NURS 406 CAPSTONE MED SURGE
ASSESSMENT GRADED A+ QUESTIONS
1. A nurse is teaching a client about using a continuous positive airway pressure (CPAP)
device to treat obstructive sleep apnea. Which of the following information should the
nurse include in the teaching?
It delivers a present amount of airway pressure throughout the breathing
cycle
2. A nurse is providing discharge teaching to a client following a heart transplant. Which
of the following information should the nurse include in the teaching?
Shortness of breath might be an indication of transplant rejection
3. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) and is receiving 3 % sodium chloride via continuous IV. Which of the
following laboratory finding should the nurse identify as an indication that the SIADH
is resolving? Urine specific gravity 1.020
4. A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening
of colorectal cancer. Which of the following statements should the nurse include in the
teaching?
You should avoid taking corticosteroids prior to testing
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?
Propofol
6. A nurse is planning care for a client who has acute pancreatitis. Which of the following
interventions should the nurse include in the clients plan?
Select all that apply.
Monitor blood glucose levels
Maintain NPO status until pain-free
Manage acute pain
pg. 1
,7. 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 client to include in their diet?
3 oz of chicken breast
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of
the findings should the nurse report to the provider? Breath Sounds
9. A nurse is providing discharge instructions to a client who has GERD. Which of the
following statements by the client demonstrates an understanding of the teaching?
I will limit activities that require bending at the waist.
10.A nurse at a provide office is interviewing a client who has multiple sclerosis and has
been taking dantrolone for several months. Which of the following client statements
should the nurse identify as an indication that the medication is effective?
I don’t have muscle spasms as frequently
11.A nurse is assessing a client who reports a possible exposure to HIV. Which of the
following finding should the nurse identify as an early manifestation of HIV infection?
Fatigue
12.A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia
.which of the following statements by the client indicates an understanding of the
teaching?
I can drink 4 ounces of soda if my blood sugar is low
13.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?
Increase intake of high-potassium foods
pg. 2
, 14.A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about their altered appearance .Which of the following statements should
the nurse make?
It could be helpful for you to attend a support group for people who have
burn injuries.
15.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? Monitor the client skin under the halo vest.
16.A nurse is caring for a client who has a traumatic brain injury. Which of the following
finding should indicate to the nurse the need for immediate intervention?
Respiratory rate 30/min
17.A nurse is assessing a client who has meningitis. The nurse should identify which of
the following finding as a positive Kerning s sign? After stroking the lateral area of
the foot, the client’s toes contract and draw together.
After hip flexion, the client is unable to extend their leg completely without
pain
18.A nurse is teaching a group of assistive personnel (AP) about caring for client who
have Alzheimer’s disease. Which of the following information should the nurse
include in the teaching?
Provide supervision to prevent a client from becoming injured or lost.
19.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?
Keep a padded tongue blade near the bedside.
Place a pillow under the client's head while in bed during a seizure.
Administer diazepam orally at the onset of seizures.
Position the client on their side during a seizure.
20.A nurse is contributing to the plan of care for a client who has pyelonephritis. Which
of the following interventions should the nurse include?
Encourage the client to consume caffeinated beverages
pg. 3
ASSESSMENT GRADED A+ QUESTIONS
1. A nurse is teaching a client about using a continuous positive airway pressure (CPAP)
device to treat obstructive sleep apnea. Which of the following information should the
nurse include in the teaching?
It delivers a present amount of airway pressure throughout the breathing
cycle
2. A nurse is providing discharge teaching to a client following a heart transplant. Which
of the following information should the nurse include in the teaching?
Shortness of breath might be an indication of transplant rejection
3. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) and is receiving 3 % sodium chloride via continuous IV. Which of the
following laboratory finding should the nurse identify as an indication that the SIADH
is resolving? Urine specific gravity 1.020
4. A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening
of colorectal cancer. Which of the following statements should the nurse include in the
teaching?
You should avoid taking corticosteroids prior to testing
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?
Propofol
6. A nurse is planning care for a client who has acute pancreatitis. Which of the following
interventions should the nurse include in the clients plan?
Select all that apply.
Monitor blood glucose levels
Maintain NPO status until pain-free
Manage acute pain
pg. 1
,7. 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 client to include in their diet?
3 oz of chicken breast
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of
the findings should the nurse report to the provider? Breath Sounds
9. A nurse is providing discharge instructions to a client who has GERD. Which of the
following statements by the client demonstrates an understanding of the teaching?
I will limit activities that require bending at the waist.
10.A nurse at a provide office is interviewing a client who has multiple sclerosis and has
been taking dantrolone for several months. Which of the following client statements
should the nurse identify as an indication that the medication is effective?
I don’t have muscle spasms as frequently
11.A nurse is assessing a client who reports a possible exposure to HIV. Which of the
following finding should the nurse identify as an early manifestation of HIV infection?
Fatigue
12.A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia
.which of the following statements by the client indicates an understanding of the
teaching?
I can drink 4 ounces of soda if my blood sugar is low
13.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?
Increase intake of high-potassium foods
pg. 2
, 14.A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about their altered appearance .Which of the following statements should
the nurse make?
It could be helpful for you to attend a support group for people who have
burn injuries.
15.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? Monitor the client skin under the halo vest.
16.A nurse is caring for a client who has a traumatic brain injury. Which of the following
finding should indicate to the nurse the need for immediate intervention?
Respiratory rate 30/min
17.A nurse is assessing a client who has meningitis. The nurse should identify which of
the following finding as a positive Kerning s sign? After stroking the lateral area of
the foot, the client’s toes contract and draw together.
After hip flexion, the client is unable to extend their leg completely without
pain
18.A nurse is teaching a group of assistive personnel (AP) about caring for client who
have Alzheimer’s disease. Which of the following information should the nurse
include in the teaching?
Provide supervision to prevent a client from becoming injured or lost.
19.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?
Keep a padded tongue blade near the bedside.
Place a pillow under the client's head while in bed during a seizure.
Administer diazepam orally at the onset of seizures.
Position the client on their side during a seizure.
20.A nurse is contributing to the plan of care for a client who has pyelonephritis. Which
of the following interventions should the nurse include?
Encourage the client to consume caffeinated beverages
pg. 3
