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ATI Capstone Med Surg exam with verified solutions

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ATI Capstone Med Surg exam with verified solutions

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ATI Capstone Med Surg exam with
verified solutions

a nurse is assessing a pt who has a history of migraine headaches with aura
x x x x x x x x x x x x x x x


and reports feeling a "migraine coming on", the nurse should expect the pt
x x x x x x x x x x x x x


to report what manifestation - correct answer ✔visual disturbance
x x x x x x x x




a nurse is teaching a pt who has a new diagnosis of MS about visual changes
x x x x x x x x x x x x x x x x


she might experience as the disease progresses, what would she include? -
x x x x x x x x x x x x


correct answer ✔double vision
x x x




a nurse is teaching a pt who has asthma about using a peak flow meter,
x x x x x x x x x x x x x x x


when a yellow zone meter reading appears, the nurse should instruct the pt
x x x x x x x x x x x x x


to take which of the following actions - correct answer ✔take prescribed
x x x x x x x x x x x x


relief meds x




a nurse is assessing a pt who has Addison's disease, what manifestation
x x x x x x x x x x x x


would indicate they are experiencing the crisis - correct answer
x x x x x x x x x x


✔hypotension


(aldosterone deficit) x




a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new
x x x x x x x x x x x x x x x x x x


prescription to resume oral intake, what item should the nurse offer the pt -
x x x x x x x x x x x x x x


correct answer ✔gelatin
x x

,a nurse is providing education to a pt who is scheduled for a barium swallow,
x x x x x x x x x x x x x x


xwhat statement indicates understanding of the teaching? - correct answer ✔i
x x x x x x x x x x


xwill remove my metal jewelry before coming in
x x x x x x x




a nurse is caring for pt who is undergoing a liver biopsy, what instruction
x x x x x x x x x x x x x x


should the nurse provide to the pt following the procedure - correct answer
x x x x x x x x x x x x x


✔lie on your right side
x x x x




a nurse is teaching a pt who has a hiatal hernia about dietary selections to
x x x x x x x x x x x x x x x


maintain lower esophageal sphincter (LES) pressure, what choice by the pt
x x x x x x x x x x x


indicates understanding - correct answer ✔cheddar cheese
x x x x x x




(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
x x x x x x x x x




a nurse is reviewing the lab results of a pt who has unstable angina and has
x x x x x x x x x x x x x x x x


been receiving heparin via continuous IV infusion for the past 5 days, what
x x x x x x x x x x x x x


lab values should the nurse identify as an indication that the pt has
x x x x x x x x x x x x x


developed HIT - correct answer ✔platelets 90,000
x x x x x x




a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease,
x x x x x x x x x x x x x x


xwhat statement should the nurse include in the teaching - correct answer
x x x x x x x x x x x x


✔apply dry heat to your abdomen when needed
x x x x x x x




a nurse is obtaining the health history of a young adult male client, what
x x x x x x x x x x x x x x


information should indicate to the nurse that the pt is at high risk for
x x x x x x x x x x x x x x


developing testicular cancer - correct answer ✔undescended right testis
x x x x x x x x

, a nurse is instructing a pt's caregiver on how to position the client before
x x x x x x x x x x x x x x


administering tube feedings in the home, which demonstrates understanding?
x x x x x x x x


x- correct answer ✔i will sit him up in bed
x x x x x x x x x




a triage nurse finds a school-age child lying in the road following a school bus
x x x x x x x x x x x x x x


xcrash with multiple causalities, the child has a respiratory rate of 10/min,
x x x x x x x x x x x x


strong distal pulses, and groans to painful stimuli, what action should the
x x x x x x x x x x x x


nurse take - correct answer ✔place an emergent category on the child's
x x x x x x x x x x x x


upper body and yell for help
x x x x x




a nurse is caring for a client who has renal failure, what ABG result would
x x x x x x x x x x x x x x x


the nurse expect - correct answer ✔ph 7.25
x x x x x x x




HCO3 20 x x




PaCO2 35 x




a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's
x x x x x x x x x x x x x x x


xpriority - correct answer ✔provide assistance with ambulation
x x x x x x x




a nurse is assessing a pt who has a spinal cord injury, what finding indicates
x x x x x x x x x x x x x x x


the client might be experiencing neurogenic shock - correct answer ✔heart
x x x x x x x x x x x


rate 52/min x




a nurse is caring for a pt who has renal caliculi, what prescription by the
x x x x x x x x x x x x x x x


provider is the priority action for the nurse to take - correct answer ✔strictly
x x x x x x x x x x x x x x


monitor intake and output x x x




a nurse is caring for a pt who is immediately postoperative following a
x x x x x x x x x x x x x


pheochromocytoma removal, what action is priority - correct answer x x x x x x x x x


✔monitoring BP x

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