ATI Capstone Adult Medical
Surgical Assessment 2 Exam
Questions with Complete
Answers
1. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer's
disease. Which of the following information should the nurse include in the teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost - Correct Answers: Provide
supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should initiate interventions
to keep the client safe, such as redirection, frequent monitoring, and reorientation. The AP should
encourage a client who has Alzheimer's disease to participate in activities for as long as possible because
socializing with others can provide the client with comfort = D
A nurse is developing a plan of care for a client who will be placed in halo traction following surgical
repair of the cervical spine. Which of the following interventions should the nurse include in the plan? -
Correct Answers: Monitor the client's skin under the halo vest
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instructions should the nurse include? - Correct Answers: Consume high-calorie foods
4. A nurse is caring for a client who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease? - Correct Answers:
Airborne precautions
5. A nurse is preparing a client for a colonoscopy. Which of the following medications should the nurse
anticipate the provider to prescribe as an anesthetic for the procedure? - Correct Answers: Propofol
, 6. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following
should the nurse include as a risk factor for osteoporosis? - Correct Answers: Early menopause
7. A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the
following findings should the nurse notify the provider? - Correct Answers: The dressing was changed 7
days ago
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of the following
findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate 26/min, urine
output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with crackles
heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase - Correct Answers:
Breath sounds
9. A nurse is planning care for a group of postoperative clients. Which of the following interventions
should the nurse identify as the priority? - Correct Answers: Administer oxygen to a client who has an
oxygen saturation of 91%
10. A nurse is providing discharge teaching to a client who has heart failure and a prescription for
furosemide 20 mg PO two times daily. Which of the following instructions should the nurse include in
the teaching? - Correct Answers: Increase intake of high-potassium foods
A nurse is teaching a client who has hypertension about dietary modifications to help control blood
pressure. Which of the following food choices should the nurse recommend as the best choice for the
client to include in their diet? - Correct Answers: 3 oz of chicken breast
12. A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which
of the following interventions should the nurse include in the teaching? - Correct Answers: Position the
client on their side during a seizure
13. A nurse is assessing a client who has meningitis. The nurse should identify which of the following
findings as a positive Kernig's sign? - Correct Answers: After hip flexion, the client is unable to extend
their leg completely without pain
Surgical Assessment 2 Exam
Questions with Complete
Answers
1. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer's
disease. Which of the following information should the nurse include in the teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost - Correct Answers: Provide
supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should initiate interventions
to keep the client safe, such as redirection, frequent monitoring, and reorientation. The AP should
encourage a client who has Alzheimer's disease to participate in activities for as long as possible because
socializing with others can provide the client with comfort = D
A nurse is developing a plan of care for a client who will be placed in halo traction following surgical
repair of the cervical spine. Which of the following interventions should the nurse include in the plan? -
Correct Answers: Monitor the client's skin under the halo vest
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instructions should the nurse include? - Correct Answers: Consume high-calorie foods
4. A nurse is caring for a client who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease? - Correct Answers:
Airborne precautions
5. A nurse is preparing a client for a colonoscopy. Which of the following medications should the nurse
anticipate the provider to prescribe as an anesthetic for the procedure? - Correct Answers: Propofol
, 6. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following
should the nurse include as a risk factor for osteoporosis? - Correct Answers: Early menopause
7. A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the
following findings should the nurse notify the provider? - Correct Answers: The dressing was changed 7
days ago
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of the following
findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate 26/min, urine
output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with crackles
heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase - Correct Answers:
Breath sounds
9. A nurse is planning care for a group of postoperative clients. Which of the following interventions
should the nurse identify as the priority? - Correct Answers: Administer oxygen to a client who has an
oxygen saturation of 91%
10. A nurse is providing discharge teaching to a client who has heart failure and a prescription for
furosemide 20 mg PO two times daily. Which of the following instructions should the nurse include in
the teaching? - Correct Answers: Increase intake of high-potassium foods
A nurse is teaching a client who has hypertension about dietary modifications to help control blood
pressure. Which of the following food choices should the nurse recommend as the best choice for the
client to include in their diet? - Correct Answers: 3 oz of chicken breast
12. A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which
of the following interventions should the nurse include in the teaching? - Correct Answers: Position the
client on their side during a seizure
13. A nurse is assessing a client who has meningitis. The nurse should identify which of the following
findings as a positive Kernig's sign? - Correct Answers: After hip flexion, the client is unable to extend
their leg completely without pain
