Ati Capstone Med Surg - 2019 Retake & Final Exam Guide / Contains 3 Verified Documents

 Ati Capstone Med Surg - 2019 Retake & Final Exam Guide

1. A nurse is teaching a client about using a continuous positive airway

pressure (CPAP) device to treat 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 painfree 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 manifestationof

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 lying in the road following a school

bus crash with multiple casualties. The child has a respiratory rate of

8/min, is unresponsive to verbal commands, and groans to painful stimuli.

The nurse should assign the client which of the following triage tags?