Capstone Med Surg Assessment.
Capstone Med Surg Assessment
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 pain-free
Manage acute pain
,Capstone Med Surg Assessment.
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
manifestation of 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
, Capstone Med Surg Assessment.
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.
Capstone Med Surg Assessment
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 pain-free
Manage acute pain
,Capstone Med Surg Assessment.
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
manifestation of 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
, Capstone Med Surg Assessment.
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.
