ATI MED SURG CAPSTONE QUIZ DUE TUESDAY 6/2
1. A nurse in a rural community center is providing educaton to a group of clients about frst aid interventons
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snake bites to prevent further injury. Which of the following instructon should the nurse include in the teaching?
a. Apply an ice pack directly to the affected area
b. Immobilize the affected extremity with a splint
c. Place tourniquet above and below the affected area
d. Elevate the affected extremity
2. A nurse in an Emergency Department is caring for a client who sustained multple injuries. The nurse observes
client’s thorax moving inward during inspiraton and outward during expiraton. The nurse should suspect which
of the following injuries?
a. Flail chest
b. Hemothorax
c. Pulmonary contusion
d. Pneumothorax
3. A nurse is caring for a client who has rights sided pneumothorax. Following chest tube inserton, which of the
following fndings indicates that the chest drainage system is functoning correctly?
a. Gentle bubbling in the sucton chamber
b. crepitus around the inserton site
c. constant bubbling in the water seal chamber
d. absence of breath sounds on the right side
4. A nurse is providing teaching to a client who was newly diagnosed with nephrotc syndrome. Which of the
following statements should indicate to the nurse that the client understands the teaching?
a. I can expect swelling in my hands an on my face
b. the amount of protein in my blood is high
c. I might have some pain and gas in my stomach from this conditon
d. I will use a sof bristle toothbrush so my gums don't bleed
5. A nurse is planning for a group of postoperatve clients. Which of the following interventons should the nurse
identfy as the priority?
a. Administer IV pain medicaton to a client who reports pain as a 6 on a scale of 0 to 10
b. administer oxygen to a client who has an oxygen saturaton of 91%
c. instructor client who is 1 hour postoperatve about coughing and deep breathing exercises
d. initate an infusion of 0.9% sodium chloride for a client who has just had abdominal surgery
6. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the following interventon
should the nurse implement?
a. Place several pillows behind the client's head
b. place the client in a Sims positon
c. keep the client's neck in a midline positon
d. maintain flexion of the client's hips at a 90 degree angle
7. A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instructon should the nurse
provide to the client following the procedure?
a. Lie on your lef side
b. lie on your right side
c. increase your fluid intake
d. decrease your fluid intake
8. 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?
a. I should not wash my hair prior to the procedure
b. I will receive a sedated 1 hour before the procedure
c. I should avoid eatng prior to the procedure
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9. A nurse is caring for a client who has rheumatoid arthrits and has been taking Prednisone. Which of the
following fnding should the nurse identfy as an adverse effect of this medicaton?
a. Weight loss
b. hypoglycemia
c. hypertension
d. hyperkalemia
10. A nurse is caring for a client who has dehydraton. The client has a peripheral IV and has a prescripton for an
infusion of 0.9% sodium chloride 1000 mL with 40 mEq potassium chloride to infuse over 1 hr. Which of the
following acton should the nurse take frst?
a. Teach the client to report fndings of IV extravasaton
b. evaluate the patency of the IV
c. consult with the pharmacist about the prescripton
d. verify the prescripton with the provider
11. A nurse is planning care for a client who has acute post streptococcal glomerulonephrits . Which of the following
interventon should the nurse include in the client's plan?
a. Encourage a high-protein diet for the client
b. increase the client's fluid intake
c. administer diuretcs to the client
d. Weigh client twice a week
12. The nurse is providing discharge teaching for a client who has COPD about nutriton. Which of the following
instructon should the nurse include?
a. Eat three large meals daily
b. consume high calorie foods
c. limit caffeinated drinks to two per day
d. drink fluids during meal tme
13. A nurse is admitng a client who has suspected appendicits. Which of the following fndings should the nurse
report to the provider immediately?
a. Distended, board-like abdomen
b. WBC count 15,000 /mm3
c. rebound tenderness over McBurney’s point
d. temperature 37.3 C (99.1 F )
14. 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?
a. It is okay to not want to touch the burned areas of your body
b. cosmetc surgery should be performed within the next year to be effectve
c. reconstructve surgery can completely restore your previous appearance
d. it could be helpful for you to atend a support group for people who have burn injuries
15. A nurse is caring for a client who is receiving total parenteral nutriton (TPN ). which of the following fndings
should the nurse identfy as a possible complicaton of TPN administraton?
a. Pitng edema of bilateral lower extremites
b. hypoactve bowel sounds in all four quadrants
c. weight is the same as the day before
d. bilateral posterior lung sounds are diminished
16. 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?
a. Early menopause
b. history of falls
c. African American race
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17. The nurse is teaching a group of assistve personnel (AP) about caring for clients who have Alzheimer's disease.
Which of the following informaton should the nurse include in the teaching?
a. Explain procedures in full detail to a client before initatng care
b. limit a client’s actvites to minimize emotonal outburst
c. speak clearly and loudly to a client who is unable to form words or sentences
d. provide supervision to prevent a client from becoming injured or lost
18. A nurse at a provider’s ofce is interviewing a client who has multple sclerosis and has been taking dantrolene
for several months. Which of the following client statements should the nurse identfy as an indicaton that the
medicaton is effectve?
a. I don't have muscle spasms as frequently
b. I haven't goten any colds, even though it is flu season
c. I feel like my nerve pain has improved
d. it is easier to urinate now
19. The nurse is providing discharge instructons to a client who has GERD. Which of the following statements by the
client demonstrates an understanding of the teaching?
a. I should take my medicine with orange juice
b. a bedtme snack will prevent heartburn
c. I will lie down afer meals
d. I will limit actvites that require bending at the waist
20. A nurse is assessing a client who has a sodium level of 122 mEq/L. which of the following fndings should the
nurse expect?
a. Decrease deep-tendon reflexes
b. positve Trousseau’s sign
c. hypoactve bowel sounds
d. stcky mucus membranes
21. A nurse is assessing a client who reports a possible exposure to HIV. Which of the following fndings should the
nurse identfy as an early manifestaton of HIV infecton?
a. stomatts
b. fatgue
c. wastng syndrome
d. lipodystrophy
22. 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?
a. exercise reduces the risk for hypoglycemia
b. I can skip my insulin when I don't eat
c. I can drink 4 ounces of soda if my blood sugar is low
d. diabetc pills don't cause hypoglycemia; Only insulin does
23. A nurse is planning care for a client who has acute pancreatts. Which of the following interventon should the
nurse include in the clients plan? (Select all that apply )
a. initate insulin drip
b. monitor blood glucose levels
c. contnue regular diet as tolerated
d. maintain NPO status untl pain-free
e. manage acute pain
24. A nurse is caring for a client who is at high risk for iron defciency anemia. Which of the following foods should
the nurse instruct the client to increase in their diet?
a. Yogurt
b. apples
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d. cheddar cheese
25. A nurse is reviewing the medical record of a client who has unstable angina. Which of the following fndings
should the nurse report to the provider? (Click on the “Exhibit” buton for additonal informaton about the
client. There are three tabs that contain separate categories of data).
a. Breath sounds
b. Temperature
c. Blood pressure
d. Creatne kinase
26. A nurse is teaching a client about fecal cult blood testng (FOBT) for the screening of colorectal cancer. Which of
the following statements should the nurse include in the teaching?
a. Your provider will you stll from your digital rectal examinaton to perform the tests
b. your provider will prescribe a stmulant laxatve prior to the procedure to evacuate the bowel
c. you should begin annual fecal occult blood testng for colorectal cancer screening at 40 years old
d. you should avoid taking cortcosteroids prior to testng
27. A nurse is providing discharge teaching to a client following a heart transplant. Which of the following
informaton should the nurse include in the teaching?
a. Immunosuppressant medicaton needs to be taken for up to 1 year
b. Shortness of breath might be an indicaton of transplant rejecton
c. the surgical site will heal in 3 to 4 weeks afer surgery
d. begin 45 min of moderate aerobic exercise per day following discharge
28. Play nurse is teaching a client about using contnuous positve airway pressure (CPAP) device to treat obstructve
sleep apnea . Which of the following informaton should the client include in the teaching?
a. It delivers a preset amount of inspiratory pressure at the beginning of each breath
b. it has contnuous adjustment feature that changes the airway pressure throughout the cycle
c. it delivers a preset amount of airway pressure throughout the breathing cycle
d. it delivers positve pressure at the end of each breath
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