRS WEE” for contact?
Parvovirus B19
Staphylococcal wound infection with drainage
Measles
Mumps
For suspected latex allergy, which is most important to remove from room?
Paper tape
Latex tourniquet
Alcohol swabs
Cotton balls
Correct sequence for cardiac assessment?
A. IPPA
B. IAPP
C. PAIP
D. AIPP
During an abdominal assessment, auscultation is performed:
First
Second
Third
Last
Teaching COAL means:
Cane on affected leg
Cane opposite affected leg
Cane and affected leg move last
Cane only after surgery
A client using a cane should advance in which pattern?
Cane → weak leg → strong leg
Weak leg → cane → strong leg
Strong leg → cane → weak leg
Cane and strong leg together → weak leg
On level surfaces with crutches, which gait conserves energy for partial weight-bearing?
2-point
3-point
4-point
Swing-through
The mnemonic “Up to heaven, down to hell” reminds the nurse that going down stairs is:
Good leg first
Bad leg first with crutches
Both legs together
Crutches last
Which task is appropriate for a LPN?
Initial admission assessment
Teaching new ostomy care
Reinforcing ostomy care previously taught
Developing the care plan
Which client should be assigned to the RN?
Stable post-op day 3 requesting a bath
New admission with shortness of breath
Discharge vitals on a stable client
Feeding assistance for dementia patient
Which action demonstrates evaluation (not to delegate)?
Checking pain 30 minutes after analgesic
Taking pre-meal blood glucose
Assisting with toileting
Turning a patient q2h
Best immediate action when a test question seems unclear?
Choose the longest option
Re-read the stem slowly, then options, then stem
Eliminate none and guess
Skip permanently
WBC 3,800/mm³. Priority instruction?
Avoid leafy greens
Use electric razor
Neutropenic precautions
Increase fluid intake only
Platelets 95,000/mm³. Which is appropriate?
Which Hgb/Hct pair is normal for a male?
Hgb 13 g/dL, Hct 40%
Hgb 14 g/dL, Hct 44%
Hgb 12 g/dL, Hct 36%
Hgb 18.5 g/dL, Hct 55%
PaO2 78 mmHg on room air. The nurse should:
Apply nonrebreather at 15 L/min
Encourage deep breathing and recheck
Prepare for intubation
Decrease activity to bedrest for 24 hr
HCO3- 19 mmol/L, pH 7.31, PaCO2: 38. Interpretation?
Metabolic alkalosis
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
A client with sepsis requires which isolation?
Airborne
Droplet
Contact
Standard only
For influenza, which teaching is correct?
Negative pressure room
Private room; mask within 3 feet
Gown and gloves only
N95 respirator required
Which is normal for female Hgb?
11 g/dL
12 g/dL
18 g/dL
10 g/dL
A client's PT 12 sec and INR 1.1 pre-op. Action?
Delay surgery
Administer vitamin K
Proceed; values are within normal range
Magnesium 1.2 mg/dL with PVCs on ECG. Priority?
Administer magnesium as ordered
Restrict fluids
Give furosemide
Encourage high-protein foods
Sodium 128 mEq/L. Which order would the nurse question?
Seizure precautions
Hypertonic saline infusion per protocol
Strict I&O and daily weights
Encourage free water
Creatinine 1.9 mg/dL (male). Which medication should the nurse question?
Nephrotoxic antibiotic
Acetaminophen
Antacid
Stool softener
For a client with varicella zoster (disseminated), which is correct?
Contact only
Droplet only
Airborne and contact
Standard only
During focused review after ATI assessments, the most important action is to:
Re-take the same test immediately
Review topics you missed to build knowledge
Memorize answer patterns
Avoid remediation to prevent confusion
