ATI CAPSTONE-MED SURG-ASSESSEMENT 2 > Latest Update 2021 assessment solutions/ATI CAPSTONE-MED SURG-ASSESSEMENT 2 > Latest spring 2021 complete assessment solutions/

ATI CAP-MED SURG-ASSESS

2.docx 2021 docs

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?

qwivy.com - The Marketplace to Buy and Sell your Study Material

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 foodchoices 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 ofseizures.

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.

d. The client reports pain and stiffness when flexing their neck.

11. 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 instruction should the nurse

include in the teaching?

a. Monitor for increased blood pressure.

b. Increase intake of high-potassium foods-------------pg 207

c. Expect an increase in swelling in the hands and feet.

d. Take the second dose at bedtime.

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?

qwivy.com - The Marketplace to Buy and Sell your Study Material

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.diabetic pills don't cause hypoglycemia; Only insulin does

13. 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?

a.Apply an ice pack directly to the affected area

b. Immobilize the affected extremity with a splint - p. 9, 2019

c.Place tourniquet above and below the affected area

d.Elevate the affected extremity

14. 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

d.obesity

15. 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

b.Temperature

c.Blood pressure

d.Creatine kinase