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ATI CAPSTONE MED SURG ASSESSMENT NEWEST
2024 VERSION A, B AND C COMPLETE 370
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
ATI CAPSTONE MED SURG ASSESSMENT VERSION A
A triage nurse nds a school-age child lying in the road following
a school
bus crash with multiple casualties. The child has a respiratory
rate of 8/min,
is unresponsive to verbal commands, and groans to painful
stimuli. The
nurse should assign the client which of the following triage tags?
- ANSWER- Red
A nurse is teaching a client who has a new diagnosis of
polycystic kidney
disease. Which of the following statements should the nurse
include in the
teaching? - ANSWER- "
Apply dry heat to your abdomen when needed."
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A nurse is assessing a
client who has right lower lobe pneumonia. Which of
the following findings should the nurse expect? - ANSWER-
Dull percussion sounds
A nurse is providing
teaching to the caregivers of a client who has
Alzheimer's disease. Which of the following instructions should
the nurse
give? (Select all that apply.) - ANSWER- - Install safety locks
and alarm systems.
- Place nightlights throughout the home
- Establish a predictable daily routine for the client.
A nurse is caring for a client who is hyperventilating and has the
following
ABG results: pH 7.50, PaCO 29 mm Hg, and HCO 25 mEq/L.
The nurse should recognize that the client has which of the
following acid-base
imbalances? - ANSWER- - Respiratory alkalosis
Normal range of physiological pH = 7.35 to 7.45.
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Here, the pH is 7.50. So, it is alkalosis.
Normal range of HCO3 = 22 to 28 mEq/L.
Here, the value is 25 mEq/L. It is in normal range. So, it is not
metabolic alkalosis.
Normal range of PaCO2 = 35 to 45 mmHg. But, here is 29
mmHg. It is reduced. Therefore, it is respiratory alkalosis.
Hyperventilation reduced the normal carbon dioxide level.
A nurse is providing discharge teaching for a client who has
COPD about
nutrition. Which of the following instructions should the nurse
include? - ANSWER- Consume high-calorie foods
A nurse is caring for a client who has a right-sided
pneumothorax.
Following chest tube insertion, which of the following findings
indicates
that the chest drainage system is functioning correctly? -
ANSWER- Gentle bubbling in the suction chamber
A nurse is caring for client who has a new diagnosis of
tuberculosis. Which
of the following precautions should the nurse initiate to present
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transmission of the disease? - ANSWER- Airborne precautions
A nurse is planning care for a client who has Ménière's disease
and is
experiencing episodes of vertigo. Which of the following
interventions
should the nurse include in the plan? - ANSWER- Provide a
low-sodium diet
A nurse reviewing laboratory reports for client who is taking
NSAISs for
rheumatoid arthritis. Which of the following results should the
nurse
recognize as a possible adverse effect of NSAID therapy? -
ANSWER- Increased serum potassium
A nurse is assessing a client who is receiving a blood
transfusion. Which of
the following findings indicates the client might be experiencing
a
hemolytic transfusion reaction? - ANSWER- Report of urticaria
A nurse is caring for a
ATI CAPSTONE MED SURG ASSESSMENT NEWEST
2024 VERSION A, B AND C COMPLETE 370
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
ATI CAPSTONE MED SURG ASSESSMENT VERSION A
A triage nurse nds a school-age child lying in the road following
a school
bus crash with multiple casualties. The child has a respiratory
rate of 8/min,
is unresponsive to verbal commands, and groans to painful
stimuli. The
nurse should assign the client which of the following triage tags?
- ANSWER- Red
A nurse is teaching a client who has a new diagnosis of
polycystic kidney
disease. Which of the following statements should the nurse
include in the
teaching? - ANSWER- "
Apply dry heat to your abdomen when needed."
,2|Page
A nurse is assessing a
client who has right lower lobe pneumonia. Which of
the following findings should the nurse expect? - ANSWER-
Dull percussion sounds
A nurse is providing
teaching to the caregivers of a client who has
Alzheimer's disease. Which of the following instructions should
the nurse
give? (Select all that apply.) - ANSWER- - Install safety locks
and alarm systems.
- Place nightlights throughout the home
- Establish a predictable daily routine for the client.
A nurse is caring for a client who is hyperventilating and has the
following
ABG results: pH 7.50, PaCO 29 mm Hg, and HCO 25 mEq/L.
The nurse should recognize that the client has which of the
following acid-base
imbalances? - ANSWER- - Respiratory alkalosis
Normal range of physiological pH = 7.35 to 7.45.
,3|Page
Here, the pH is 7.50. So, it is alkalosis.
Normal range of HCO3 = 22 to 28 mEq/L.
Here, the value is 25 mEq/L. It is in normal range. So, it is not
metabolic alkalosis.
Normal range of PaCO2 = 35 to 45 mmHg. But, here is 29
mmHg. It is reduced. Therefore, it is respiratory alkalosis.
Hyperventilation reduced the normal carbon dioxide level.
A nurse is providing discharge teaching for a client who has
COPD about
nutrition. Which of the following instructions should the nurse
include? - ANSWER- Consume high-calorie foods
A nurse is caring for a client who has a right-sided
pneumothorax.
Following chest tube insertion, which of the following findings
indicates
that the chest drainage system is functioning correctly? -
ANSWER- Gentle bubbling in the suction chamber
A nurse is caring for client who has a new diagnosis of
tuberculosis. Which
of the following precautions should the nurse initiate to present
, 4|Page
transmission of the disease? - ANSWER- Airborne precautions
A nurse is planning care for a client who has Ménière's disease
and is
experiencing episodes of vertigo. Which of the following
interventions
should the nurse include in the plan? - ANSWER- Provide a
low-sodium diet
A nurse reviewing laboratory reports for client who is taking
NSAISs for
rheumatoid arthritis. Which of the following results should the
nurse
recognize as a possible adverse effect of NSAID therapy? -
ANSWER- Increased serum potassium
A nurse is assessing a client who is receiving a blood
transfusion. Which of
the following findings indicates the client might be experiencing
a
hemolytic transfusion reaction? - ANSWER- Report of urticaria
A nurse is caring for a
