Ati capstone medical surgical assessmentt

ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT
m m m m




GREEN ------ NEWmQUESTIONS
YELLOW ---- AGREEDmANSWER
RED --- DOUBLEmCHECK

1. amnursemismplanningmcaremformamclientmwhomhasmMeniere'smdiseasemandmhismexperiencingmepisod
esmofmvertical.mwhichmofmFollowingminterventionmshouldmthemnursemincludeminmthemplanmofmcare?
a.m Maintainmstrictmbedmrest ---- pgm75
b. Restrictmfluidmintakemtomthemmorningmhours.
c. Administermaspirin.
d. Providemamlow-sodiummdiet.

2. amnursemismassessingmamclientmofmpossiblemexposuremofmHIVm.mWhichmofmthemfollowingmfindingsms
houldmthemnursemidentifymasmanmearlymmanifestationmofmHIVminfection?
a. Stomatitis
b.m Fatigue
c. Wastingmsyndrome
d. Lipodystroph

3. Playmnursemismteachingmamclientmaboutmusingmcontinuousmpositivemairwaympressurem(CPAP)mdevi
cemtomtreatmobstructivemsleepmapneam.mWhichmofmthemfollowingminformationmshouldmthemclientmi
ncludeminmthemteaching?
a. Itmdeliversmampresetmamountmofminspiratorympressurematmthembeginningmofmeachmbreath---------
--
----pgm119??????
b. itmhasmcontinuousmadjustmentmfeaturemthatmchangesmthemairwaympressuremthrough
outmthecycle
c. itmdeliversmampresetmamountmofmairwaympressuremthroughoutmthembreathingmcycle
d. itmdeliversmpositivempressurematmthemendmofmeachmbreath

4. Amnursemismteachingmamclientmaboutmfecalmcultmbloodmtestingm(FOBT)mformthemscreeningmofmcolo
rectalmcancer.mWhichmofmthemfollowingmstatementsmshouldmthemnursemincludeminmthemteaching?
a. "Yourmprovidermwillmusemstoolmfrommyourmdigitalmrectalmexaminationmtomperformmthemtest."
b. "Yourmprovidermwillmprescribemamstimulantmlaxativempriormtomthemproceduremtomevacuate
mthembowel."

c. "Youmshouldmbeginmannualmfecalmoccultmbloodmtestingmformcolorectalmcancermscreeningma
tm40myearsmold."
d.m "Youmshouldmavoidmtakingmcorticosteroidsmpriormtomtesting."
5. Amnursemismpreparingmamclientmformamcolonoscopy.mWhichmofmthemfollowingmmedicationmshoul
dmthemnursemanticipatemthemprovidermtomprescribemasmanmanestheticmformthemprocedure?
a.m Propofol ----------pgm303
b. Pancuronium
c. Promethazine

, d. Pentoxifylline
6. Amnursemismteachingmamclientmwhomhasmhypertensionmaboutmdietarymmodificationsmtomhelpmco
ntrolmbloodmpressure.mWhichmofmthemfollowingmfoodmchoicesmshouldmthemnursemrecommendm
asmambestmchoicemformthemclientmtomincludeminmtheirmdiet?
a. 1mpacketmofmreconstitutedmdrymonionmsoup
b. 3mozmofmleanmcuredmham
c. 3mozmofmchickenmbreast
d.m ½mcupmofmcannedmbakedmbeans

7. AmnursemismcaringmformamclientmwhomhasmrheumatoidmarthritismandmhasmbeenmtakingmPrednisone.
Whichmofmthemfollowingmfindingmshouldmthemnursemidentifymasmanmadversemeffectmofmthismmedicatio
n?

a. Weightmloss

b. hypoglycemia

hypertension c.

d. hyperkalemia

8. Amnursemismcaringmformamclientmwhomhasmincreasedmintracranialmpressurem(ICPm).mWhichm
ofmthemfollowingminterventionmshouldmthemnursemimplement?

a. Placemseveralmpillowsmbehindmthemclient'smhead
b. placemthemclientminmamSimsmpositionm-
mpermp.m83mofm2019mversion,mfirstminterventionmto


decreasemICPm ismtomelevatemheadmtomatmleastm
30o
c. keepmthemclient'smneckminmammidlinemposition

d. maintainmflexionmofmthemclient'smhipsmatmam90mdegreemangle

9. Amhomemhealthmnursemismprovidingmteachingmtomthemfamilymofmamclientmwhomhasmamseizuremdis
order.mWhichmofmthemfollowingminterventionmshouldmthemnursemincludeminmthemteaching?

a. Keepmampaddedmtonguemblademnearmthembedside.

b. Placemampillowmundermthemclient'smheadmwhileminmbedmduringmamseizure.

c. Administermdiazepammorallymatmthemonsetmofmseizures.
d.m Positionmthemclientmonmtheirmsidemduringmamseizure ---- pgm36
10. Amnursemismassessingmamclientmwhomhasmmeningitismthemnursemshouldmidentifymwhichmofmthemfoll
owingmfindingsmasmampositivemkernig'smsign?
a.m Aftermstrokingmthemlateralmareamofmthemfoot,mthemclient'smtoesmcontractmandmdrawmtogether.
b.m Aftermhipmflexion,mthemclientmismunablemtomextendmtheirmlegmcompletelymwithoutmpain pg
31
c. Themclient'smvoluntarymmovementmismnotmcoordinated.