SURGICAL ASSESSMENT / CAPSTONE
ATI NCLEX MED SURG ASSESSMENT 1&2
TESTBANK ACTUAL TEST 2025
ACCURATE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS)
Terms in this set (111)
,1. A nurse is teaching a group of assistive Provide supervision to prevent a client from becoming
personnel (AP) about caring for clients who injured or lost
have Alzheimer's disease. Which of the A client who has Alzheimer's disease can wander and
following information should the nurse become lost. The AP should initiate interventions to keep the
include in the teaching? client safe, such as redirection, frequent monitoring, and
reorientation. The AP should encourage a client who has
Explain procedures in full detail to client Alzheimer's disease to participate in activities for as long as
before initiating care possible because socializing with others can provide the
Limit a client's activities to minimize client with comfort = D
emotional outbursts
Speak clearly and loudly to a client who is
unable to form words or sentences
Provide supervision to prevent a client from
becoming injured or lost
2. A nurse Is preparing to discharge a client Dietary services
who has a new diagnosis of chronic kidney
disease (CKD). Which of the following
referrals should the nurse plan to initiate?
4. A nurse is caring for a client who has Airborne precautions
anew diagnosis of tuberculosis. Which of
the following precautions should the nurse
initiate to prevent transmission of the
disease?
,5. A nurse is preparing a client for a Propofol
colonoscopy. Which of the following
medications should the nurse anticipate the
provider to prescribe as an anesthetic for
the procedure?
6. A nurse is teaching a group of clients Early menopause
about the risk factors for osteoporosis.
Which of the following should the nurse
include as a risk factor for osteoporosis?
7. A nurse is caring for a client who has a The dressing was changed 7 days ago
peripherally inserted central catheter
(PICC). For which of the following findings
should the nurse notify the provider?
, 8. A nurse is reviewing the medical record Breath sounds
of a client who has unstable angina. Which
of the following findings should the nurse
report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm
Hg, Temp 38°C (100.4°F), HR 112/min, Resp
rate 26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist
with pallor need.Bilateral breath sounds
with crackles heard at bases of lungs.
Pedal pulses are present at 1+ bilateral.
Exhibit 3 - Diagnostic results: Creatine
kinase
9. A nurse is planning care for a group of Administer oxygen to a client who has an oxygen saturation
postoperative clients. Which of the of 91%
following interventions should the nurse
identify as the priority?
10. A nurse is providing discharge teaching Increase intake of high-potassium foods
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?