RN ATI CAPSTONE MED SURG EXAM NEWEST
2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - ....ANSWER...C Altered taste
sensations
Altered taste is a result of 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)
A. Obtain pre-transfusion temperature
B. Prime the IV tubing with lactated Ringer's
C. Instruct an assistive personnel to monitor the client
during the transfusion
,D. Verify the client's blood type with a second nurse
E. Use a 20 gauge IV needle for venous access -
....ANSWER...A, D, E
A, complete assessment prior to transfusion
D, verify identification, blood compatibility, and
expiration of product with second nurse
E, the nurse should use a large bore needle to
transfuse the PRBCs to reduce the risk of cell
hemolysis and obstruction of flow
A nurse is reviewing the laboratory findings for a client
who is dehydrated. Which of the following BUN levels
should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7 mg/dL
D. 26 mg/dL - ....ANSWER...D 26 mg/dL
Normal range is 10-20, and elevated levels indicates
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 nurse is reviewing ECG strips for several clients.
Which of the following images should the nurse identify
as atrial fibrillation
(cannot insert pictures, read description)
,A. multiple irregular and variable waves at the baseline
and irregular R to R intervals
B. a rate of 140-180/min
C. a tachycardia with no identifiable P wave and is
determined to originate somewhere other than the
ventricles. Rate between 100-280/min
D. a P wave for every QRS, rate is 60-100/min -
....ANSWER...A.) 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
A. Obturator
B. Hydrogen peroxide
C. Sterile gloves
D. Inner cannula - ....ANSWER...A.) Obturator
The obturator can be inserted in the stoma in the even
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
A. "Tell me how the changes to your leg make you feel"
B. "What potential changes do you think you'll need to
make when doing your job"
C. "Let's discuss how you can adjust once you have a
prosthesis"
D. "What are some possible issues that you foresee
when completing self-management tasks" -
....ANSWER...A .) "Tell me how the changes to your leg
make you feel"
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
A. "You should have nothing to eat or drink for 3 hours
prior to the procedure"
B. "You should drink the bowel preparation slowly to
prevent nausea"
C. "You will have no discomfort following the
procedure"
D. "You will need someone to drive you home after your
procedure" - ....ANSWER...D.) "You will need someone to
drive you home after your procedure"
Do not drive for 12-18 hours following the procedure,
because during a colonoscopy, the pt receives
moderate sedation
2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - ....ANSWER...C Altered taste
sensations
Altered taste is a result of 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)
A. Obtain pre-transfusion temperature
B. Prime the IV tubing with lactated Ringer's
C. Instruct an assistive personnel to monitor the client
during the transfusion
,D. Verify the client's blood type with a second nurse
E. Use a 20 gauge IV needle for venous access -
....ANSWER...A, D, E
A, complete assessment prior to transfusion
D, verify identification, blood compatibility, and
expiration of product with second nurse
E, the nurse should use a large bore needle to
transfuse the PRBCs to reduce the risk of cell
hemolysis and obstruction of flow
A nurse is reviewing the laboratory findings for a client
who is dehydrated. Which of the following BUN levels
should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7 mg/dL
D. 26 mg/dL - ....ANSWER...D 26 mg/dL
Normal range is 10-20, and elevated levels indicates
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 nurse is reviewing ECG strips for several clients.
Which of the following images should the nurse identify
as atrial fibrillation
(cannot insert pictures, read description)
,A. multiple irregular and variable waves at the baseline
and irregular R to R intervals
B. a rate of 140-180/min
C. a tachycardia with no identifiable P wave and is
determined to originate somewhere other than the
ventricles. Rate between 100-280/min
D. a P wave for every QRS, rate is 60-100/min -
....ANSWER...A.) 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
A. Obturator
B. Hydrogen peroxide
C. Sterile gloves
D. Inner cannula - ....ANSWER...A.) Obturator
The obturator can be inserted in the stoma in the even
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
A. "Tell me how the changes to your leg make you feel"
B. "What potential changes do you think you'll need to
make when doing your job"
C. "Let's discuss how you can adjust once you have a
prosthesis"
D. "What are some possible issues that you foresee
when completing self-management tasks" -
....ANSWER...A .) "Tell me how the changes to your leg
make you feel"
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
A. "You should have nothing to eat or drink for 3 hours
prior to the procedure"
B. "You should drink the bowel preparation slowly to
prevent nausea"
C. "You will have no discomfort following the
procedure"
D. "You will need someone to drive you home after your
procedure" - ....ANSWER...D.) "You will need someone to
drive you home after your procedure"
Do not drive for 12-18 hours following the procedure,
because during a colonoscopy, the pt receives
moderate sedation
