Med-Surg ATI Capstone Practice Questions
And Answers (Answered 2022) All Correct
a nurse is caring for a client who
is having surgery for the removal of an encapsulated acoustic tumor. Which of
the following potential complications should the nurse monitor for
postoperatively? (select all that apply.)
a. increased intracranial pressure
B. Hemorrhagic shock
C. Hydrocephalus
D. Hypoglycemia
E. seizures
a. CORRECT: a client who has had a craniotomy should be monitored postoperatively
for increased iCP.
C. CORRECT: Following a craniotomy, the client should be monitored for the
development of hydrocephalus
E. CORRECT: seizures is a postoperative complication that should be monitored
following a craniotomy.
a nurse is caring for a client who has just undergone a craniotomy for a
supratentorial tumor. Which of the following postoperative prescriptions should
the nurse clarify with the provider?
a. Dexamethasone 30 mg iV bolus BiD
B. morphine sulfate 2 mg iV bolus Prn every 2 hr for pain
C. ondansetron 4 mg iV bolus Prn every 4 to 6 hr for nausea
D. Phenytoin 100 mg iV bolus TiD
B. CORRECT: narcotic analgesics should be avoided postoperatively due to their Cns
depressant effects.
a nurse is completing an assessment of a client who has increased intracranial
pressure (iCP). Which
of the following are expected findings? (select all that apply.)
a. Disoriented to time and place
B. restlessness and irritability
C. unequal pupils
D. iCP 15 mm Hg
E. Headache
a. CORRECT: Changes in level of consciousness are an early indicator of increased
iCP.
B. CORRECT: increased iCP can cause behavior changes, such as restlessness and
irritability.
C. CORRECT: unequal pupils indicates pressure on the oculomotor nerve secondary to
increased iCP.
E. CORRECT: a headache is a manifestation of increased iCP.
a nurse is reviewing a prescription for dexamethasone with a client who has an
expanding brain tumor. Which of the following are appropriate statements by the
nurse? (select all that apply.)
a. "it is given to reduce swelling of the brain."
,B. "You will need to monitor for low blood sugar."
C."You may notice weight gain."
D."Tumor growth will be delayed."
E. "it can cause you to retain fluids."
a. CORRECT: Dexamethasone is a common steroid prescribed to reduce cerebral
edema.
C. CORRECT: Weight gain is an adverse effect of dexamethasone.
E. CORRECT: Fluid retention is an adverse effect of dexamethasone.
a nurse is caring for a client who has a benign brain tumor. The client asks the
nurse if he can expect
this same type of tumor to occur
in other areas of his body. Which of the following is an appropriate response by
the nurse?
a. "it can spread to breasts and kidneys."
B. "it can develop in your gastrointestinal tract."
C."it is limited to brain tissue."
D."it probably started in another area of your body and spread to your brain."
C. CORRECT: Benign brain tumors develop from the meninges or cranial nerves and
do not metastasize.
a nurse is reviewing the health record of a client who has a malignant
brain tumor and notes the client
has a positive romberg sign. Which of the following actions should the nurse take
to assess for this sign?
a. stroke the lateral aspect of the sole of the foot.
B. ask the client to blink his eyes.
C. observe for facial drooping.
D. Have the client stand erect with eyes closed.
D. CORRECT: a positive romberg sign is indicated when a client loses his balance
while attempting to stand erect with his eyes closed.
a nurse in a clinic is caring for a client who has suspected anemia. Which
of the following laboratory test results should the nurse expect?
a. iron 90 mcg/dl
B. rBc 6.5 million/ul
c. WBc 4,800 mm3
D. Hgb 10 g/dl
D. CORRECT: Hgb of 10 g/dl is below the expected reference range and is an expected
finding of anemia.
a nurse is caring for a client who is receiving warfarin for anticoagulation therapy.
Which of the following laboratory test results indicates
to the nurse that the client needs an increase in the dosage?
a. aPtt 38 seconds
B. inr 1.1
c. Pt 22 seconds
D. D‐dimer negative
B. CORRECT: inr of 1.1 is within the expected reference range for a client who is not
receiving warfarin. However, this value is subtherapeutic for anticoagulation therapy. the
, nurse should expect the client to receive an increased dosage of warfarin until the inr is
2 to 3.
a nurse is providing teaching for a client who is scheduled for a bone marrow
biopsy of the iliac crest. Which of the following statements made by the client
indicates an understanding of the teaching?
a. "this test will be performed while i am lying flat on my back."
B. "i will need to stay in bed for about an hour after the test."
c."this test will determine which antibiotic i should take for treatment."
D."i will receive general anesthesia for the test."
B. CORRECT: the nurse should inform the client of the need to stay on bed rest for 30
to 60 min following
the test to reduce the risk for bleeding.
a nurse is reviewing the plan of care for a client who has systemic lupus
erythematosus (sLE). the client reports fatigue, joint tenderness, swelling, and
difficulty urinating. Which of the following laboratory findings should the nurse
anticipate? (select all that apply.)
a. positive ana titer
b. increased hemoglobin
C. 2+ urine protein
d. increased serum C3 and C4 E. Elevatedbun
a. CORRECT: a positive antinuclear antibody (ana) titer is an expected finding in a
client who has sLE. the ana test identifies the presence of antibodies produced against
the client's own dna.
C. CORRECT: increased urine protein is an expected finding due to kidney injury as a
result of sLE.
E. CORRECT: Elevated bun is an expected finding due to kidney injury in a client who
has sLE.
a nurse is teaching a client who has sLE about self‐care. Which of the following
statements
by the client indicates an understanding of the teaching?
a. "i should limit my time to 10 minutes in the tanning bed."
b. "i will apply powder to any skin rash."
C."i should use a mild hair shampoo."
d."i will inspect my skin once a month for rashes."
C. CORRECT: a client who has sLE should use a mild hair shampoo that does not
irritate the scalp.
a nurse is discussing gout with
a client who is concerned about developing the disorder. Which of the following
findings should the nurse identify as risk factors for this disease? (select all that
apply.)
a. diuretic use
b. obesity
C. deep sleep deprivation
d. depression
E. Cardiovascular disease
And Answers (Answered 2022) All Correct
a nurse is caring for a client who
is having surgery for the removal of an encapsulated acoustic tumor. Which of
the following potential complications should the nurse monitor for
postoperatively? (select all that apply.)
a. increased intracranial pressure
B. Hemorrhagic shock
C. Hydrocephalus
D. Hypoglycemia
E. seizures
a. CORRECT: a client who has had a craniotomy should be monitored postoperatively
for increased iCP.
C. CORRECT: Following a craniotomy, the client should be monitored for the
development of hydrocephalus
E. CORRECT: seizures is a postoperative complication that should be monitored
following a craniotomy.
a nurse is caring for a client who has just undergone a craniotomy for a
supratentorial tumor. Which of the following postoperative prescriptions should
the nurse clarify with the provider?
a. Dexamethasone 30 mg iV bolus BiD
B. morphine sulfate 2 mg iV bolus Prn every 2 hr for pain
C. ondansetron 4 mg iV bolus Prn every 4 to 6 hr for nausea
D. Phenytoin 100 mg iV bolus TiD
B. CORRECT: narcotic analgesics should be avoided postoperatively due to their Cns
depressant effects.
a nurse is completing an assessment of a client who has increased intracranial
pressure (iCP). Which
of the following are expected findings? (select all that apply.)
a. Disoriented to time and place
B. restlessness and irritability
C. unequal pupils
D. iCP 15 mm Hg
E. Headache
a. CORRECT: Changes in level of consciousness are an early indicator of increased
iCP.
B. CORRECT: increased iCP can cause behavior changes, such as restlessness and
irritability.
C. CORRECT: unequal pupils indicates pressure on the oculomotor nerve secondary to
increased iCP.
E. CORRECT: a headache is a manifestation of increased iCP.
a nurse is reviewing a prescription for dexamethasone with a client who has an
expanding brain tumor. Which of the following are appropriate statements by the
nurse? (select all that apply.)
a. "it is given to reduce swelling of the brain."
,B. "You will need to monitor for low blood sugar."
C."You may notice weight gain."
D."Tumor growth will be delayed."
E. "it can cause you to retain fluids."
a. CORRECT: Dexamethasone is a common steroid prescribed to reduce cerebral
edema.
C. CORRECT: Weight gain is an adverse effect of dexamethasone.
E. CORRECT: Fluid retention is an adverse effect of dexamethasone.
a nurse is caring for a client who has a benign brain tumor. The client asks the
nurse if he can expect
this same type of tumor to occur
in other areas of his body. Which of the following is an appropriate response by
the nurse?
a. "it can spread to breasts and kidneys."
B. "it can develop in your gastrointestinal tract."
C."it is limited to brain tissue."
D."it probably started in another area of your body and spread to your brain."
C. CORRECT: Benign brain tumors develop from the meninges or cranial nerves and
do not metastasize.
a nurse is reviewing the health record of a client who has a malignant
brain tumor and notes the client
has a positive romberg sign. Which of the following actions should the nurse take
to assess for this sign?
a. stroke the lateral aspect of the sole of the foot.
B. ask the client to blink his eyes.
C. observe for facial drooping.
D. Have the client stand erect with eyes closed.
D. CORRECT: a positive romberg sign is indicated when a client loses his balance
while attempting to stand erect with his eyes closed.
a nurse in a clinic is caring for a client who has suspected anemia. Which
of the following laboratory test results should the nurse expect?
a. iron 90 mcg/dl
B. rBc 6.5 million/ul
c. WBc 4,800 mm3
D. Hgb 10 g/dl
D. CORRECT: Hgb of 10 g/dl is below the expected reference range and is an expected
finding of anemia.
a nurse is caring for a client who is receiving warfarin for anticoagulation therapy.
Which of the following laboratory test results indicates
to the nurse that the client needs an increase in the dosage?
a. aPtt 38 seconds
B. inr 1.1
c. Pt 22 seconds
D. D‐dimer negative
B. CORRECT: inr of 1.1 is within the expected reference range for a client who is not
receiving warfarin. However, this value is subtherapeutic for anticoagulation therapy. the
, nurse should expect the client to receive an increased dosage of warfarin until the inr is
2 to 3.
a nurse is providing teaching for a client who is scheduled for a bone marrow
biopsy of the iliac crest. Which of the following statements made by the client
indicates an understanding of the teaching?
a. "this test will be performed while i am lying flat on my back."
B. "i will need to stay in bed for about an hour after the test."
c."this test will determine which antibiotic i should take for treatment."
D."i will receive general anesthesia for the test."
B. CORRECT: the nurse should inform the client of the need to stay on bed rest for 30
to 60 min following
the test to reduce the risk for bleeding.
a nurse is reviewing the plan of care for a client who has systemic lupus
erythematosus (sLE). the client reports fatigue, joint tenderness, swelling, and
difficulty urinating. Which of the following laboratory findings should the nurse
anticipate? (select all that apply.)
a. positive ana titer
b. increased hemoglobin
C. 2+ urine protein
d. increased serum C3 and C4 E. Elevatedbun
a. CORRECT: a positive antinuclear antibody (ana) titer is an expected finding in a
client who has sLE. the ana test identifies the presence of antibodies produced against
the client's own dna.
C. CORRECT: increased urine protein is an expected finding due to kidney injury as a
result of sLE.
E. CORRECT: Elevated bun is an expected finding due to kidney injury in a client who
has sLE.
a nurse is teaching a client who has sLE about self‐care. Which of the following
statements
by the client indicates an understanding of the teaching?
a. "i should limit my time to 10 minutes in the tanning bed."
b. "i will apply powder to any skin rash."
C."i should use a mild hair shampoo."
d."i will inspect my skin once a month for rashes."
C. CORRECT: a client who has sLE should use a mild hair shampoo that does not
irritate the scalp.
a nurse is discussing gout with
a client who is concerned about developing the disorder. Which of the following
findings should the nurse identify as risk factors for this disease? (select all that
apply.)
a. diuretic use
b. obesity
C. deep sleep deprivation
d. depression
E. Cardiovascular disease
