NURS 406: CAPSTONE MED
SURG ASSESSMENT Q & A
1. 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.
2. 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
3. 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
4. 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
5. 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
,6. 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.
7. 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.
8. 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
9. 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
10. 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.
11. 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.
12. 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
13. 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
14. 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
15. 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
SURG ASSESSMENT Q & A
1. 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.
2. 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
3. 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
4. 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
5. 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
,6. 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.
7. 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.
8. 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
9. 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
10. 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.
11. 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.
12. 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
13. 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
14. 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
15. 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
