ATI CAPSTONE PROCTORED FUNDAMENTALS EXAM 2023-2024 QUESTIONS WITH CORRECT ANSWERS \GRADED A+ a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain assessment technique should the nurse use? - ANSWER -behavioral indicators (increased agitation, restlessness) a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the nurse do first? - ANSWER -recheck the clients BP(reassess prior to any intervention) a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as a cath occlusion? - ANSWER -bladder distention (inability to empty the bladder, impaired elimination) a nurse is discussing immunity with a client who has received an immunization, the nurse should identify that an immunization functions as part of which of the following types of immunity? - ANSWER -acquired immunity (artificial/acquired immunity occurs when antigens from toxoids or immunizations are ADMINISTERED to a client, once in the body, the stimulate the production of antibodies) a nurse is reviewing the health history of an OA who has a hip fracturethe nurse should identify what is a risk of developing pressure injuries? - ANSWER -urinary incontinence (r/f skin breakdown--> pressure