RN ATI CAPSTONE MED SURG EXAM NEWEST
2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
B. Prime the IV tubing with lactated Ringer's
C. Instruct an assistive personnel to monitor the
client during the transfusion
,D. Verify the client's blood type with a second
nurse E. Use a 20 gauge IV needle for venous
access -
....ANSWER...A, D, E
A, complete assessment prior to transfusion
D, verify identification, blood compatibility, and
expiration of product with second nurse
E, the nurse should use a large bore needle to
transfuse the PRBCs to reduce the risk of cell
hemolysis and obstruction of flow
A nurse is reviewing the laboratory findings for a
client who is dehydrated. Which of the following BUN
levels should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7
mg/dL
D. 26 mg/dL - ....ANSWER...D 26 mg/dL
Normal range is 10-20, and elevated levels indicates
renal disease, dehydration, shock, excessive protein in
the diet, sepsis, glucocorticoid use, GI bleeding, or
other conditions in which blood is reabsorbed from
injured tissues
A nurse is reviewing ECG strips for several clients.
Which of the following images should the nurse
identify as atrial fibrillation
(cannot insert pictures, read description)
,A. multiple irregular and variable waves at the
baseline and irregular R to R intervals
B. a rate of 140-180/min
C. a tachycardia with no identifiable P wave and
is determined to originate somewhere other than
the ventricles. Rate between 100-280/min
D. a P wave for every QRS, rate is 60-100/min -
....ANSWER...A.) multiple irregular and variable waves
at the baseline and irregular R to R intervals
A nurse is preparing to admit a client who has a new
tracheostomy from the operating room. Which of the
following items is the priority for the nurse to have
available in the client's room upon admission
A. Obturator
B. Hydrogen
peroxide C. Sterile
gloves
D. Inner cannula - ....ANSWER...A.) Obturator
The obturator can be inserted in the stoma in the
even of dislodgment or decannulation to maintain an
airway until a new trach tube can be placed. For the
first 72 hr following the insertion of a trach,
dislodgement or decannulation is considered an
emergency
A nurse is caring for a client who had a below the
knee amputation due to a traumatic injury 2 days ago.
Which
, of the following statements should the nurse use to
assess how the client is coping with this change in
their body image
A. "Tell me how the changes to your leg make you
feel" B. "What potential changes do you think you'll
need to make when doing your job"
C. "Let's discuss how you can adjust once you have a
prosthesis"
D. "What are some possible issues that you foresee
when completing self-management tasks" -
....ANSWER...A .) "Tell me how the changes to your
leg make you feel"
A nurse in an endoscopy clinic is providing teaching
to a client who is to undergo a colonoscopy for colon
cancer screening. Which of the following information
should the nurse provide
A. "You should have nothing to eat or drink for 3
hours prior to the procedure"
B. "You should drink the bowel preparation slowly
to prevent nausea"
C. "You will have no discomfort following
the procedure"
D. "You will need someone to drive you home after your
procedure" - ....ANSWER...D.) "You will need someone to
drive you home after your procedure"
Do not drive for 12-18 hours following the
procedure, because during a colonoscopy, the pt
receives moderate sedation
2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
B. Prime the IV tubing with lactated Ringer's
C. Instruct an assistive personnel to monitor the
client during the transfusion
,D. Verify the client's blood type with a second
nurse E. Use a 20 gauge IV needle for venous
access -
....ANSWER...A, D, E
A, complete assessment prior to transfusion
D, verify identification, blood compatibility, and
expiration of product with second nurse
E, the nurse should use a large bore needle to
transfuse the PRBCs to reduce the risk of cell
hemolysis and obstruction of flow
A nurse is reviewing the laboratory findings for a
client who is dehydrated. Which of the following BUN
levels should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7
mg/dL
D. 26 mg/dL - ....ANSWER...D 26 mg/dL
Normal range is 10-20, and elevated levels indicates
renal disease, dehydration, shock, excessive protein in
the diet, sepsis, glucocorticoid use, GI bleeding, or
other conditions in which blood is reabsorbed from
injured tissues
A nurse is reviewing ECG strips for several clients.
Which of the following images should the nurse
identify as atrial fibrillation
(cannot insert pictures, read description)
,A. multiple irregular and variable waves at the
baseline and irregular R to R intervals
B. a rate of 140-180/min
C. a tachycardia with no identifiable P wave and
is determined to originate somewhere other than
the ventricles. Rate between 100-280/min
D. a P wave for every QRS, rate is 60-100/min -
....ANSWER...A.) multiple irregular and variable waves
at the baseline and irregular R to R intervals
A nurse is preparing to admit a client who has a new
tracheostomy from the operating room. Which of the
following items is the priority for the nurse to have
available in the client's room upon admission
A. Obturator
B. Hydrogen
peroxide C. Sterile
gloves
D. Inner cannula - ....ANSWER...A.) Obturator
The obturator can be inserted in the stoma in the
even of dislodgment or decannulation to maintain an
airway until a new trach tube can be placed. For the
first 72 hr following the insertion of a trach,
dislodgement or decannulation is considered an
emergency
A nurse is caring for a client who had a below the
knee amputation due to a traumatic injury 2 days ago.
Which
, of the following statements should the nurse use to
assess how the client is coping with this change in
their body image
A. "Tell me how the changes to your leg make you
feel" B. "What potential changes do you think you'll
need to make when doing your job"
C. "Let's discuss how you can adjust once you have a
prosthesis"
D. "What are some possible issues that you foresee
when completing self-management tasks" -
....ANSWER...A .) "Tell me how the changes to your
leg make you feel"
A nurse in an endoscopy clinic is providing teaching
to a client who is to undergo a colonoscopy for colon
cancer screening. Which of the following information
should the nurse provide
A. "You should have nothing to eat or drink for 3
hours prior to the procedure"
B. "You should drink the bowel preparation slowly
to prevent nausea"
C. "You will have no discomfort following
the procedure"
D. "You will need someone to drive you home after your
procedure" - ....ANSWER...D.) "You will need someone to
drive you home after your procedure"
Do not drive for 12-18 hours following the
procedure, because during a colonoscopy, the pt
receives moderate sedation
