Ati capstone nclex medical surgical assessment 1

ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT
d d d d




GREEN ------ NEWdQUESTIONS
YELLOW ---- AGREEDdANSWER
RED --- DOUBLEdCHECK

1. adnursedisdplanningdcaredfordadclientdwhodhasdMeniere'sddiseasedanddhisdexperiencingdepisodesdo
fdvertical.dwhichdofdFollowingdinterventiondshoulddthednursedincludedindthedplandofdcare?
a.d Maintaindstrictdbeddrest ----- pgd75
b. Restrictdfluiddintakedtodthedmorningdhours.
c. Administerdaspirin.
d. Providedadlow-sodiumddiet.

2. adnursedisdassessingdadclientdofdpossibledexposuredofdHIVd.dWhichdofdthedfollowingdfindingsdshoul
ddthednursedidentifydasdandearlydmanifestationdofdHIVdinfection?
a. Stomatitis
b.d Fatigue
c. Wastingdsyndrome
d. Lipodystroph

3. Playdnursedisdteachingdadclientdaboutdusingdcontinuousdpositivedairwaydpressured(CPAP)ddevicedt
odtreatdobstructivedsleepdapnead.dWhichdofdthedfollowingdinformationdshoulddthedclientdincludedi
ndthedteaching?
a. Itddeliversdadpresetdamountdofdinspiratorydpressuredatdthedbeginningdofdeachdbreath-----------
----pgd119??????
b. itdhasdcontinuousdadjustmentdfeaturedthatdchangesdthedairwaydpressuredthroughou
tdthecycle
c. itddeliversdadpresetdamountdofdairwaydpressuredthroughoutdthedbreathingdcycle
d. itddeliversdpositivedpressuredatdthedenddofdeachdbreath

4. Adnursedisdteachingdadclientdaboutdfecaldcultdblooddtestingd(FOBT)dfordthedscreeningdofdcolorecta
ldcancer.dWhichdofdthedfollowingdstatementsdshoulddthednursedincludedindthedteaching?
a. "Yourdproviderdwilldusedstooldfromdyourddigitaldrectaldexaminationdtodperformdthedtest."
b. "Yourdproviderdwilldprescribedadstimulantdlaxativedpriordtodthedproceduredtodevacuatedth
edbowel."
c. "Youdshoulddbegindannualdfecaldoccultdblooddtestingdfordcolorectaldcancerdscreeningdatd4
0dyearsdold."
d.d "Youdshoulddavoiddtakingdcorticosteroidsdpriordtodtesting."
5. Adnursedisdpreparingdadclientdfordadcolonoscopy.dWhichdofdthedfollowingdmedicationdshoulddth
ednursedanticipatedthedproviderdtodprescribedasdandanestheticdfordthedprocedure?
a.d Propofol ----------pgd303
b. Pancuronium
c. Promethazine

, d. Pentoxifylline
6. Adnursedisdteachingdadclientdwhodhasdhypertensiondaboutddietarydmodificationsdtodhelpdcontro
ldblooddpressure.dWhichdofdthedfollowingdfooddchoicesdshoulddthednursedrecommenddasdadbes
tdchoicedfordthedclientdtodincludedindtheirddiet?
a. 1dpacketdofdreconstitutedddrydoniondsoup
b. 3dozdofdleandcureddham
c. 3dozdofdchickendbreast
d.d ½dcupdofdcanneddbakeddbeans

7. AdnursedisdcaringdfordadclientdwhodhasdrheumatoiddarthritisdanddhasdbeendtakingdPrednisone.
Whichdofdthedfollowingdfindingdshoulddthednursedidentifydasdandadversedeffectdofdthisdmedication?

a. Weightdloss

b. hypoglycemia

hypertension c.

d. hyperkalemia

8. Adnursedisdcaringdfordadclientdwhodhasdincreaseddintracranialdpressured(ICPd).dWhichdofdth
edfollowingdinterventiondshoulddthednursedimplement?

a. Placedseveraldpillowsdbehinddthedclient'sdhead
b. placedthedclientdindadSimsdpositiond-dperdp.d83dofd2019dversion,dfirstdinterventiondto
decreasedICPd isdtodelevatedheaddtodatdleastd30
o
c. keepdthedclient'sdneckdindadmidlinedposition

d. maintaindflexiondofdthedclient'sdhipsdatdad90ddegreedangle

9. Adhomedhealthdnursedisdprovidingdteachingdtodthedfamilydofdadclientdwhodhasdadseizureddisorder
.dWhichdofdthedfollowingdinterventiondshoulddthednursedincludedindthedteaching?

a. Keepdadpaddeddtonguedbladedneardthedbedside.

b. Placedadpillowdunderdthedclient'sdheaddwhiledindbeddduringdadseizure.

c. Administerddiazepamdorallydatdthedonsetdofdseizures.
d.d Positiondthedclientdondtheirdsidedduringdadseizure ------- pgd36
10. Adnursedisdassessingdadclientdwhodhasdmeningitisdthednursedshoulddidentifydwhichdofdthedfollowin
gdfindingsdasdadpositivedkernig'sdsign?
a.d Afterdstrokingdthedlateraldareadofdthedfoot,dthedclient'sdtoesdcontractdandddrawdtogether.
b.d Afterdhipdflexion,dthedclientdisdunabledtodextenddtheirdlegdcompletelydwithoutdpain ---- pg
31
c. Thedclient'sdvoluntarydmovementdisdnotdcoordinated.