ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT
1. A nurse is teaching a client about using a continuous positive airway pressure (CPAP)
device to treat
... [Show More] obstructive sleep apnea. Which of the following information should the nurse
include in the teaching?
It delivers a present amount of airway pressure throughout the breathing cycle
2. 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?
Shortness of breath might be an indication of transplant rejection
3. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) and is receiving 3 % sodium chloride via continuous IV. Which of the following
laboratory finding should the nurse identify as an indication that the SIADH is resolving?
Urine specific gravity 1.020
4. A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening of
colorectal cancer. Which of the following statements should the nurse include in the teaching?
You should avoid taking corticosteroids prior to testing
5. A nurse is preparing a client for a colonoscopy. Which of the following medications
should the nurse anticipate the provider to prescribe as an anesthetic for the procedure?
Propofol
6. A nurse is planning care for a client who has acute pancreatitis. Which of the following
interventions should the nurse include in the clients plan? Select all that apply.
Monitor blood glucose levels Maintain NPO status until pain-free Manage acute pain
7. 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 the
client to include in their diet?
3 oz of chicken breast
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of
the findings should the nurse report to the provider?
Breath Sounds
9. A nurse is providing discharge instructions to a client who has GERD. Which of the
following statements by the client demonstrates an understanding of the teaching?
I will limit activities that require bending at the waist.
10. A nurse at a provide office is interviewing a client who has multiple sclerosis and has
been taking dantrolone 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
11. A nurse is assessing a client who reports a possible exposure to HIV. Which of the
following finding should the nurse identify as an early manifestation of HIV infection?
Fatigue
12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia .which
of the following statements by the client indicates an understanding of the teaching?
I can drink 4 ounces of soda if my blood sugar is low
13. A nurse is providing discharge teaching to a client who has heart failure and a
prescription for furosemide 20 mg PO two times daily. Which of the following instructions
should the nurse include in the teaching?
Increase intake of high-potassium foods
14. A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about their altered appearance .Which of the following statements should the nurse
make?
It could be helpful for you to attend a support group for people who have burn injuries.
15. A nurse is developing a plan of care for a client who will be placed in halo traction
following surgical repair of the cervical spine .Which of the following interventions should the
nurse include in the plan?
Monitor the client skin under the halo vest.
16. A nurse is caring for a client who has a traumatic brain injury. Which of the following
finding should indicate to the nurse the need for immediate intervention?
Respiratory rate 30/min
17. A nurse is assessing a client who has meningitis. The nurse should identify which of the
following finding as a positive Kerning s sign? After stroking the lateral area of the foot, the
client’s toes contract and draw together.
After hip flexion, the client is unable to extend their leg completely without pain
18. A nurse is teaching a group of assistive personnel (AP) about caring for client who have
Alzheimer’s disease. Which of the following information should the nurse include in the
teaching?
Provide supervision to prevent a client from becoming injured or lost.
19. A home health nurse is providing teaching to the family of a client who has a seizure
disorder. Which of the following interventions should the nurse include in the teaching?
Keep a padded tongue blade near the bedside.
Place a pillow under the client's head while in bed during a seizure. Administer diazepam orally
at the onset of seizures.
Position the client on their side during a seizure.
20. A nurse is contributing to the plan of care for a client who has pyelonephritis. Which of
the following interventions should the nurse include?
Encourage the client to consume caffeinated beverages
Avoid the use of acetaminophen for discomfort
Monitor the clients the urine for color changes
Begin antibiotic therapy after culture and sensitivity results are obtained
21. Nurse is assessing a client who has a herniated lumbar disc. Which of the following
findings should the nurse expect?
The client reports relief from pain when lying in the prone position.
The client reports that her low-back pain radiates upward toward one scapula.
The client reports tingling and a burning sensation in one foot.
The client reports decreased pain when the affected leg is raised and straightened
22. A nurse is caring for a client who has acute gastritis and is NPO. The client has a new
prescription to resume oral intake. Which of the following items should the nurse offered the
client?
Lemonade
Tomato soup
Gelatin
Black coffee
23. A triage nurse nds a school-age child [Show Less]