Science Medicine Nursing
Capstone ATI NCLEX Medical Surgical
Assessment 1, ATI Capstone Adult Medical
Surgical Assessment 2
Save
A nurse is teaching a client D .) "Shake the inhaler vigorously prior to use"
how to administer a Thoroughly shake the inhaler to disperse the
medication using an medication because the medication in the inhaler can
inhaler with a spacer. separate easily
Which of the following
instructions should the
nurse include
A. "Wait at least 5 minutes
between puffs from the
same inhaler"
B. "Breathe in rapidly when
inhaling the medication"
C. "Clean the plastic
inhaler cap weekly with
cold water"
D. "Shake the inhaler
vigorously prior to use"
,A nurse is planning care A.) Provide the client with a means of communication
for a client who is
receiving mechanical Use electronic tablet computer, programmable
ventilation. Which of the speech generating device, alphabet board, pencil and
following actions should paper, etc
the nurse include in the
plan
A. Provide the client with a
means of communication
B. Maintain the head of the
client's bed in a flat
position
C. Suction the client's
endotracheal tube every 4
hr
D. Perform oral hygiene
for the client every 8 hr
A nurse is caring for a C Urine specific gravity 1.020
client who is receiving IV Within the expected range of 1.005-1.030
fluid replacement therapy
for dehydration. Which of
the following laboratory
results indicates
effectiveness of the
treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity
1.020
D. Hct 62%
,A nurse is monitoring the C Platelets 80,000
laboratory findings for a platelet range is 150,000-400,000
client who is
postoperative following a
total hip arthroplasty 6 hr
ago. Which of the
following values indicates
that the client has an
increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million
A nurse is admitting a D Assist the client with quad coughing
client who has a cervical The greatest risk to a client who has a cervical spinal
spinal cord injury cord injury is an obstructed airway; the priority is to
following a motor vehicle ensure the client can clear their airway. Apply
crash. Which of the abdominal pressure as the client coughs (quad
following interventions is coughing)
the nurse's priority while
caring for this client
A. Change the client's
position every 2 hours
B. Pad pressure points at
the edges of the client's
cervical collar
C. Palpate the client's
abdomen for bladder
distention
D. Assist the client with
quad coughing
, A nurse is caring for a C Dyspnea
client who is receiving a Dyspnea is an indication of possible transfusion
blood transfusion. Which associated circulatory overload, leading to
of the following findings hypertension, bounding pulses, and confusion.
indicates that the client is Dyspnea can also indicate transfusion related acute
experiencing transfusion- lung injury to an anaphylactic response, which also
associated circulatory causes wheezing, chest tightness, cyanosis, and low
overload BP
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia
A nurse is assessing a C Altered taste sensations
client who has lung Altered taste is a result of the release of metabolites
cancer and is undergoing by dead cells
radiation therapy to the
chest. Which of the
following indicates an
adverse effect of the
therapy
A. Hair loss on the scalp
B. Sweating at the
treatment site
C. Altered taste sensations
D. Intolerance to cold
Capstone ATI NCLEX Medical Surgical
Assessment 1, ATI Capstone Adult Medical
Surgical Assessment 2
Save
A nurse is teaching a client D .) "Shake the inhaler vigorously prior to use"
how to administer a Thoroughly shake the inhaler to disperse the
medication using an medication because the medication in the inhaler can
inhaler with a spacer. separate easily
Which of the following
instructions should the
nurse include
A. "Wait at least 5 minutes
between puffs from the
same inhaler"
B. "Breathe in rapidly when
inhaling the medication"
C. "Clean the plastic
inhaler cap weekly with
cold water"
D. "Shake the inhaler
vigorously prior to use"
,A nurse is planning care A.) Provide the client with a means of communication
for a client who is
receiving mechanical Use electronic tablet computer, programmable
ventilation. Which of the speech generating device, alphabet board, pencil and
following actions should paper, etc
the nurse include in the
plan
A. Provide the client with a
means of communication
B. Maintain the head of the
client's bed in a flat
position
C. Suction the client's
endotracheal tube every 4
hr
D. Perform oral hygiene
for the client every 8 hr
A nurse is caring for a C Urine specific gravity 1.020
client who is receiving IV Within the expected range of 1.005-1.030
fluid replacement therapy
for dehydration. Which of
the following laboratory
results indicates
effectiveness of the
treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity
1.020
D. Hct 62%
,A nurse is monitoring the C Platelets 80,000
laboratory findings for a platelet range is 150,000-400,000
client who is
postoperative following a
total hip arthroplasty 6 hr
ago. Which of the
following values indicates
that the client has an
increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million
A nurse is admitting a D Assist the client with quad coughing
client who has a cervical The greatest risk to a client who has a cervical spinal
spinal cord injury cord injury is an obstructed airway; the priority is to
following a motor vehicle ensure the client can clear their airway. Apply
crash. Which of the abdominal pressure as the client coughs (quad
following interventions is coughing)
the nurse's priority while
caring for this client
A. Change the client's
position every 2 hours
B. Pad pressure points at
the edges of the client's
cervical collar
C. Palpate the client's
abdomen for bladder
distention
D. Assist the client with
quad coughing
, A nurse is caring for a C Dyspnea
client who is receiving a Dyspnea is an indication of possible transfusion
blood transfusion. Which associated circulatory overload, leading to
of the following findings hypertension, bounding pulses, and confusion.
indicates that the client is Dyspnea can also indicate transfusion related acute
experiencing transfusion- lung injury to an anaphylactic response, which also
associated circulatory causes wheezing, chest tightness, cyanosis, and low
overload BP
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia
A nurse is assessing a C Altered taste sensations
client who has lung Altered taste is a result of the release of metabolites
cancer and is undergoing by dead cells
radiation therapy to the
chest. Which of the
following indicates an
adverse effect of the
therapy
A. Hair loss on the scalp
B. Sweating at the
treatment site
C. Altered taste sensations
D. Intolerance to cold
