Ati Capstone Med Surg Assessment 2 2019 - Study Guide

Ati Capstone Med Surg Assessment 2

2019 Study Guide

GREEN------NEW QUESTIONS

YELLOW----AGREED ANSWER

RED----DOUBLE CHECK

1. 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.

c. Administer aspirin.

d. Provide a low-sodium diet.

2. 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. Fatigue

c. Wasting syndrome

d. Lipodystroph

3. 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??????

b. it has continuous adjustment feature that changes the airway pressure

throughout thecycle

c. it delivers a preset amount of airway pressure throughout the breathing cycle

d. it delivers positive pressure at the end of each breath

4. 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?

a. "Your provider will use stool from your digital rectal examination to perform the test."

b. "Your provider will prescribe a stimulant laxative prior to the procedure to evacuate

the bowel."

c. "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."

5. 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

c. Promethazine

d. Pentoxifylline

6. 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?

a. 1 packet of reconstituted dry onion soup

b. 3 oz of lean cured

ham c. 3 oz of chicken

breast

d. ½ cup of canned baked beans

7. 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

c. hypertension

d. hyperkalemia

8. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of

the following intervention should the nurse implement?

a. Place several pillows behind the client's head

b. 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. keep the client's neck in a midline position

d. maintain flexion of the client's hips at a 90 degree angle

9. A home health nurse is providing teaching to the family of a client who has a seizure

disorder. Which of the following intervention should the nurse include in the teaching?

a. Keep a padded tongue blade near the bedside.

b. Place a pillow under the client's head while in bed during a seizure.

c. Administer diazepam orally at the onset of seizures.

d. Position the client on their side during a seizure-------pg 36

10. A nurse is assessing a client who has meningitis the nurse should identify which of the

following findings as a positive kernig's sign?

a. After stroking the lateral area of the foot, the client's toes contract and draw together.

b. After hip flexion, the client is unable to extend their leg completely without pain- - - -pg

31

c. The client's voluntary movement is not coordinated.