ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
A nurse is monitoring the laboratory findings for a 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 - CORRECT ANSWERS C Platelets 80,000 platelet range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle crash.
Which of the following interventions is 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 - CORRECT ANSWERS D Assist the client with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the priority
is to ensure the client can clear their airway. Apply abdominal pressure as the client coughs (quad
coughing)
CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
, CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
A nurse is caring for a client who is receiving a blood transfusion. Which of the following findings
indicates that the client is experiencing transfusion-associated circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - CORRECT ANSWERS C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to
hypertension, bounding pulses, and confusion. Dyspnea can also indicate transfusion related acute
lung injury to an anaphylactic response, which also causes wheezing, chest tightness, cyanosis, and
low BP
A nurse is assessing a client who has lung cancer and is undergoing 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 - CORRECT ANSWERS C Altered taste sensations Altered taste is a result of
the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of the
following actions should the nurse plan to take (select all that apply)
A. Obtain pre-transfusion temperature
CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
, CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
B. Prime the IV tubing with lactated Ringer's
C. Instruct an assistive personnel to monitor the client during the transfusion
D. Verify the client's blood type with a second nurse
E. Use a 20 gauge IV needle for venous access - CORRECT ANSWERS A, D, E A, complete assessment
prior to transfusion
D, verify identification, blood compatibility, and expiration of product with second nurse
E, the nurse should use a large bore needle to transfuse the PRBCs to reduce the risk of cell
hemolysis and obstruction of flow
A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the following
BUN levels should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7 mg/dL
D. 26 mg/dL - CORRECT ANSWERS D 26 mg/dL
Normal range is 10-20, and elevated levels indicates renal disease, dehydration, shock, excessive
protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other conditions in which blood is
reabsorbed from injured tissues
A nurse is reviewing ECG strips for several clients. Which of the following images should the nurse
identify as atrial fibrillation
CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS