ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1-
LATEST QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS- WITH EXPLANATION
A nurse is planning care for a client who is receiving mechanical ventilation.
Which of the following actions should the nurse include in the plan -
ANSWER--Provide the client with a means of communication
A nurse is caring for a client who is receiving IV fluid replacement therapy
for dehydration. Which of the following laboratory results indicates
effectiveness of the treatment - ANSWER--Urine Specific Gravity 1.020
**Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for bleeding -
ANSWER--Platelets 80,000
**Normal range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following
a motor vehicle crash. Which of the following interventions is the nurse's
priority while caring for this client - ANSWER--Assist with quad coughing
**The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their airway.
Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of
the following findings indicates that the client is experiencing circulatory
overload - ANSWER--Dyspnea
**Dyspnea is an indication of possible transfusion-associated circulatory
overload, leading to hypertension, bounding pulses, and confusion.
Dyspnea can also indicate transfusion-related acute lung injury to an
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1-
LATEST QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS- WITH EXPLANATION
anaphylactic response, which also causes wheezing, chest tightness,
cyanosis, and low BP
A nurse is assessing a client who has lung cancer and is undergoing
radiation therapy to the chest. Which of the following indicates an adverse
effect of the therapy - ANSWER--Altered taste, **due to the release of
metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who
has anemia. Which of the following actions should the nurse plan to take
(select all that apply) - ANSWER--*Obtain pre-transfusion temperature
**Verify the client's blood type with a second nurse
***Use a 20 gauge IV needle for venous access
A nurse is reviewing the laboratory findings for a client who is dehydrated.
Which of the following BUN levels should the nurse expect - ANSWER--26
mg/dL
**Normal range is 10-20.
Elevated levels indicate renal disease, dehydration, shock, excessive
protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other
conditions in which blood is reabsorbed from injured tissues
--
A low BUN level can indicate malnutrition, malabsorption, liver disease,
fluid overload, or nephrotic syndrome
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1-
LATEST QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS- WITH EXPLANATION
A nurse is reviewing ECG strips for several clients. Which of the following
images should the nurse identify as A-Fib - ANSWER--Multiple irregular
and variable waves at the baseline and irregular R to R intervals
A nurse is preparing to admit a client who has a new tracheostomy from the
operating room. Which of the following items is the priority for the nurse to
have available in the client's room upon admission - ANSWER--Obturator
**The obturator can be inserted in the stoma in the event of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed.
For the first 72 hr following the insertion of a trach, dislodgement or
decannulation is considered an emergency
A nurse is caring for a client who had a below the knee amputation due to a
traumatic injury 2 days ago. Which of the following statements should the
nurse use to assess how the client is coping with this change in their body
image - ANSWER--"Tell me how the changes to your leg make you
feel"
A nurse is teaching a client how to administer a medication using an inhaler
with a spacer. Which of the following instructions should the nurse include -
ANSWER--"Shake the inhaler vigorously prior to use"
**Thoroughly shake the inhaler to disperse the medication as it can
separate easily
A nurse in an endoscopy clinic is providing teaching to a client who is to
undergo a colonoscopy for colon cancer screening. Which of the following
information should the nurse provide - ANSWER--"You will need
someone to drive you home after your procedure"
LATEST QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS- WITH EXPLANATION
A nurse is planning care for a client who is receiving mechanical ventilation.
Which of the following actions should the nurse include in the plan -
ANSWER--Provide the client with a means of communication
A nurse is caring for a client who is receiving IV fluid replacement therapy
for dehydration. Which of the following laboratory results indicates
effectiveness of the treatment - ANSWER--Urine Specific Gravity 1.020
**Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for bleeding -
ANSWER--Platelets 80,000
**Normal range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following
a motor vehicle crash. Which of the following interventions is the nurse's
priority while caring for this client - ANSWER--Assist with quad coughing
**The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their airway.
Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of
the following findings indicates that the client is experiencing circulatory
overload - ANSWER--Dyspnea
**Dyspnea is an indication of possible transfusion-associated circulatory
overload, leading to hypertension, bounding pulses, and confusion.
Dyspnea can also indicate transfusion-related acute lung injury to an
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1-
LATEST QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS- WITH EXPLANATION
anaphylactic response, which also causes wheezing, chest tightness,
cyanosis, and low BP
A nurse is assessing a client who has lung cancer and is undergoing
radiation therapy to the chest. Which of the following indicates an adverse
effect of the therapy - ANSWER--Altered taste, **due to the release of
metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who
has anemia. Which of the following actions should the nurse plan to take
(select all that apply) - ANSWER--*Obtain pre-transfusion temperature
**Verify the client's blood type with a second nurse
***Use a 20 gauge IV needle for venous access
A nurse is reviewing the laboratory findings for a client who is dehydrated.
Which of the following BUN levels should the nurse expect - ANSWER--26
mg/dL
**Normal range is 10-20.
Elevated levels indicate renal disease, dehydration, shock, excessive
protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other
conditions in which blood is reabsorbed from injured tissues
--
A low BUN level can indicate malnutrition, malabsorption, liver disease,
fluid overload, or nephrotic syndrome
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1-
LATEST QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS- WITH EXPLANATION
A nurse is reviewing ECG strips for several clients. Which of the following
images should the nurse identify as A-Fib - ANSWER--Multiple irregular
and variable waves at the baseline and irregular R to R intervals
A nurse is preparing to admit a client who has a new tracheostomy from the
operating room. Which of the following items is the priority for the nurse to
have available in the client's room upon admission - ANSWER--Obturator
**The obturator can be inserted in the stoma in the event of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed.
For the first 72 hr following the insertion of a trach, dislodgement or
decannulation is considered an emergency
A nurse is caring for a client who had a below the knee amputation due to a
traumatic injury 2 days ago. Which of the following statements should the
nurse use to assess how the client is coping with this change in their body
image - ANSWER--"Tell me how the changes to your leg make you
feel"
A nurse is teaching a client how to administer a medication using an inhaler
with a spacer. Which of the following instructions should the nurse include -
ANSWER--"Shake the inhaler vigorously prior to use"
**Thoroughly shake the inhaler to disperse the medication as it can
separate easily
A nurse in an endoscopy clinic is providing teaching to a client who is to
undergo a colonoscopy for colon cancer screening. Which of the following
information should the nurse provide - ANSWER--"You will need
someone to drive you home after your procedure"
