CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
A nurse is teaching a client how to administer a medication using an
inhaler with a spacer. Which of the following instructions should the
nurse include &**(*(#_
++$_)%()^
(_)(^*()^
&(&*&%*
A. "Wait at least 5 minutes between puffs from the same inhaler" ^&^$&^%
$^%$&**
B. "Breathe in rapidly when inhaling the medication" &(%(*)^)(
_)^()()^))(
C. "Clean the plastic inhaler cap weekly with cold water" ^*()*^(*(
&*%^*&^
D. "Shake the inhaler vigorously prior to use" - ANSWER: D .) "Shake %&^&^&
the inhaler vigorously prior to use" $&**&%^
((^*(*^
Thoroughly shake the inhaler to disperse the medication because the
medication in the inhaler can separate easily
A nurse is planning care for a client who is receiving mechanical
ventilation. Which of the following actions should the nurse include in
the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - ANSWER: A.)
Provide the client with a means of communication
, CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
Use electronic tablet computer, programmable speech generating
device, alphabet board, pencil and paper, etc
&**(*(#_
++$_)%()^
A nurse is caring for a client who is receiving IV fluid replacement (_)(^*()^
&(&*&%*
therapy for dehydration. Which of the following laboratory results ^&^$&^%
indicates effectiveness of the treatment $^%$&**
&(%(*)^)(
_)^()()^))(
^*()*^(*(
A. Sodium 165 mEq/L &*%^*&^
%&^&^&
B. Potassium 5.2 mEq/L $&**&%^
((^*(*^
C. Urine specific gravity 1.020
D. Hct 62% - ANSWER: C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for
bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million - ANSWER: C Platelets 80,000
, CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
platelet range is 150,000-400,000
&**(*(#_
A nurse is admitting a client who has a cervical spinal cord injury ++$_)%()^
following a motor vehicle crash. Which of the following interventions is (_)(^*()^
&(&*&%*
the nurse's priority while caring for this client ^&^$&^%
$^%$&**
&(%(*)^)(
_)^()()^))(
A. Change the client's position every 2 hours ^*()*^(*(
&*%^*&^
B. Pad pressure points at the edges of the client's cervical collar %&^&^&
$&**&%^
C. Palpate the client's abdomen for bladder distention ((^*(*^
D. Assist the client with quad coughing - ANSWER: D Assist the client
with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their
airway. Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion.
Which of the following findings indicates that the client is
experiencing transfusion-associated circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
, CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
D. Bradycardia - ANSWER: C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory
overload, leading to hypertension, bounding pulses, and confusion. &**(*(#_
++$_)%()^
Dyspnea can also indicate transfusion related acute lung injury to an (_)(^*()^
anaphylactic response, which also causes wheezing, chest tightness, &(&*&%*
^&^$&^%
cyanosis, and low BP $^%$&**
&(%(*)^)(
_)^()()^))(
^*()*^(*(
A nurse is assessing a client who has lung cancer and is undergoing &*%^*&^
radiation therapy to the chest. Which of the following indicates an %&^&^&
$&**&%^
adverse effect of the therapy ((^*(*^
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - ANSWER: C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client
who has anemia. Which of the following actions should the nurse plan to
take (select all that apply)
A. Obtain pre-transfusion temperature
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
A nurse is teaching a client how to administer a medication using an
inhaler with a spacer. Which of the following instructions should the
nurse include &**(*(#_
++$_)%()^
(_)(^*()^
&(&*&%*
A. "Wait at least 5 minutes between puffs from the same inhaler" ^&^$&^%
$^%$&**
B. "Breathe in rapidly when inhaling the medication" &(%(*)^)(
_)^()()^))(
C. "Clean the plastic inhaler cap weekly with cold water" ^*()*^(*(
&*%^*&^
D. "Shake the inhaler vigorously prior to use" - ANSWER: D .) "Shake %&^&^&
the inhaler vigorously prior to use" $&**&%^
((^*(*^
Thoroughly shake the inhaler to disperse the medication because the
medication in the inhaler can separate easily
A nurse is planning care for a client who is receiving mechanical
ventilation. Which of the following actions should the nurse include in
the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - ANSWER: A.)
Provide the client with a means of communication
, CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
Use electronic tablet computer, programmable speech generating
device, alphabet board, pencil and paper, etc
&**(*(#_
++$_)%()^
A nurse is caring for a client who is receiving IV fluid replacement (_)(^*()^
&(&*&%*
therapy for dehydration. Which of the following laboratory results ^&^$&^%
indicates effectiveness of the treatment $^%$&**
&(%(*)^)(
_)^()()^))(
^*()*^(*(
A. Sodium 165 mEq/L &*%^*&^
%&^&^&
B. Potassium 5.2 mEq/L $&**&%^
((^*(*^
C. Urine specific gravity 1.020
D. Hct 62% - ANSWER: C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for
bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million - ANSWER: C Platelets 80,000
, CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
platelet range is 150,000-400,000
&**(*(#_
A nurse is admitting a client who has a cervical spinal cord injury ++$_)%()^
following a motor vehicle crash. Which of the following interventions is (_)(^*()^
&(&*&%*
the nurse's priority while caring for this client ^&^$&^%
$^%$&**
&(%(*)^)(
_)^()()^))(
A. Change the client's position every 2 hours ^*()*^(*(
&*%^*&^
B. Pad pressure points at the edges of the client's cervical collar %&^&^&
$&**&%^
C. Palpate the client's abdomen for bladder distention ((^*(*^
D. Assist the client with quad coughing - ANSWER: D Assist the client
with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their
airway. Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion.
Which of the following findings indicates that the client is
experiencing transfusion-associated circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
, CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1. CONTAINS 60
COMPLETE QUESTIONS AND ANSWERS
D. Bradycardia - ANSWER: C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory
overload, leading to hypertension, bounding pulses, and confusion. &**(*(#_
++$_)%()^
Dyspnea can also indicate transfusion related acute lung injury to an (_)(^*()^
anaphylactic response, which also causes wheezing, chest tightness, &(&*&%*
^&^$&^%
cyanosis, and low BP $^%$&**
&(%(*)^)(
_)^()()^))(
^*()*^(*(
A nurse is assessing a client who has lung cancer and is undergoing &*%^*&^
radiation therapy to the chest. Which of the following indicates an %&^&^&
$&**&%^
adverse effect of the therapy ((^*(*^
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - ANSWER: C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client
who has anemia. Which of the following actions should the nurse plan to
take (select all that apply)
A. Obtain pre-transfusion temperature
