Download ATI CAPSTONE-MED SURG-ASSESSEMENT 2 QUESTIONS AND ANSWERS. LATEST UPDATE 2023. and more Exams Nursing in PDF only on Docsity!
ATI CAPSTONE-MED SURG-ASSESSEMENT 2 QUESTIONS AND
ANSWERS. LATEST UPDATE 2023.
a nurse is planning care for a client who has Meniere's disease and his experiencing episodes of vertical. which of Following intervention should the nurse include in the plan of care? a. Maintain strict bed rest.------pg 75 b. Restrict fluid intake to the morning hours. Administer aspirin. Provide a low-sodium diet. a nurse is assessing a client of possible exposure of HIV. Which of the following findings should the nurse identify as an early manifestation of HIV infection? a. Stomatitis b . Fatigu e Wasting syndrome Lipodystroph Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea. Which of the following information should the client include in the teaching? a. It delivers a preset amount of inspiratory pressure at the beginning of each breath---------------pg 119?????? it has continuous adjustment feature that changes the airway pressure throughout thecycle it delivers a preset amount of airway pressure throughout the breathing cycle it delivers positive pressure at the end of each breath A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? "Your provider will use stool from your digital rectal examination to perform the test." "Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel." b. c. d.
"You should begin annual fecal occult blood testing for colorectal cancer screening at 40 years old." d. "You should avoid taking corticosteroids prior to testing." A nurse is preparing a client for a colonoscopy. Which of the following medication should the nurse anticipate the provider to prescribe as an anesthetic for the procedure? a. Propofol-----------pg 303 b. Pancuronium Promethazine Pentoxifylline A nurse is teaching a client who has hypertension about dietary modifications to help control blood pressure. Which of the following food choices should the nurse recommend as a best choice for the client to include in their diet? 1 packet of reconstituted dry onion soup 3 oz of lean cured ham c. 3 oz of chicken breast d. ½ cup of canned baked beans A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone. Which of the following finding should the nurse identify as an adverse effect of this medication? a. Weight loss b. hypoglycemia d. hyperkalemia A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the following intervention should the nurse implement? Place several pillows behind the client's head place the client in a Sims position - per p. 83 of 2019 version, first intervention to decrease ICP is to elevate head to at least 30o c. hypertension
c. I can drink 4 ounces of soda if my blood sugar is low diabetic pills don't cause hypoglycemia; Only insulin does A nurse in a rural community center is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instructions should the nurse include in the teaching? Apply an ice pack directly to the affected area b. Immobilize the affected extremity with a splint - p. 9, 2019 Place tourniquet above and below the affected area Elevate the affected extremity A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis? history of falls African American race obesity A nurse is reviewing the medical record of a client who has unstable angina. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data). a. Breath sounds Temperature Blood pressure Creatine kinase A nurse is providing discharge teaching to a client who is starting to take carbidopa /levodopa to treat Parkinson's disease. Which of the following instructions should the nurse include in the teaching? "This medication can cause your urine to turn a dark color." "Expect immediate relief after taking this medication." "Take the medication with a high-protein food." a. Early menopause d. a. c.
"Skip a dose of the medication if you experience dizziness."-----------pg 42 A nurse is providing dietary teaching for a client who has chronic cholecystitis. Which of the following day each of the nurse recommend? Low-potassium diet High-fiber diet Low-fat diet------pg 356 Low-sodium diet A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG). which of the following statements by the client indicates an understanding of the teaching? I should not wash my hair prior to the procedure I will receive a sedated 1 hour before the procedure I should avoid eating prior to the procedure I will be exposed to flashes of light during the procedure-------------------PG 18 2016 VERSION A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching? Immunosuppressant medication needs to be taken for up to 1 year b. Shortness of breath might be an indication of transplant rejection------------pg 209 c. the surgical site will heal in 3 to 4 weeks after surgery begin 45 min of moderate aerobic exercise per day following discharge A nurse is caring for a client who has been experiencing repeated tonic clonic seizures over the course of 30 minutes. After maintaining the client's airway and turning the client on their side, which of the following medication should the nurse administer? Diazepam IV------pg 38 Lorazepam P Diltiazem IV Clonazepam PO a. b. c. a. d.
d. The catheter has been flushed with 10 mL of sterile saline after medication use. The nurse is developing a plan of care for a client who will be placed in a Halo surgical repair cervical spine. Which of the following intervention should the nurse include in the plan? a. Inspect the pin site every 48 hr. Ensure two personnel hold the halo device when repositioning the client. d. Apply powder frequently to the client's skin under the vest to decrease itching. A nurse is caring for a client who has syndrome of inappropriate anti diuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving? Urine specific gravity 1.020------pg 284 says “Urine specific gravity: Decreased (1.002 to 1.004 in sodium loss; greater than 1.012 in SIADH)”---so 1.020 means not resolving Sodium 119 mEq/L------------wrong bc when have SIADH will have hyponatrmia BUN 8 mg/dL Calcium 8.7 mg/dL------pg 85; I think bc its an electrolyte that is norm range-I PUT THIS A nurse is caring for a client who is receiving total parenteral nutrition (TPN ). which of the following findings should the nurse identify as a possible complication of TPN administration? Pitting edema of bilateral lower extremities hypoactive bowel sounds in all four quadrants weight is the same as the day before bilateral posterior lung sounds are diminished - I think it is this. TPN can result in fluid imbalance/hypervolemia (p. 311) A nurse is assessing a client who has a heart rate of 40 /min. the client is diaphoretic and as chest pain period which of the following medication should the nurse plan to administer? Lidocaine-----for tachycard Adenosine c. Atropine------------pg 181 chart----atropine, dopamine, and epi for bradycard less 60/min b. Monitor the client's skin under the halo vest.-------- pg 474 c. a. b. c.
d. Verapamil The nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer's disease. Which of the following information should the nurse include in the teaching? a. Explain procedures in full detail to a client before initiating care speak clearly and loudly to a client who is unable to form words or sentences provide supervision to prevent a client from becoming injured or lost A nurse at a provider’s office is interviewing a client who has multiple sclerosis and has been taking dantrolene for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective? I don't have muscle spasms as frequently----------------PG 46 2016 VERSION I haven't gotten any colds, even though it is flu season I feel like my nerve pain has improved it is easier to urinate now A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). which of the following referral should the nurse plan to initiate? Respiratory therapy Hospice care Occupational therapy Dietary services---------pg 394
- A nurse is caring for a client who has burn injuries covering their upper body and is concern about their
altered appearance. Which of the following statements should the nurse make? It is okay to not want to touch the burned areas of your body cosmetic surgery should be performed within the next year to be effective reconstructive surgery can completely restore your previous appearance it could be helpful for you to attend a support group for people who have burn injuries
- A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of
the following statements should indicate to the nurse that the client understands the teaching? I can expect swelling in my hands an on my face------------PER ATI PRE-ASSESS b. limit a client’s activities to minimize emotional outburst c.
Decrease deep-tendon reflexes positive Trousseau’s sign hypoactive bowel sounds sticky mucus membranes A nurse is providing teaching to a client who is scheduled for electromyography (EMG). the nurse should include which of the following information in the teaching? "You will receive a fixed dose of radioisotope 2 hours before the procedure." "Momentary flushing will occur at the beginning of the procedure." "You should inform your provider if you are claustrophobic." d. "You should expect insertion of small needle electrodes into the muscles."----pg 448
- The nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instruction should the nurse include? a. Eat three large meals daily limit caffeinated drinks to two per day drink fluids during meal time A nurse is administering a blood transfusion to a client and suspects that the client is having an adverse reaction to the blood. Which of the following action should the nurse take first? a. Maintain IV access. Obtain the client's vital signs. Contact the provider. d. Stop the transfusion. A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instruction should the nurse include in the teaching (select all that apply )
a. Use an electric shaver.-----pg 615 b. b. consume high calorie foods
Avoid crowds. Take temperature weekly.----------weekly didn’t sound right Consume a low-residue diet.----pg 615; not true (low residue is veg and fiber; but in leukemia- need to restrict) e. Monitor for bruising.---------pg 616 A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the following precautions should the nurse initiate to prevent transmission of the disease? Contact precautions o Airborne precautions o Droplet precautions o Protective environment A nurse is caring for a client who is hyperventilating and has the following abgs results PH 7.50, PACO2---29, HCO3---25. The nurse should recognize that the client has which of the following acid base imbalance? Respiratory acidosis o Respiratory alkalosis o Metabolic acidosis o Metabolic alkalosis
- A nurse is planning for a group of postoperative clients. Which of the following interventions should the
nurse identify as the priority? Administer IV pain medication to a client who reports pain as a 6 on a scale of 0 to 10 administer oxygen to a client who has an oxygen saturation of 91% instructor client who is 1 hour postoperative about coughing and deep breathing exercises initiate an infusion of 0.9% sodium chloride for a client who has just had abdominal surgery
- A nurse is planning care for a client who has acute pancreatitis. Which of the following intervention
should the nurse include in the clients plan? (Select all that apply ) initiate insulin drip---------------------??????????? Says “provide insulin as needs” monitor blood glucose levels------------pg 360 continue regular diet as tolerated
- A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instruction should
the nurse provide to the client following the procedure? Lie on your left side d. maintain NPO status until pain-free e. manage acute pain
- ATI CAPSTONE-MED SURG-ASSESSEMENT
