CAPSTONE MED SURG PRE-ASSESSMENT QUESTIONS AND
ANSWERS
A nurse is collecting data from an older adult client who has a femoral
fracture 24 hr. ago and is in Buck's traction. Which of the following
findings is an indication of fat embolism syndrome? (Correct answer)
petechiae on the chest
A nurse is reinforcing discharge teaching on actions that improve gas
exchange to a client diagnosed with emphysema. which of the following
instructions should be included in the teaching? (Correct answer)
Breathe in through her nose and out through pursed lips.
A nurse is reinforcing teaching with a client who has a family history of
hypertension. The nurse should inform the client that his blood pressure
reading of 124/84 mm Hg places him in which of the following
categories? (Correct answer) Prehypertension
A nurse is caring for a client whose arterial blood gas results show the
following results: pH 7.2, PaCO2 50mm Hg, HCO3 24mEq/L. The
nurse should identify the client is experiencing which of the following
acid-base conditions? (Correct answer) Respiratory acidosis
A nurse finds a client who has type 1 diabetes mellitus lying in bed,
sweating, tachycardic, and reporting feeling lightheaded and shaky.
which of the following complications should the nurse expect?
(Correct answer) Hypoglycemia
, A nurse is collecting data from a client who has left-sided heart failure.
Which of the following findings should the nurse expect? (Correct
answer) Shortness of breath while lying down
A nurse is assisting with the care of a client who is receiving packed red
blood cells. During the infusion, the client states, "My heart is racing."
The nurse notes that the clients face has become flushed. Which of the
following actions should the nurse take first? (Correct answer) Stop the
transfusion.
A nurse is caring for a client who has end-stage renal disease and must
limit protein intake. Which of the following foods should the nurse plan
to include in the client's diet? (Correct answer) eggs
A nurse is collecting data on a client who has acute pancreatitis. Which
of the following factors should the nurse anticipate in the client's
history?1) (Correct answer) Gallstones
A nurse is caring for a child who is experiencing an acute asthma attack.
Which of the following medications should the nurse administer first?
(Correct answer) Albuterol
A nurse is monitoring a client following a hemodialysis treatment
through an arteriovenous (AV) fistula. Which of the following findings
should the nurse report to the provider?1. (Correct answer) headache,
restlessness
A nurse is collecting data from a client who has Parkinson's disease and
is experiencing bradykinesia. Which of the following findings should the
nurse expect? (Correct answer) Slurred speech
A nurse is assessing an older adult client who has a urinary tract
infection (UTI). Which of the following findings should the nurse
identify as unique for this age group? (Correct answer) Confusion
ANSWERS
A nurse is collecting data from an older adult client who has a femoral
fracture 24 hr. ago and is in Buck's traction. Which of the following
findings is an indication of fat embolism syndrome? (Correct answer)
petechiae on the chest
A nurse is reinforcing discharge teaching on actions that improve gas
exchange to a client diagnosed with emphysema. which of the following
instructions should be included in the teaching? (Correct answer)
Breathe in through her nose and out through pursed lips.
A nurse is reinforcing teaching with a client who has a family history of
hypertension. The nurse should inform the client that his blood pressure
reading of 124/84 mm Hg places him in which of the following
categories? (Correct answer) Prehypertension
A nurse is caring for a client whose arterial blood gas results show the
following results: pH 7.2, PaCO2 50mm Hg, HCO3 24mEq/L. The
nurse should identify the client is experiencing which of the following
acid-base conditions? (Correct answer) Respiratory acidosis
A nurse finds a client who has type 1 diabetes mellitus lying in bed,
sweating, tachycardic, and reporting feeling lightheaded and shaky.
which of the following complications should the nurse expect?
(Correct answer) Hypoglycemia
, A nurse is collecting data from a client who has left-sided heart failure.
Which of the following findings should the nurse expect? (Correct
answer) Shortness of breath while lying down
A nurse is assisting with the care of a client who is receiving packed red
blood cells. During the infusion, the client states, "My heart is racing."
The nurse notes that the clients face has become flushed. Which of the
following actions should the nurse take first? (Correct answer) Stop the
transfusion.
A nurse is caring for a client who has end-stage renal disease and must
limit protein intake. Which of the following foods should the nurse plan
to include in the client's diet? (Correct answer) eggs
A nurse is collecting data on a client who has acute pancreatitis. Which
of the following factors should the nurse anticipate in the client's
history?1) (Correct answer) Gallstones
A nurse is caring for a child who is experiencing an acute asthma attack.
Which of the following medications should the nurse administer first?
(Correct answer) Albuterol
A nurse is monitoring a client following a hemodialysis treatment
through an arteriovenous (AV) fistula. Which of the following findings
should the nurse report to the provider?1. (Correct answer) headache,
restlessness
A nurse is collecting data from a client who has Parkinson's disease and
is experiencing bradykinesia. Which of the following findings should the
nurse expect? (Correct answer) Slurred speech
A nurse is assessing an older adult client who has a urinary tract
infection (UTI). Which of the following findings should the nurse
identify as unique for this age group? (Correct answer) Confusion
