MED SURG CAPTSONE, MED SURG 2, ATI CAPSTONE ADULT MEDICAL SURGICAL
ASSESSMENT 2, CAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 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
a. it has continuous adjustment feature that changes the airway pressure
throughout the cycle
b. it deliver a present amount of airway pressure throughout the breathing cycle
c. it delivers positive pressure at the end of each breath
b. it deliver a present amount of airway pressure throughout the breathing cycle
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?
a. Immunosuppressant medications need to be taken for up to 1 year.
b. Shortness of breath might be an indication of transplant rejection.
c. The surgical site will heal in 3 to 4 weeks after surgery.
d. Begin 45 min of moderate aerobic exercise per day following discharge
b. Shortness of breath might be an indication of transplant rejection.
a nurse is caring for a pt who has SIADH (Syndrome of inappropriate antidiuretic
hormone) , and is receiving 3% sodium chloride via continuous IV, what lab
findings should the nurse identify as an indication the SIADH is resolving
1. bp
2. hr
3. temperature
4. urine specific gravity of 1.020
4. urine specific gravity of 1.020
a nurse is teaching a pt about fecal occult blood testing (FOBT) for the screening
of colorectal cancer, what statement should the nurse include in the teaching
a. your provider will use stool from your digital rectal examination to perform the
test
b. your provider will prescribe a stimulate laxative prior to the procedure to
evacuate the bowel
c. you should avoid taking corticosteroids prior to testing
d. you should began annual fecal oscular blood testing
c. you should avoid taking corticosteroids prior to testing
a nurse is preparing a client for a colonoscopy. which of the following
medications should the nurse anticipate the provider to prescribe as an
anethicetic for the procedure
a. promethazine
b. pancuronium
c. propofol
d. pentoxiflyine
propofol
,a nurse is caring for a pt who has acute pancreatitis, what intervention should the
nurse include in the client's plan of care. select all that apply
a. monitor BG levels
b. maintain NPO status until pain free c.manage acute pain
d. eat all the food
e. call the provider
a. monitor BG levels
b. maintain NPO status until pain free c.manage acute pain
a nurse is teaching a client who has hypertension about dietary modifications to
help control BP, what food choices should the nurse recommend
3 oz of chicken breast
yogurt
orange juice
pasta
3 oz of chicken breast
a nurse is reviewing the med record of a pt who has unstable angina, what finding
should the nurse report to the provider
a. breath sounds
b. heart sounds
c. temperature
d. blood pressure
e. creatine kinase
a. breath sounds
multiple sclerosis and taking dantrolone for several months. how do you know
the medication is working
i dont have muscle spams as frequently
a nurse is providing teaching to a pt who reports a possible exposure to HIV,
what finding would the nurse say is an early manifestation of the infection
a. fatigue
b. stomatitis
c. excitement
d. wasting syndrome
a. fatigue
a nurse is teaching a pt who has type 1 DM about hypoglycemia, what statement
by the pt indicates an understanding of the teaching
a. exercise reduces the risk for hypoglycemia
b. i can drink 4 ounces of soda if my blood sugar is low
c. i can skip a meal
d. diabetic pills dont cause hypoglycemia
b. i can drink 4 ounces of soda if my blood sugar is low
a nurse is providing discharge teaching to a pt who has heart failure and a
prescription for furosemide 20 mg PO two times a day, what instruction should
,the nurse include in the teaching
a. decrease intake of high potassium foods
b. monitor for increased blood pressure
c. increase the intake of high potassium foods
d. take a second dose at bedtime
c. increase the intake of high potassium foods
a nurse is in a burn tx center is caring for a client who is admitted with severe
burns to both lower extremities and is scheduled for an escharotomy, the client's
spouse asks the nurse what the procedure entails, which of the following
statements made by the nurse is appropriate
a. large incisions will be made in the eschar to improve circulation
b. it could be helpful for you to attend a support group for people that have a lot
of burn injuries
a. large incisions will be made in the eschar to improve circulation
b. it could be helpful for you to attend a support group for people that have a lot of burn
injuries
a nurse is assessing a pt who has meningitis, the nurse should identify which of
the following findings as a positive Kernig's sign
Never
after hip flexion, the pt is unstable to extend his leg completely without pain
before hip flexion
during hip flexion
after hip flexion, the pt is unstable to extend his leg completely without pain
a nurse is caring for a client who had an intravenous pyelogram (IVP) which of
the following interventions should the nurse implement
a. encourage caffeinated drinks
b. encourage an increase in fluid intake
c. monitor the client for urine change
d. antibotic therapy
b. encourage an increase in fluid intake
a nurse is caring for a pt who is hyperventilating and whose ABG results are pH
7.5, PaCO2 29, HCO3 25, based on this information the nurse should recognize
that the client has what imbalance
a. metabolic alkalosis
b. metabolis acidosis
c. respiratory alkalosis
d. respiratory acidosis
respiratory alkalosis
a nurse is proving discharge teaching for a client who has COPD about nutrition.
which of the following instructions should the nurse include
a. eat 3 large meals
b. consume high calorie food
c. limit caffeinated drinks
d. drinks fluids
, b. consume high calorie food
a nurse is caring for a pt who has right sided pneumothorax, following chest tube
insertion what finding indicates that the chest drainage system is functioning
correctly
a. gentle bubbling in the suction chamber
b. crepitus around the insertion site
c. constant bubbling in the water seal chamber.
4. absence of breaths
a. gentle bubbling in the suction chamber
a nurse is caring for a pt who is 2hr postoperative following a TURP, what
assessment should be an indication of a postoperative complication
output of burgundy colored urine
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the
client might be experiencing neurogenic shock
b. heart rate 52/min
a nurse is assessing a pt who has meningitis, the nurse should identify which of
the following findings as a positive Kernig's sign
a. reports pain and stiffness when exiting their neck
b. after hip flexion, the pt is unstable to extend his leg completely without pain
c. voluntary movement
b. after hip flexion, the pt is unstable to extend his leg completely without pain
a nurse is teaching a pt who has osteoarthritis and is scheduled for a left hip
arthroplasty, the nurse should explain that which of the following is the purpose
of the procedure
a. improve joint range of motion
b. no range of motion
d. decrease range of motion
a. improve joint range of motion
a nurse in a rural community center is providing education to clients about first
aid interventions for snake bites, what should the nurse include
a. apply ice pack
b. place tournqiute above
c. immobilize the affected extremity with a splint
d. elevate unaffect leg
c. immobilize the affected extremity with a splint
a nurse is providing discharge instructions for a pt who is starting to take
carbidopa/levodopa to treat PD, what instruction should the nurse include in the
teaching
this med can cause your urine to
a. turn a dark color(also saliva and sweat)
b. expect immediate relief
c. skip a dose
d high protein foods
turn a dark color(also saliva and sweat)
a nurse is providing dietary teaching to a pt who has chronic cholecystitis, what
diet should the nurse recommend
ASSESSMENT 2, CAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 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
a. it has continuous adjustment feature that changes the airway pressure
throughout the cycle
b. it deliver a present amount of airway pressure throughout the breathing cycle
c. it delivers positive pressure at the end of each breath
b. it deliver a present amount of airway pressure throughout the breathing cycle
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?
a. Immunosuppressant medications need to be taken for up to 1 year.
b. Shortness of breath might be an indication of transplant rejection.
c. The surgical site will heal in 3 to 4 weeks after surgery.
d. Begin 45 min of moderate aerobic exercise per day following discharge
b. Shortness of breath might be an indication of transplant rejection.
a nurse is caring for a pt who has SIADH (Syndrome of inappropriate antidiuretic
hormone) , and is receiving 3% sodium chloride via continuous IV, what lab
findings should the nurse identify as an indication the SIADH is resolving
1. bp
2. hr
3. temperature
4. urine specific gravity of 1.020
4. urine specific gravity of 1.020
a nurse is teaching a pt about fecal occult blood testing (FOBT) for the screening
of colorectal cancer, what statement should the nurse include in the teaching
a. your provider will use stool from your digital rectal examination to perform the
test
b. your provider will prescribe a stimulate laxative prior to the procedure to
evacuate the bowel
c. you should avoid taking corticosteroids prior to testing
d. you should began annual fecal oscular blood testing
c. you should avoid taking corticosteroids prior to testing
a nurse is preparing a client for a colonoscopy. which of the following
medications should the nurse anticipate the provider to prescribe as an
anethicetic for the procedure
a. promethazine
b. pancuronium
c. propofol
d. pentoxiflyine
propofol
,a nurse is caring for a pt who has acute pancreatitis, what intervention should the
nurse include in the client's plan of care. select all that apply
a. monitor BG levels
b. maintain NPO status until pain free c.manage acute pain
d. eat all the food
e. call the provider
a. monitor BG levels
b. maintain NPO status until pain free c.manage acute pain
a nurse is teaching a client who has hypertension about dietary modifications to
help control BP, what food choices should the nurse recommend
3 oz of chicken breast
yogurt
orange juice
pasta
3 oz of chicken breast
a nurse is reviewing the med record of a pt who has unstable angina, what finding
should the nurse report to the provider
a. breath sounds
b. heart sounds
c. temperature
d. blood pressure
e. creatine kinase
a. breath sounds
multiple sclerosis and taking dantrolone for several months. how do you know
the medication is working
i dont have muscle spams as frequently
a nurse is providing teaching to a pt who reports a possible exposure to HIV,
what finding would the nurse say is an early manifestation of the infection
a. fatigue
b. stomatitis
c. excitement
d. wasting syndrome
a. fatigue
a nurse is teaching a pt who has type 1 DM about hypoglycemia, what statement
by the pt indicates an understanding of the teaching
a. exercise reduces the risk for hypoglycemia
b. i can drink 4 ounces of soda if my blood sugar is low
c. i can skip a meal
d. diabetic pills dont cause hypoglycemia
b. i can drink 4 ounces of soda if my blood sugar is low
a nurse is providing discharge teaching to a pt who has heart failure and a
prescription for furosemide 20 mg PO two times a day, what instruction should
,the nurse include in the teaching
a. decrease intake of high potassium foods
b. monitor for increased blood pressure
c. increase the intake of high potassium foods
d. take a second dose at bedtime
c. increase the intake of high potassium foods
a nurse is in a burn tx center is caring for a client who is admitted with severe
burns to both lower extremities and is scheduled for an escharotomy, the client's
spouse asks the nurse what the procedure entails, which of the following
statements made by the nurse is appropriate
a. large incisions will be made in the eschar to improve circulation
b. it could be helpful for you to attend a support group for people that have a lot
of burn injuries
a. large incisions will be made in the eschar to improve circulation
b. it could be helpful for you to attend a support group for people that have a lot of burn
injuries
a nurse is assessing a pt who has meningitis, the nurse should identify which of
the following findings as a positive Kernig's sign
Never
after hip flexion, the pt is unstable to extend his leg completely without pain
before hip flexion
during hip flexion
after hip flexion, the pt is unstable to extend his leg completely without pain
a nurse is caring for a client who had an intravenous pyelogram (IVP) which of
the following interventions should the nurse implement
a. encourage caffeinated drinks
b. encourage an increase in fluid intake
c. monitor the client for urine change
d. antibotic therapy
b. encourage an increase in fluid intake
a nurse is caring for a pt who is hyperventilating and whose ABG results are pH
7.5, PaCO2 29, HCO3 25, based on this information the nurse should recognize
that the client has what imbalance
a. metabolic alkalosis
b. metabolis acidosis
c. respiratory alkalosis
d. respiratory acidosis
respiratory alkalosis
a nurse is proving discharge teaching for a client who has COPD about nutrition.
which of the following instructions should the nurse include
a. eat 3 large meals
b. consume high calorie food
c. limit caffeinated drinks
d. drinks fluids
, b. consume high calorie food
a nurse is caring for a pt who has right sided pneumothorax, following chest tube
insertion what finding indicates that the chest drainage system is functioning
correctly
a. gentle bubbling in the suction chamber
b. crepitus around the insertion site
c. constant bubbling in the water seal chamber.
4. absence of breaths
a. gentle bubbling in the suction chamber
a nurse is caring for a pt who is 2hr postoperative following a TURP, what
assessment should be an indication of a postoperative complication
output of burgundy colored urine
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the
client might be experiencing neurogenic shock
b. heart rate 52/min
a nurse is assessing a pt who has meningitis, the nurse should identify which of
the following findings as a positive Kernig's sign
a. reports pain and stiffness when exiting their neck
b. after hip flexion, the pt is unstable to extend his leg completely without pain
c. voluntary movement
b. after hip flexion, the pt is unstable to extend his leg completely without pain
a nurse is teaching a pt who has osteoarthritis and is scheduled for a left hip
arthroplasty, the nurse should explain that which of the following is the purpose
of the procedure
a. improve joint range of motion
b. no range of motion
d. decrease range of motion
a. improve joint range of motion
a nurse in a rural community center is providing education to clients about first
aid interventions for snake bites, what should the nurse include
a. apply ice pack
b. place tournqiute above
c. immobilize the affected extremity with a splint
d. elevate unaffect leg
c. immobilize the affected extremity with a splint
a nurse is providing discharge instructions for a pt who is starting to take
carbidopa/levodopa to treat PD, what instruction should the nurse include in the
teaching
this med can cause your urine to
a. turn a dark color(also saliva and sweat)
b. expect immediate relief
c. skip a dose
d high protein foods
turn a dark color(also saliva and sweat)
a nurse is providing dietary teaching to a pt who has chronic cholecystitis, what
diet should the nurse recommend
