ATI Capstone Adult Medical Surgical Assessment 2
Study online at https://quizlet.com/_eik5e2
1. 1. A nurse is teaching a group of assistive personnel (AP) about caring
for clients who have Alzheimer's disease. Which of the following information
should the nurse include in the teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost: Provide
supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should
initiate interventions to keep the client safe, such as redirection, frequent monitoring,
and reorientation. The AP should encourage a client who has Alzheimer's disease
to participate in activities for as long as possible because socializing with others can
provide the client with comfort = D
2. 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's skin
under the halo vest
3. A nurse is providing discharge teaching for a client who has COPD about
nutrition. Which of the following instructions should the nurse include?: Con-
sume high-calorie foods
4. 4. A nurse is caring for a client who has anew diagnosis of tuberculosis.
Which of the following precautions should the nurse initiate to prevent trans-
mission of the disease?: Airborne precautions
5. 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. 6. A nurse is teaching a group of clients about the risk factors for osteo-
porosis. Which of the following should the nurse include as a risk factor for
osteoporosis?: Early menopause
7. 7. A nurse is caring for a client who has a peripherally inserted central
catheter (PICC). For which of the following findings should the nurse notify
the provider?: The dressing was changed 7 days ago
8. 8. A nurse is reviewing the medical record of a client who has unstable angi-
na. Which of the following findings 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.
1/5
, ATI Capstone Adult Medical Surgical Assessment 2
Study online at https://quizlet.com/_eik5e2
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine
kinase: Breath sounds
9. 9. A nurse is planning care for a group of postoperative clients. Which of the
following interventions should the nurse identify as the priority?: Administer
oxygen to a client who has an oxygen saturation of 91%
10. 10. 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
11. A nurse is teaching a client who has hypertension about dietary modifi-
cations to help control blood pressure. Which of the following food choices
should the nurse recommend as the best choice for the client to include in
their diet?: 3 oz of chicken breast
12. 12. 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?: Position the client on their side during a seizure
13. 13. A nurse is assessing a client who has meningitis. The nurse should
identify which of the following findings as a positive Kernig's sign?: After hip
flexion, the client is unable to extend their leg completely without pain
14. 14. A nurse is assessing a client who has a heart rate of 40/min. The client
is diaphoretic and has chest pain. Which of the following medications should
the nurse plan to administer?: Atropine
15. 15. A nurse is assessing a client who has a sodium level of 122 mEq/L.
Which of the following findings should the nurse expect?: Sticky mucous mem-
branes
16. 16. 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."
17. 17. A nurse is teaching a client who has type 1 DM about hypoglycemia.
Which of the following statements by the client indicates an understanding of
the teaching?: "I can drink 4 oz of soda if my blood sugar is low."
18. 18. A nurse is assessing a client who has a permanent spinal cord injury
and is scheduled for discharge. Which of the following client statements
indicates that the client is coping effectively?: "I would like to play wheelchair
basketball. When I get stronger, I think I'll look for a league."
19. A nurse is caring for a client who has been experiencing repeated ton-
ic-clonic seizures over the course of 30 min. After maintaining the client's
2/5
Study online at https://quizlet.com/_eik5e2
1. 1. A nurse is teaching a group of assistive personnel (AP) about caring
for clients who have Alzheimer's disease. Which of the following information
should the nurse include in the teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost: Provide
supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should
initiate interventions to keep the client safe, such as redirection, frequent monitoring,
and reorientation. The AP should encourage a client who has Alzheimer's disease
to participate in activities for as long as possible because socializing with others can
provide the client with comfort = D
2. 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's skin
under the halo vest
3. A nurse is providing discharge teaching for a client who has COPD about
nutrition. Which of the following instructions should the nurse include?: Con-
sume high-calorie foods
4. 4. A nurse is caring for a client who has anew diagnosis of tuberculosis.
Which of the following precautions should the nurse initiate to prevent trans-
mission of the disease?: Airborne precautions
5. 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. 6. A nurse is teaching a group of clients about the risk factors for osteo-
porosis. Which of the following should the nurse include as a risk factor for
osteoporosis?: Early menopause
7. 7. A nurse is caring for a client who has a peripherally inserted central
catheter (PICC). For which of the following findings should the nurse notify
the provider?: The dressing was changed 7 days ago
8. 8. A nurse is reviewing the medical record of a client who has unstable angi-
na. Which of the following findings 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.
1/5
, ATI Capstone Adult Medical Surgical Assessment 2
Study online at https://quizlet.com/_eik5e2
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine
kinase: Breath sounds
9. 9. A nurse is planning care for a group of postoperative clients. Which of the
following interventions should the nurse identify as the priority?: Administer
oxygen to a client who has an oxygen saturation of 91%
10. 10. 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
11. A nurse is teaching a client who has hypertension about dietary modifi-
cations to help control blood pressure. Which of the following food choices
should the nurse recommend as the best choice for the client to include in
their diet?: 3 oz of chicken breast
12. 12. 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?: Position the client on their side during a seizure
13. 13. A nurse is assessing a client who has meningitis. The nurse should
identify which of the following findings as a positive Kernig's sign?: After hip
flexion, the client is unable to extend their leg completely without pain
14. 14. A nurse is assessing a client who has a heart rate of 40/min. The client
is diaphoretic and has chest pain. Which of the following medications should
the nurse plan to administer?: Atropine
15. 15. A nurse is assessing a client who has a sodium level of 122 mEq/L.
Which of the following findings should the nurse expect?: Sticky mucous mem-
branes
16. 16. 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."
17. 17. A nurse is teaching a client who has type 1 DM about hypoglycemia.
Which of the following statements by the client indicates an understanding of
the teaching?: "I can drink 4 oz of soda if my blood sugar is low."
18. 18. A nurse is assessing a client who has a permanent spinal cord injury
and is scheduled for discharge. Which of the following client statements
indicates that the client is coping effectively?: "I would like to play wheelchair
basketball. When I get stronger, I think I'll look for a league."
19. A nurse is caring for a client who has been experiencing repeated ton-
ic-clonic seizures over the course of 30 min. After maintaining the client's
2/5
