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ATI CAPSTONE NCLEX MEDICAL SURGICAL ASSES
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SMENT 1|| LATEST 2024- c c c
2025 QUESTIONS AND 100% CORRECT ANSWERS W
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ELL EXPLAINED ALREADY GRADED A+|| LATEST A
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NDCOMPLETE VERSION 2024-
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2025 WITH VERIFIED SOLUTIONS|| ASSURED PASS!!
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!!
A nurse is teaching a client how to administer a medication using an inhaler with aspa
c c c c c c c c c c c c c c c c
cer. Which of the following instructions should the nurse include
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A. "Wait at least 5 minutes between puffs from the same inhaler"
c c c c c c c c c c
B. "Breathe in rapidly when inhaling the medication"c c c c c c
C. "Clean the plastic inhaler cap weekly with cold water"
c c c c c c c c
D. "Shake the inhaler vigorously prior to use" -
c c c c c c c
ANSWER: D .) "Shake the inhalervigorously prior to use"
c c c c c c c c c c
Thoroughly shake the inhaler to disperse the medication because the medication inthe
c c c c c c c c c c c c
inhaler can separate easily
c c c c
A nurse is planning care for a client who is receiving mechanical ventilation.Which of
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the following actions should the nurse include in the plan
c c c c c c c c c c
A. Provide the client with a means of communication
c c c c c c c
B. Maintain the head of the client's bed in a flat position
c c c c c c c c c c
C. Suction the client's endotracheal tube every 4 hr
c c c c c c c
D. Perform oral hygiene for the client every 8 hr -
c c c c c c c c c
ANSWER: A.) Provide theclient with a means of communication
c c c c c c c c c c
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Use electronic tablet computer, programmable speech generating device, alphabetbo
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ard, pencil and paper, etc
c c c c
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydr
c c c c c c c c c c c c c c c
ation. Which of the following laboratory results indicates effectiveness ofthe treatme
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nt
A. Sodium 165 mEq/L c c
B. Potassium 5.2 mEq/L c c
C. Urine specific gravity 1.020 c c c
D. Hct 62% - c c
ANSWER: C Urine specific gravity 1.020Within the exp
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ected range of 1.005-1.030
c c c
A nurse is monitoring the laboratory findings for a client who is postoperative follow
c c c c c c c c c c c c c
ing a total hip arthroplasty 6 hr ago. Which of the following values indicatesthat the cl
c c c c c c c c c c c c c c c c
ient has an increased risk for bleeding
c c c c c c
A. PT 11.5 seconds c c
B. aPTT 35 seconds c c
C. Platelets 80,000 c
D. RBC 4.0 million - c c c
ANSWER: C Platelets 80,000platelet range is 150,0
c c c c c c c c
00-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor v
c c c c c c c c c c c c c c c c
ehicle crash. Which of the following interventions is the nurse's prioritywhile caring f
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or this client
c c
A. Change the client's position every 2 hours c c c c c c
, 3 |cPc ac gc e
B. Pad pressure points at the edges of the client's cervical collar
c c c c c c c c c c
C. Palpate the client's abdomen for bladder distention c c c c c c
D. Assist the client with quad coughing - c c c c c c
ANSWER: D Assist the client with quadcoughing
c c c c c c c c
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airw
c c c c c c c c c c c c c c c c
ay; the priority is to ensure the client can clear their airway. Apply abdominalpressure
c c c c c c c c c c c c c c
as the client coughs (quad coughing)
c c c c c c
A nurse is caring for a client who is receiving a blood transfusion. Which of the follo
c c c c c c c c c c c c c c c c
wing findings indicates that the client is experiencing transfusion-
c c c c c c c c
associatedcirculatory overload c c
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - ANSWER: C Dyspnea c c c c
Dyspnea is an indication of possible transfusion associated circulatory overload,leadi
c c c c c c c c c c
ng to hypertension, bounding pulses, and confusion. Dyspnea can also indicate transf
c c c c c c c c c c c
usion related acute lung injury to an anaphylactic response, whichalso causes wheezi
c c c c c c c c c c c c
ng, chest tightness, cyanosis, and low BP
c c c c c c
A nurse is assessing a client who has lung cancer and is undergoing radiationthe
c c c c c c c c c c c c c c
rapy to the chest. Which of the following indicates an adverse effect of thetherap
c c c c c c c c c c c c c c
y
A. Hair loss on the scalp c c c c
B. Sweating at the treatment site c c c c
C. Altered taste sensations c c
D. Intolerance to cold - ANSWER: C Altered taste sensations c c c c c c c c
ATI CAPSTONE NCLEX MEDICAL SURGICAL ASSES
c c c c c
SMENT 1|| LATEST 2024- c c c
2025 QUESTIONS AND 100% CORRECT ANSWERS W
c c c c c c
ELL EXPLAINED ALREADY GRADED A+|| LATEST A
c c c c c c
NDCOMPLETE VERSION 2024-
c c c
2025 WITH VERIFIED SOLUTIONS|| ASSURED PASS!!
c c c c c
!!
A nurse is teaching a client how to administer a medication using an inhaler with aspa
c c c c c c c c c c c c c c c c
cer. Which of the following instructions should the nurse include
c c c c c c c c c
A. "Wait at least 5 minutes between puffs from the same inhaler"
c c c c c c c c c c
B. "Breathe in rapidly when inhaling the medication"c c c c c c
C. "Clean the plastic inhaler cap weekly with cold water"
c c c c c c c c
D. "Shake the inhaler vigorously prior to use" -
c c c c c c c
ANSWER: D .) "Shake the inhalervigorously prior to use"
c c c c c c c c c c
Thoroughly shake the inhaler to disperse the medication because the medication inthe
c c c c c c c c c c c c
inhaler can separate easily
c c c c
A nurse is planning care for a client who is receiving mechanical ventilation.Which of
c c c c c c c c c c c c c c
the following actions should the nurse include in the plan
c c c c c c c c c c
A. Provide the client with a means of communication
c c c c c c c
B. Maintain the head of the client's bed in a flat position
c c c c c c c c c c
C. Suction the client's endotracheal tube every 4 hr
c c c c c c c
D. Perform oral hygiene for the client every 8 hr -
c c c c c c c c c
ANSWER: A.) Provide theclient with a means of communication
c c c c c c c c c c
,2 |cPc ac gc e
Use electronic tablet computer, programmable speech generating device, alphabetbo
c c c c c c c c c
ard, pencil and paper, etc
c c c c
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydr
c c c c c c c c c c c c c c c
ation. Which of the following laboratory results indicates effectiveness ofthe treatme
c c c c c c c c c c c
nt
A. Sodium 165 mEq/L c c
B. Potassium 5.2 mEq/L c c
C. Urine specific gravity 1.020 c c c
D. Hct 62% - c c
ANSWER: C Urine specific gravity 1.020Within the exp
c c c c c c c c c
ected range of 1.005-1.030
c c c
A nurse is monitoring the laboratory findings for a client who is postoperative follow
c c c c c c c c c c c c c
ing a total hip arthroplasty 6 hr ago. Which of the following values indicatesthat the cl
c c c c c c c c c c c c c c c c
ient has an increased risk for bleeding
c c c c c c
A. PT 11.5 seconds c c
B. aPTT 35 seconds c c
C. Platelets 80,000 c
D. RBC 4.0 million - c c c
ANSWER: C Platelets 80,000platelet range is 150,0
c c c c c c c c
00-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor v
c c c c c c c c c c c c c c c c
ehicle crash. Which of the following interventions is the nurse's prioritywhile caring f
c c c c c c c c c c c c c
or this client
c c
A. Change the client's position every 2 hours c c c c c c
, 3 |cPc ac gc e
B. Pad pressure points at the edges of the client's cervical collar
c c c c c c c c c c
C. Palpate the client's abdomen for bladder distention c c c c c c
D. Assist the client with quad coughing - c c c c c c
ANSWER: D Assist the client with quadcoughing
c c c c c c c c
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airw
c c c c c c c c c c c c c c c c
ay; the priority is to ensure the client can clear their airway. Apply abdominalpressure
c c c c c c c c c c c c c c
as the client coughs (quad coughing)
c c c c c c
A nurse is caring for a client who is receiving a blood transfusion. Which of the follo
c c c c c c c c c c c c c c c c
wing findings indicates that the client is experiencing transfusion-
c c c c c c c c
associatedcirculatory overload c c
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - ANSWER: C Dyspnea c c c c
Dyspnea is an indication of possible transfusion associated circulatory overload,leadi
c c c c c c c c c c
ng to hypertension, bounding pulses, and confusion. Dyspnea can also indicate transf
c c c c c c c c c c c
usion related acute lung injury to an anaphylactic response, whichalso causes wheezi
c c c c c c c c c c c c
ng, chest tightness, cyanosis, and low BP
c c c c c c
A nurse is assessing a client who has lung cancer and is undergoing radiationthe
c c c c c c c c c c c c c c
rapy to the chest. Which of the following indicates an adverse effect of thetherap
c c c c c c c c c c c c c c
y
A. Hair loss on the scalp c c c c
B. Sweating at the treatment site c c c c
C. Altered taste sensations c c
D. Intolerance to cold - ANSWER: C Altered taste sensations c c c c c c c c
