ATI CAPSTONE ADULT MEDICAL SURGICAL ASSESSMENT 2 2025| NURSING CARE
SCENARIOS|ACTUAL EXAM 2025|| 168 QUESTIONS WITH VERIFIED CORRECT
ANSWERS
1. A nurse is providing discharge instructions for a patient who is starting to
take carbidopa/levodopa to treat Parkinson's disease. What instruction
should the nurse include in the teaching? This medication can cause your
urine to
turn a dark color (also saliva and sweat)
expect immediate relief
skip a dose
high protein foods
2. A home health nurse is caring for a client who is quadriplegic following a
spinal cord injury and who is adjusting to the home environment. Which of the
following client statements indicate the client is adapting?
"My wife tries to get me to go to the grocery store, but I don't like to
go out much."
"I am using the modified feeding utensils at every meal. I still spill,
but I'm getting better."
"My greatest pleasure each day is having a few beers every day."
"I have all the equipment to take a shower, but I prefer a bed
bath,
because it is easier."
3. A rn is preparing to dc a client who has a new dx of CKD. which of the
following referrals should the nurse plan to initiate?
respiratory therapy
hospice care
,occupational therapy
dietary services
,4. Which of the following is a recognized risk factor for osteoporosis that a
nurse should mention during a patient education session?
Sedentary lifestyle
High protein diet
Regular exercise
Increased calcium intake
5. A patient with obstructive sleep apnea is struggling to adapt to their CPAP
device. What nursing intervention should be prioritized to enhance the
patient's compliance and comfort with the device?
Encourage the patient to use the device only when feeling tired.
Provide education on the importance of consistent use and
offer tips for comfort adjustments.
Suggest the patient switch to a different type of sleep apnea
treatment immediately.
Advise the patient to limit their fluid intake before bedtime.
6. What is the first action a nurse should take if they suspect a client is having
an adverse reaction to a blood transfusion?
Notify the physician
Stop the transfusion
Administer antihistamines
Document the reaction
7. Explain why maintaining NPO status is crucial for a patient with
acute pancreatitis.
, It allows the pancreas to rest and reduces the risk of further
inflammation.
It helps in increasing the patient's appetite. It
prevents the patient from feeling hungry.
It ensures the patient receives adequate hydration.
8. Why is it important for a nurse to educate a patient about the signs
of transplant rejection during discharge teaching?
To ensure the patient understands their medication regimen
To help the patient recognize early symptoms that require
immediate medical attention
To promote a healthy diet post-transplant To
encourage regular exercise after surgery
9. Explain how the ABG results of pH 7.50 and PaCO2 29 mm Hg relate to
the diagnosis of respiratory alkalosis.
The high pH indicates acidosis due to low CO2
The low PaCO2 indicates respiratory compensation for metabolic
acidosis
The elevated pH and low PaCO2 indicate a decrease in
carbonic acid
The normal HCO3- level indicates that the body is compensating for
metabolic alkalosis
10. Why is it important for a nurse to educate a client about the
potential exposure to flashes of light during an EEG?
To ensure the client is aware of possible discomfort
To prepare the client for the possibility of seizures
SCENARIOS|ACTUAL EXAM 2025|| 168 QUESTIONS WITH VERIFIED CORRECT
ANSWERS
1. A nurse is providing discharge instructions for a patient who is starting to
take carbidopa/levodopa to treat Parkinson's disease. What instruction
should the nurse include in the teaching? This medication can cause your
urine to
turn a dark color (also saliva and sweat)
expect immediate relief
skip a dose
high protein foods
2. A home health nurse is caring for a client who is quadriplegic following a
spinal cord injury and who is adjusting to the home environment. Which of the
following client statements indicate the client is adapting?
"My wife tries to get me to go to the grocery store, but I don't like to
go out much."
"I am using the modified feeding utensils at every meal. I still spill,
but I'm getting better."
"My greatest pleasure each day is having a few beers every day."
"I have all the equipment to take a shower, but I prefer a bed
bath,
because it is easier."
3. A rn is preparing to dc a client who has a new dx of CKD. which of the
following referrals should the nurse plan to initiate?
respiratory therapy
hospice care
,occupational therapy
dietary services
,4. Which of the following is a recognized risk factor for osteoporosis that a
nurse should mention during a patient education session?
Sedentary lifestyle
High protein diet
Regular exercise
Increased calcium intake
5. A patient with obstructive sleep apnea is struggling to adapt to their CPAP
device. What nursing intervention should be prioritized to enhance the
patient's compliance and comfort with the device?
Encourage the patient to use the device only when feeling tired.
Provide education on the importance of consistent use and
offer tips for comfort adjustments.
Suggest the patient switch to a different type of sleep apnea
treatment immediately.
Advise the patient to limit their fluid intake before bedtime.
6. What is the first action a nurse should take if they suspect a client is having
an adverse reaction to a blood transfusion?
Notify the physician
Stop the transfusion
Administer antihistamines
Document the reaction
7. Explain why maintaining NPO status is crucial for a patient with
acute pancreatitis.
, It allows the pancreas to rest and reduces the risk of further
inflammation.
It helps in increasing the patient's appetite. It
prevents the patient from feeling hungry.
It ensures the patient receives adequate hydration.
8. Why is it important for a nurse to educate a patient about the signs
of transplant rejection during discharge teaching?
To ensure the patient understands their medication regimen
To help the patient recognize early symptoms that require
immediate medical attention
To promote a healthy diet post-transplant To
encourage regular exercise after surgery
9. Explain how the ABG results of pH 7.50 and PaCO2 29 mm Hg relate to
the diagnosis of respiratory alkalosis.
The high pH indicates acidosis due to low CO2
The low PaCO2 indicates respiratory compensation for metabolic
acidosis
The elevated pH and low PaCO2 indicate a decrease in
carbonic acid
The normal HCO3- level indicates that the body is compensating for
metabolic alkalosis
10. Why is it important for a nurse to educate a client about the
potential exposure to flashes of light during an EEG?
To ensure the client is aware of possible discomfort
To prepare the client for the possibility of seizures
