ATI NCLEX CAPSTONE MEDICAL SURGICAL
ASSESSMENT / CAPSTONE ATI NCLEX MED
SURG ASSESSMENT 1&2 TESTBANK ACTUAL
TEST 2025 ACCURATE QUESTIONS AND
CORRECT DETAILED ANSWERS (100%
CORRECT VERIFIED SOLUTIONS)
A nurse is teaching a client how to administer a medication using an in
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haler with a spacer. Which of the following instructions should the nur
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se include c
A. "Wait at least 5 minutes between puffs from the same inhaler"
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B. "Breathe in rapidly when inhaling the medication"
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C. "Clean the plastic inhaler cap weekly with cold water"
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D. "Shake the inhaler vigorously prior to use" -
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c ..........ANSWER.......D .) "Shake the inhaler vigorously prior to use" c c c c c c c c
Thoroughly shake the inhaler to disperse the medication becaus
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e the medication in the inhaler can separate easily
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A nurse is planning care for a client who is receiving mechanical ventil
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ation. Which of the following actions should the nurse include in the pl
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an
A. Provide the client with a means of communication
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B. Maintain the head of the client's bed in a flat position
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C. Suction the client's endotracheal tube every 4 hr
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D. Perform oral hygiene for the client every 8 hr -
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c ..........ANSWER.......A.) Provide the client with a means of communicatio c c c c c c c c
n
Use electronic tablet computer, programmable speech generatin
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g device, alphabet board, pencil and paper, etc
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A nurse is caring for a client who is receiving IV fluid replacement ther
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apy for dehydration. Which of the following laboratory results indicat
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es effectiveness of the treatment
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A. Sodium 165 mEq/L
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B. Potassium 5.2 mEq/L
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C. Urine specific gravity 1.020
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D. Hct 62% - ..........ANSWER.......C Urine specific gravity 1.020
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Within the expected range of 1.005-1.030
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A nurse is monitoring the laboratory findings for a client who is postop
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erative following a total hip arthroplasty 6 hr ago. Which of the followi
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ng values indicates that the client has an increased risk for bleeding
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A. PT 11.5 seconds
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B. aPTT 35 seconds
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C. Platelets 80,000
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D. RBC 4.0 million - ..........ANSWER.......C Platelets 80,000
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platelet range is 150,000-400,000 c c c
A nurse is admitting a client who has a cervical spinal cord injury follo
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wing a motor vehicle crash. Which of the following interventions is the
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c nurse's priority while caring for this client
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A. Change the client's position every 2 hours
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B. Pad pressure points at the edges of the client's cervical collar
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C. Palpate the client's abdomen for bladder distention
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D. Assist the client with quad coughing -
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c ..........ANSWER.......D Assist the client with quad coughing c c c c c c
The greatest risk to a client who has a cervical spinal cord injury i
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s an obstructed airway; the priority is to ensure the client can cle
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ar their airway. Apply abdominal pressure as the client coughs (q
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uad coughing) c
A nurse is caring for a client who is receiving a blood transfusion. Whic
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h of the following findings indicates that the client is experiencing tran
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sfusion-associated circulatory overload c c
A. Nasuea c
B. Hypothermia
c
C. Dyspnea c
D. Bradycardia - ..........ANSWER.......C Dyspnea
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