Med Surg ATI Capstone Questions And Answers Verified And Updated.

Med Surg ATI Capstone Questions And Answers Verified And Updated. A onurse oon oa omed osurg ounit ois ocaring ofor oa ogroup oof oclients. oThe onurse oshould onotify othe orapid oresponse oteam ofor owhich oof othe ofollowing oclients? A. oClient owho ohas oan oulceration oof othe oright oheel owhose oblood oglucose ois o300 B. oClient owho oreports oright ocalf opain oand oshortness oof obreath C. oClient owho ohas oblood oon oa opressure odressing oin othe ofemoral oarea ofollowing oa ocardiac ocatheterization D. oClient owho ohas odark ored ocoloration oof oleft otoes oand oabsent opedal opulse o- o o o ocorrect oanswer.B A onurse ois ocaring ofor oa oclient owho ohas oingested oa otoxic oagent. oWhich oof othe ofollowing oactions oshould othe onurse oplan oto otake? o(Select oall othat oapply) A. oInduce ovomiting B. oInstill oactivated ocharcoal C. oPerform oa ogastric olavage owith oaspiration D. oAdminister osyrup oof oipecac E. oInfuse oIV ofluids o- o o o ocorrect oanswer.B, oC, oE A onurse oin othe oemergency odepartment ois ocaring ofor oa oclient owho ofell othrough othe oice oon oa opond oand ois ounresponsive oand obreathing oslowly. oWhich oof othe ofollowing oactions oshould othe onurse otake? o(Select oall othat oapply) A. oRemove owet oclothing B. oMaintain onormal oroom otemperature C. oApply owarm oblankets D. oApply oa oheat olamp E. oInfuse owarmed oIV ofluids o- o o o ocorrect oanswer.A, oC, oD, oE A onurse oin othe oED ois oassessing oa oclient owho ois ounresponsive. oThe oclient's opartner ostates, o"He owas opulling oweeds oin othe oyard oand oslumped oto othe oground." oWhich oof othe ofollowing otechniques oshould othe onurse ouse oto oopen othe oclient's oairway? A. oHead-tilt, ochin-lift B. oModified ojaw othrust C. oHyperextension oof othe ohead D. oFlexion oof othe ohead o- o o o ocorrect oanswer.A A onurse ois oreviewing othe ocommon oemergency omanagement oprotocol ofor oclients owho ohave oasystole. oWhich oof othe ofollowing oactions oshould othe onurse oplan oto otake oduring othis ocardiac oemergency? A. oPerform odefibrillation B. oPrepare ofor otranscutaneous opacing C. oAdminister oIV oepinephrine D. oElevate othe oclient's olower oextremities o- o o o ocorrect oanswer.C A onurse ois ocaring ofor oa oclient owho ois opostprocedural ofollowing oLP oand oreports othrobbing oheadache owhen ositting oupright. oWhich oof othe ofollowing oactions oshould othe onurse otake? o(Select oall othat oapply) A. oUse othe oGlasgow oComa oScale owhen oassessing othe oclient B. oAssist othe oclient oto oa osupine oposition C. oAdminister oan oopioid omedication D. oEncourage othe oclient oto oincrease ofluid ointake E. oInstruct othe oclient oto operform odeep obreathing oexercises oand ocoughing oexercises o- o o o ocorrect oanswer.B, oC, oD A onurse ois ocaring ofor oa oclient owho oexperienced oa otraumatic ohead oinjury oand ohas oan ointraventricular ocatheter o(ventriculostomy) ofor oICP omonitoring. oThe onurse oshould omonitor othe oclient ofor owhich oof othe ofollowing ocomplications orelated oto othe oventriculostomy? A. oHeadache B. oInfection C. oAphasia D. oHypertension o- o o o ocorrect oanswer.B A onurse ois oassessing oa oclient ofor ochanges oin othe olevel oof oconsciousness ousing othe oGCS. oThe oclient oopens ohis oeyes owhen ospoken oto, ospeaks oincoherently, oand omoves ohis oextremities owhen opain ois oapplied. oWhich oof othe ofollowing oGCS oscores oshould othe onurse odocument? A. oE2 o+ oV3 o+ oM5 o= o10 B. oE3 o+ oV4 o+ oM4 o= o11 C. oE4 o+ oV5 o+ oM6 o= o15 D. oE2 o+ oV2 o+ oM4 o= o8 o- o o o ocorrect oanswer.B A onurse ois odeveloping oa oplan oof ocare ofor oa oclient owho ois oscheduled ofor ocerebral oangiography owith ocontrast odye. oWhich oof othe ofollowing ostatements oby othe oclient oshould othe onurse oreport oto othe oprovider? o(Select oall othat oapply) A. o"I othink oI omight obe opregnant" B. o"I otake owarfarin" C. o"I otake oantihypertensive omedication" D. o"I oam oallergic oto oshrimp" E. o"I oate oa olight obreakfast othis omorning" o- o o o ocorrect oanswer.A, oB, oD, oE A onurse ois oproviding oeducation oto oa oclient owho ois oto oundergo oan oEEG othe onext oday. oWhich oof othe ofollowing oinformation oshould othe onurse oinclude oin othe oteaching? A. o"Do onot owash oyour ohair othe omorning oof othe oprocedure" B. o"Try oto ostay oawake omost oof othe onight oprior oto othe oprocedure" C. o"The oprocedure owill otake oapproximately o15 ominutes" D. o"You owill oneed oto olie oflat ofor o4 ohours oafter othe oprocedure" o- o o o ocorrect oanswer.B A onurse ois oassessing oa oclient owho oreports osevere oheadache oand oa ostiff oneck. oThe onurse's oassessment oreveals opositive oKernig's oand oBrudzinski's osigns. oWhich oof othe ofollowing oactions oshould othe onurse operform ofirst? A. oAdminister oantibiotics B. oImplement odroplet oprecautions C. oInitiate oIV oaccess D. oDecrease obright olights o- o o o ocorrect oanswer.B A onurse ois oassessing ofor othe opresence oof oBrudzinski's osign oin oa oclient owho ohas osuspected omeningitis. oWhich oof othe ofollowing oactions oshould othe onurse otake owhen operforming othis otechnique? o(Select oall othat oapply) A. oPlace oclient oin osupine oposition B. oFlex oclient's ohip oand oknee C. oPlace ohands obehind othe oclient's oneck D. oBend oclient's ohead otoward ochest E. oStraighten othe oclient's oflexed oleg oat othe oknee o- o o o ocorrect oanswer.A, oC, oD A onurse ois oplanning ocare ofor oa oclient owho ohas omeningitis oand ois oat orisk ofor oincreased oICP. oWhich oof othe ofollowing oactions oshould othe onurse oplan oto otake? o(Select oall othat oapply) A. oImplement oseizure oprecautions B. oPerform oneurological ochecks o4x oa oday C. oAdminister omorphine ofor othe oreport oof oneck oand ogeneralized opain D. oTurn ooff oroom olights oand otelevision E. oMonitor ofor oimpaired oextraocular omovements F. oEncourage othe oclient oto ocough ofrequently o- o o o ocorrect oanswer.A, oD, oE A onurse ois oreviewing othe ouse oof othe omeningococcal ovaccine o(MCV4) ofor othe oprevention oof omeningitis owith oa onewly olicensed onurse. oWhich oof othe ofollowing oinformation oshould othe onurse oinclude? A. oThe ovaccine ois oindicated oto oreduce othe orisk oof orespiratory oinfection B. oThe ovaccine ois oadministered oin oa oseries oof ofour odoses C. oThe ovaccine ois orecommended ofor oadolescents obefore ostarting ocollege D. oThe ovaccine ois oinitially ogiven oat o2 omonths oof oage o- o o o ocorrect oanswer.C A onurse ois oplanning ocare ofor oa oclient owho ohas obacterial omeningitis. oWhich oof othe ofollowing oactions oshould othe onurse oinclude oin othe oplan oof ocare? o(Select oall othat oapply) A. oMonitor ofor obradycardia B. oProvide oan oemesis obasin oat othe obedside C. oAdminister oantipyretic omedication D. oPerform oa oskin oassessment E. oKeep othe oHOB oflat o- o o o ocorrect oanswer.B, oC, oD A onurse ois oassessing oa oclient owho ohas oa oseizure odisorder. oThe oclient oreports ohe othinks ohe ois oabout oto ohave oa oseizure. oWhich oof othe ofollowing oactions oshould othe onurse oimplement? o(Select oall othat oapply) A. oProvide oprivacy B. oEase othe oclient oto othe ofloor oif ostanding C. oMove ofurniture oaway ofrom othe oclient D. oLoosen othe oclient's oclothing E. oProtect othe oclient's ohead owith opadding F. oRestrain othe oclient o- o o o ocorrect oanswer.A, oB, oC, oD, oE A onurse ois ocaring ofor oa oclient owho ojust oexperienced oa ogeneralized oseizure. oWhich oof othe ofollowing oactions oshould othe onurse operform ofirst? A. oKeep othe oclient oin oa oside-lying oposition B. oDocument othe oduration oof othe oseizure C. oReorient othe oclient oto othe oenvironment D. oProvide oclient ohygiene o- o o o ocorrect oanswer.A A onurse ois oproviding odischarge oinstructions oto oa ofemale oclient owho oas oa oprescription ofor ophenytoin. oWhich oof othe ofollowing oinformation oshould othe onurse oinclude? A. oConsider otaking ooral ocontraceptives owhen oon othe omedication B. oWatch ofor oreceding ogums owhen otaking othe omedication C. oTake othe omedication oat othe osame otime oevery oday D. oProvide oa ourine osample oto odetermine otherapeutic olevels oof othe omedication o- o o o ocorrect oanswer.C A onurse ois oreviewing otrigger ofactors othat ocan ocause oseizures owith oa oclient owho ohas oa onew odiagnosis oof ogeneralized oseizures. oWhich oof othe ofollowing oinformation oshould othe onurse oinclude oin othis oreview? o(Select oall othat oapply) A. oAvoid ooverwhelming ofatigue B. oRemove ocaffeinated oproducts ofrom othe odiet C. oLimit olooking oat oflashing olights D. oPerform oaerobic oexercise E. oLimit oepisodes oof ohypoventilation F. oUse oof oaerosol ohairspray ois orecommended o- o o o ocorrect oanswer.A, oB, oC A onurse ois ocompleting odischarge oteaching oto oa oclient owho ohas oseizures oand oreceived oa ovagal onerve ostimulator oto odecrease oseizure oactivity. oWhich oof othe ofollowing ostatements oshould othe onurse oinclude oin othe oteaching? A. o"It ois osafe oto ouse omicrowaves othat oare o1,200 owatts oor oless" B. o"You oshould oavoid othe ouse oof oCT oscans owith ocontrast" C. o"You oshould oplace oa omagnet oover othe oimplantable odevice owhen oyou ofeel oan oaura ooccurring" D. o"It ois orecommended othat oyou ouse oultrasound odiathermy ofor opain omanagement" o- o o o ocorrect oanswer.C A onurse ois ocaring ofor oa oclient owho ohas oMS. oWhich oof othe ofollowing ofindings oshould othe onurse oexpect? A. oFluctuations oin oBP B. oLoss oof ocognitive ofunction C. oIneffective ocough D. oDrooping oeye olids o- o o o ocorrect oanswer.B A onurse ois obeginning oa ophysical oassessment oof oa oclient owho ohas oa onew odiagnosis oof oMS. oWhich oof othe ofollowing ofindings oshould othe onurse oexpect? o(Select oall othat oapply) A. oAreas oof oparesthesia B. oInvoluntary oeye omovements C. oAlopecia D. oIncreased osalivation E. oAtaxia o- o o o ocorrect oanswer.A, oB, oE A onurse ois oteaching oa oclient owho ohas oMS oand oa onew oprescription ofor obaclofen. oWhich oof othe ofollowing ostatements oshould othe onurse oinclude oin othe oteaching? A. o"This omed owill ohelp oyou owith oyour otremors" B. o"This omed owill ohelp oyou owith oyour obladder ofunction" C. o"This omed omay ocause oyour oskin oto obruise oeasily" D. o"This omed omay ocause oyour oskin oto oappear oyellow oin ocolor" o- o o o ocorrect oanswer.D A onurse ois ocaring ofor oa oclient owho owas orecently oadmitted oto othe oED ofollowing oa ohead-on oMVA. oThe oclient ois ounresponsive, ohas ospontaneous orespirations oof o22/min, oand ohas oa olaceration oon othe oforehead othat ois obleeding. oWhich oof othe ofollowing ois othe opriority onursing oaction oat othis otime? A. oKeep oneck ostabilized B. oInsert oNG otube C. oMonitor opulse oand oblood opressure ofrequently D. oEstablish oIV oaccess oand ostart ofluid oreplacement o- o o o ocorrect oanswer.A A onurse ois ocaring ofor oa oclient owho ohas ojust obeen oadmitted ofollowing osurgical oevacuation oof oa osubdural ohematoma. oWhich oof othe ofollowing ois othe opriority oassessment? A. oGlasgow oComa oScale B. oCranial onerve ofunction C. oOxygen osaturation D. oPupillary oresponse o- o o o ocorrect oanswer.C A onurse ois ocaring ofor oa oclient owho ohas oa oclosed-head oinjury owith oICP oreadings oranging ofrom o16-22 omm oHg. oWhich oof othe ofollowing oactions oshould othe onurse otake oto odecrease othe opotential ofor oraising othe oclient's oICP? o(Select oall othat oapply) A. oSuction othe oETT ofrequently B. oDecrease othe onoise olevel oin othe oclient's oroom C. oElevate othe oclient's ohead oon otwo opillows D. oAdminister oa ostool osoftener E. oKeep othe oclient owell ohydrated o- o o o ocorrect oanswer.B, oD A onurse oin othe ocritical ocare ounit ois ocompleting oan oadmission oassessment oof oa oclient owho ohas oa ogunshot owound oto othe ohead. oWhich oof othe ofollowing oassessment ofindings oare oindicative oof oincreased oICP? o(Select oall othat oapply) A. oHeadache B. oDilated opupils C. oTachycardia D. oDecorticate oposturing E. oHypotension o- o o o ocorrect oanswer.A, oB, oD A onurse ois ocaring ofor oa oclient owho ohas oincreased oICP oand oa onew oprescription ofor omannitol. oFor owhich oof othe ofollowing oadverse oeffects oshould othe onurse omonitor? A. oHyperglycemia B. oHyponatremia C. oHypervolemia D. oOliguria o- o o o ocorrect oanswer.B A onurse ois ocaring ofor oa oclient owho ohas oexperienced oa oright-hemispheric ostroke. oWhich oof othe ofollowing oare oexpected ofindings? o(Select oall othat oapply) A. oImpulse ocontrol odifficulty B. oLeft ohemiplegia C. oLoss oof odepth operception D. oAphasia E. oLack oof osituational oawareness o- o o o ocorrect oanswer.A, oB, oC, oE A onurse ois ocaring ofor oa oclient owho ohas oleft ohomonymous ohemianopsia. oWhich oof othe ofollowing ois oan oappropriate onursing ointervention? o A. oTeach othe oclient oto oscan oto othe oright oto osee oobjects oon othe oright oside oof oher obody B. oPlace othe obedside otable oon othe oright oside oof othe obed C. oOrient othe oclient oto othe ofood oon oher oplate ousing othe oclock omethod D. oPlace othe owheelchair oon othe oclient's oleft oside o- o o o ocorrect oanswer.B A onurse ois oplanning ocare ofor oa oclient owho ohas odysphagia oand oa onew odietary oprescription. oWhich oof othe ofollowing oshould othe onurse oinclude oin othe oplan oof ocare? o(Select oall othat oapply) A. oHave osuction oequipment oavailable ofor ouse B. oFeed othe oclient othickened oliquids C. oPlace ofood oon othe ounaffected oside oof othe oclient's omouth D. oAssign oan oAP oto ofeed othe oclient oslowly E. oTeach othe oclient oto oswallow owith oher oneck oflexed o- o o o ocorrect oanswer.A, oB, oC, oE A onurse ois ocaring ofor oa oclient owho ohas oglobal oaphasia o(both oreceptive oand oexpressive). oWhich oof othe ofollowing oshould othe onurse oinclude oin othe oclient's oplan oof ocare? o(Select oall othat oapply) A. oSpeak oto othe oclient oat oa oslower orate B. oAssist othe oclient oto ouse oflash ocards owith opictures C. oSpeak oto othe oclient oin oa oloud ovoice D. oComplete osentences othat othe oclient ocannot ofinish E. oGive oinstructions oone ostep oat oa otime o- o o o ocorrect oanswer.A, oB, oE A onurse ois oassessing oa oclient owho ohas oexperienced oa oleft-hemispheric ostroke. oWhich oof othe ofollowing ois oan oexpected ofinding? A. oImpulse ocontrol odifficulty B. oPoor ojudgement C. oInability oto orecognize ofamiliar oobjects D. oLoss oof odepth operception o- o o o ocorrect oanswer.C A onurse ois oplanning ocare ofor oa oclient owho ohas oa ospinal ocord oinjury o(SCI) oinvolving oa oT12 ofracture o1 oweek oago. oThe oclient ohas ono omuscle ocontrol oof othe olower olimbs, obowel, oor obladder. oWhich oof othe ofollowing oshould othe othe onurse's ohighest opriority? o A. oPrevention oof ofurther odamage oto othe ospinal ocord B. oPrevention oof ocontractures oof othe olower oextremities C. oPrevention oof oskin obreakdown oof oareas othat olack osensation o