Capstone Med
Surg Assessment
• A nurse is teaching a Patient 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
breathingcycle
• A nurse is providing discharge teaching to a Patient following a heart
transplant. Which of the following information should the nurse include
inthe teaching?
Shortness of breath might be an indication of transplant rejection
• A nurse is caring for a Patient 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
nurseidentify as an indication that the SIADH is resolving?
Urine specific gravity 1.020
• A nurse is teaching a Patient about fecal occult blood testing (FOBT) for
thescreening of colorectal cancer. Which of the following statements
should the nurse include in the teaching?
You should avoid taking corticosteroids prior to testing
• A nurse is preparing a Patient for a colonoscopy. Which of the
following medications should the nurse anticipate the provider to
prescribe as an anesthetic for the procedure?
Propofol
,• A nurse is planning care for a Patient who has acute pancreatitis.
Which ofthe following interventions should the nurse include in the
Patients plan? Select all that apply.
Monitor blood glucose levels
Maintain NPO status until pain-
freeManage acute pain
• A nurse is teaching a Patient who has hypertension about dietary
modifications to help control blood pressure. Which of the following
foodchoices should the nurse recommend as the Patient to include in
their diet?
3 oz of chicken breast
• A nurse is reviewing the medical record of a Patient who has unstable
angina.Which of the findings should the nurse report to the provider?
Breath Sounds
• A nurse is providing discharge instructions to a Patient who has
GERD.Which of the following statements by the Patient
demonstrates an understanding of the teaching?
I will limit activities that require bending at the waist.
• A nurse at a provide office is interviewing a Patient who has multiple
sclerosis and has been taking dantrolone for several months. Which of
the following Patient statements should the nurse identify as an
indication that the medication is effective?
I don’t have muscle spasms as frequently
• A nurse is assessing a Patient who reports a possible exposure to HIV.
Whichof the following finding should the nurse identify as an early
manifestation of HIV infection?
Fatigue
,• A nurse is teaching a Patient who has type 1 diabetes mellitus about
hypoglycemia .which of the following statements by the Patient
indicates anunderstanding of the teaching?
I can drink 4 ounces of soda if my blood sugar is low
• A nurse is providing discharge teaching to a Patient who has heart failure
anda 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
• A nurse is caring for a Patient who has burn injuries covering their
upperbody 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
haveburn injuries.
• A nurse is developing a plan of care for a Patient who will be placed in
halotraction following surgical repair of the cervical spine .Which of the
following interventions should the nurse include in the plan?
Monitor the Patient skin under the halo vest.
• A nurse is caring for a Patient 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
Capstone Med Surg Assessment
• A nurse is assessing a Patient 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 Patient’s toes contract and
draw together. After hip flexion, the Patient is unable to extend their leg
completely withoutpain
• A nurse is teaching a group of assistive personnel (AP) about caring for
Patient who have Alzheimer’s disease. Which of the following
informationshould the nurse include in the teaching?
Provide supervision to prevent a Patient from becoming injured or lost.
• A home health nurse is providing teaching to the family of a Patient who
hasa 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 Patient's head while in bed during a
seizure.Administer diazepam orally at the onset of seizures.
Position the Patient on their side during a seizure.
• A nurse is contributing to the plan of care for a Patient who has
pyelonephritis. Which of the following interventions should the
nurseinclude?
Encourage the Patient to consume caffeinated
beveragesAvoid the use of acetaminophen for
discomfort Monitor the Patients the urine for color
changes
Begin antibiotic therapy after culture and sensitivity results are obtained
• Nurse is assessing a Patient who has a herniated lumbar disc. Which of
the following findings should the nurse expect?
The Patient reports relief from pain when lying in the prone position.
Surg Assessment
• A nurse is teaching a Patient 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
breathingcycle
• A nurse is providing discharge teaching to a Patient following a heart
transplant. Which of the following information should the nurse include
inthe teaching?
Shortness of breath might be an indication of transplant rejection
• A nurse is caring for a Patient 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
nurseidentify as an indication that the SIADH is resolving?
Urine specific gravity 1.020
• A nurse is teaching a Patient about fecal occult blood testing (FOBT) for
thescreening of colorectal cancer. Which of the following statements
should the nurse include in the teaching?
You should avoid taking corticosteroids prior to testing
• A nurse is preparing a Patient for a colonoscopy. Which of the
following medications should the nurse anticipate the provider to
prescribe as an anesthetic for the procedure?
Propofol
,• A nurse is planning care for a Patient who has acute pancreatitis.
Which ofthe following interventions should the nurse include in the
Patients plan? Select all that apply.
Monitor blood glucose levels
Maintain NPO status until pain-
freeManage acute pain
• A nurse is teaching a Patient who has hypertension about dietary
modifications to help control blood pressure. Which of the following
foodchoices should the nurse recommend as the Patient to include in
their diet?
3 oz of chicken breast
• A nurse is reviewing the medical record of a Patient who has unstable
angina.Which of the findings should the nurse report to the provider?
Breath Sounds
• A nurse is providing discharge instructions to a Patient who has
GERD.Which of the following statements by the Patient
demonstrates an understanding of the teaching?
I will limit activities that require bending at the waist.
• A nurse at a provide office is interviewing a Patient who has multiple
sclerosis and has been taking dantrolone for several months. Which of
the following Patient statements should the nurse identify as an
indication that the medication is effective?
I don’t have muscle spasms as frequently
• A nurse is assessing a Patient who reports a possible exposure to HIV.
Whichof the following finding should the nurse identify as an early
manifestation of HIV infection?
Fatigue
,• A nurse is teaching a Patient who has type 1 diabetes mellitus about
hypoglycemia .which of the following statements by the Patient
indicates anunderstanding of the teaching?
I can drink 4 ounces of soda if my blood sugar is low
• A nurse is providing discharge teaching to a Patient who has heart failure
anda 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
• A nurse is caring for a Patient who has burn injuries covering their
upperbody 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
haveburn injuries.
• A nurse is developing a plan of care for a Patient who will be placed in
halotraction following surgical repair of the cervical spine .Which of the
following interventions should the nurse include in the plan?
Monitor the Patient skin under the halo vest.
• A nurse is caring for a Patient 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
Capstone Med Surg Assessment
• A nurse is assessing a Patient 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 Patient’s toes contract and
draw together. After hip flexion, the Patient is unable to extend their leg
completely withoutpain
• A nurse is teaching a group of assistive personnel (AP) about caring for
Patient who have Alzheimer’s disease. Which of the following
informationshould the nurse include in the teaching?
Provide supervision to prevent a Patient from becoming injured or lost.
• A home health nurse is providing teaching to the family of a Patient who
hasa 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 Patient's head while in bed during a
seizure.Administer diazepam orally at the onset of seizures.
Position the Patient on their side during a seizure.
• A nurse is contributing to the plan of care for a Patient who has
pyelonephritis. Which of the following interventions should the
nurseinclude?
Encourage the Patient to consume caffeinated
beveragesAvoid the use of acetaminophen for
discomfort Monitor the Patients the urine for color
changes
Begin antibiotic therapy after culture and sensitivity results are obtained
• Nurse is assessing a Patient who has a herniated lumbar disc. Which of
the following findings should the nurse expect?
The Patient reports relief from pain when lying in the prone position.
