ATI Capstone Adult Medical Surgical Assessment 2
1. 1. A nurse is teaching a group of assistive personnel Provide supervision to
(AP) about caring for clients who have Alzheimer's dis- prevent a client from be-
ease. Which of the following information should the coming injured or lost
nurse include in the teaching? A client who has
Alzheimer's disease can
Explain procedures in full detail to client before initiat- wander and become lost.
ing care The AP should initiate in-
Limit a client's activities to minimize emotional out- terventions to keep the
bursts client safe, such as redi-
Speak clearly and loudly to a client who is unable to rection, frequent monitor-
form words or sentences ing, and reorientation. The
Provide supervision to prevent a client from becoming AP should encourage a
injured or lost client who has Alzheimer's
disease to participate in
activities for as long as
possible because socializ-
ing with others can pro-
vide the client with comfort
=D
2. A nurse is developing a plan of care for a client who will Monitor the client's skin
be placed in halo traction following surgical repair of under the halo vest
the cervical spine. Which of the following interventions
should the nurse include in the plan?
3. A nurse is providing discharge teaching for a client Consume high-calorie
who has COPD about nutrition. Which of the following foods
instructions should the nurse include?
4. 4. A nurse is caring for a client who has anew diagno- Airborne precautions
sis of tuberculosis. Which of the following precautions
1/9
, ATI Capstone Adult Medical Surgical Assessment 2
should the nurse initiate to prevent transmission of the
disease?
5. 5. A nurse is preparing a client for a colonoscopy. Propofol
Which of the following medications should the nurse
anticipate the provider to prescribe as an anesthetic
for the procedure?
6. 6. A nurse is teaching a group of clients about the risk Early menopause
factors for osteoporosis. Which of the following should
the nurse include as a risk factor for osteoporosis?
7. 7. A nurse is caring for a client who has a peripherally The dressing was changed
inserted central catheter (PICC). For which of the fol- 7 days ago
lowing findings should the nurse notify the provider?
8. 8. A nurse is reviewing the medical record of a client Breath sounds
who has unstable angina. Which of the following find-
ings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp
38°C (100.4°F), HR 112/min, Resp rate 26/min, urine
output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor
need.Bilateral breath sounds with crackles heard at
bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 -
Diagnostic results: Creatine kinase
9. 9. A nurse is planning care for a group of postoperative Administer oxygen to a
clients. Which of the following interventions should the client who has an oxygen
nurse identify as the priority? saturation of 91%
10.
2/9
1. 1. A nurse is teaching a group of assistive personnel Provide supervision to
(AP) about caring for clients who have Alzheimer's dis- prevent a client from be-
ease. Which of the following information should the coming injured or lost
nurse include in the teaching? A client who has
Alzheimer's disease can
Explain procedures in full detail to client before initiat- wander and become lost.
ing care The AP should initiate in-
Limit a client's activities to minimize emotional out- terventions to keep the
bursts client safe, such as redi-
Speak clearly and loudly to a client who is unable to rection, frequent monitor-
form words or sentences ing, and reorientation. The
Provide supervision to prevent a client from becoming AP should encourage a
injured or lost client who has Alzheimer's
disease to participate in
activities for as long as
possible because socializ-
ing with others can pro-
vide the client with comfort
=D
2. A nurse is developing a plan of care for a client who will Monitor the client's skin
be placed in halo traction following surgical repair of under the halo vest
the cervical spine. Which of the following interventions
should the nurse include in the plan?
3. A nurse is providing discharge teaching for a client Consume high-calorie
who has COPD about nutrition. Which of the following foods
instructions should the nurse include?
4. 4. A nurse is caring for a client who has anew diagno- Airborne precautions
sis of tuberculosis. Which of the following precautions
1/9
, ATI Capstone Adult Medical Surgical Assessment 2
should the nurse initiate to prevent transmission of the
disease?
5. 5. A nurse is preparing a client for a colonoscopy. Propofol
Which of the following medications should the nurse
anticipate the provider to prescribe as an anesthetic
for the procedure?
6. 6. A nurse is teaching a group of clients about the risk Early menopause
factors for osteoporosis. Which of the following should
the nurse include as a risk factor for osteoporosis?
7. 7. A nurse is caring for a client who has a peripherally The dressing was changed
inserted central catheter (PICC). For which of the fol- 7 days ago
lowing findings should the nurse notify the provider?
8. 8. A nurse is reviewing the medical record of a client Breath sounds
who has unstable angina. Which of the following find-
ings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp
38°C (100.4°F), HR 112/min, Resp rate 26/min, urine
output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor
need.Bilateral breath sounds with crackles heard at
bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 -
Diagnostic results: Creatine kinase
9. 9. A nurse is planning care for a group of postoperative Administer oxygen to a
clients. Which of the following interventions should the client who has an oxygen
nurse identify as the priority? saturation of 91%
10.
2/9
