NUR 406 CAPSTONE MED SURG ASSESSMENT
QUESTIONS WITH
ANSWERS BEST EXAM SOLUTIONS.
1. A nurse is teaching a client about using a continuous positive airway pre
xc xc xc xc xc xc xc xc xc xc xc xc
ssure (CPAP) device to treat obstructive sleep apnea. Which of the foll
xc xc xc xc xc xc xc xc xc xc xc
owing information should the nurse include in the teaching?
xc xc xc xc xc xc xc xc
It delivers a present amount of airway pressure throughout the breathing cycl
xc xc xc xc xc xc xc xc xc xc xc
e
2. A nurse is providing discharge teaching to a client following a heart transpl
xc xc xc xc xc xc xc xc xc xc xc xc
ant. Which of the following information should the nurse include in the teac
xc xc xc xc xc xc xc xc xc xc xc xc
hing?
Shortness of breath might be an indication of transplant rejection xc xc xc xc xc xc xc xc xc
3. A nurse is caring for a client who has syndrome of inappropriate antidiureti
xc xc xc xc xc xc xc xc xc xc xc xc
c hormone (SIADH) and is receiving 3 % sodium chloride via continuous I
xc xc xc xc xc xc xc xc xc xc xc xc
V. Which of the following laboratory finding should the nurse identify as a
xc xc xc xc xc xc xc xc xc xc xc xc
n indication that the SIADH is resolving?
xc xc xc xc xc xc
Urine specific gravity 1.020 xc xc xc
4. A nurse is teaching a client about fecal occult blood testing (FOBT) for the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
screening of colorectal cancer. Which of the following statements should xc xc xc xc xc xc xc xc xc xc
the nurse include in the teaching?
xc xc xc xc xc
You should avoid taking corticosteroids prior to testing
xc xc xc xc xc xc xc
5. A nurse is preparing a client for a colonoscopy. Which of the follow
xc xc xc xc xc xc xc xc xc xc xc xc
ing medications should the nurse anticipate the provider to prescribe
xc xc xc xc xc xc xc xc xc
as an anesthetic for the procedure?
xc xc xc xc xc xc
Propofol
6. A nurse is planning care for a client who has acute pancreatitis. Which of t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he following interventions should the nurse include in the clients plan? S
xc xc xc xc xc xc xc xc xc xc xc
elect all that apply. xc xc xc
Monitor blood glucose levels Maintai xc xc xc xc
n NPO status until pain-
xc xc xc xc
free Manage acute pain xc xc xc
,7. A nurse is teaching a client who has hypertension about dietary modificatio
xc xc xc xc xc xc xc xc xc xc xc
ns to help control blood pressure. Which of the following food choices shou
xc xc xc xc xc xc xc xc xc xc xc xc
ld the nurse recommend as the client to include in their diet?
xc xc xc xc xc xc xc xc xc xc xc
3 oz of chicken breast
xc xc xc xc
8. A nurse is reviewing the medical record of a client who has unstable angi
xc xc xc xc xc xc xc xc xc xc xc xc xc
na. Which of the findings should the nurse report to the provider? Breath
xc xc xc xc xc xc xc xc xc xc xc xc xc
Sounds
9. A nurse is providing discharge instructions to a client who has GERD.
xc xc xc xc xc xc xc xc xc xc xc xc
Which of the following statements by the client demonstrates an underst
xc xc xc xc xc xc xc xc xc xc
anding of the teaching? xc xc xc
I will limit activities that require bending at the waist.
xc xc xc xc xc xc xc xc xc
10. A nurse at a provide office is interviewing a client who has multiple scleros
xc xc xc xc xc xc xc xc xc xc xc xc xc
is and has been taking dantrolone for several months. Which of the followi
xc xc xc xc xc xc xc xc xc xc xc xc
ng client statements should the nurse identify as an indication that the medic
xc xc xc xc xc xc xc xc xc xc xc xc
ation is effective? xc xc
I don’t have muscle spasms as frequently
xc xc xc xc xc xc
11. A nurse is assessing a client who reports a possible exposure to HIV. Wh
xc xc xc xc xc xc xc xc xc xc xc xc xc
ich of the following finding should the nurse identify as an early manife
xc xc xc xc xc xc xc xc xc xc xc xc
station of HIV infection? xc xc xc
Fatigue
12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglyce
xc xc xc xc xc xc xc xc xc xc xc xc xc
mia .which of the following statements by the client indicates an understandin
xc xc xc xc xc xc xc xc xc xc xc
g of the teaching?
xc xc xc
I can drink 4 ounces of soda if my blood sugar is low
xc xc xc xc xc xc xc xc xc xc xc xc
13. A nurse is providing discharge teaching to a client who has heart failure and a
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
prescription for furosemide 20 mg PO two times daily. Which of the followin xc xc xc xc xc xc xc xc xc xc xc xc
g instructions should the nurse include in the teaching?
xc xc xc xc xc xc xc xc
Increase intake of high-potassium foods xc xc xc xc
, 14. A nurse is caring for a client who has burn injuries covering their upper b
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ody and is concerned about their altered appearance .Which of the follow
xc xc xc xc xc xc xc xc xc xc xc
ing statements should the nurse make?
xc xc xc xc xc
It could be helpful for you to attend a support group for people who have burn
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
injuries.
15. A nurse is developing a plan of care for a client who will be placed in halo tra
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ction following surgical repair of the cervical spine .Which of the following
xc xc xc xc xc xc xc xc xc xc xc xc
interventions should the nurse include in the plan? xc xc xc xc xc xc xc
Monitor the client skin under the halo vest. xc xc xc xc xc xc xc
16. A nurse is caring for a client who has a traumatic brain injury. Which of the f
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ollowing finding should indicate to the nurse the need for immediate interve
xc xc xc xc xc xc xc xc xc xc xc
ntion?
Respiratory rate 30/min xc xc
17. A nurse is assessing a client who has meningitis. The nurse should identify whi
xc xc xc xc xc xc xc xc xc xc xc xc xc
ch of the following finding as a positive Kerning s sign? After stroking the late
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ral area of the foot, the client’s toes contract and draw together. After hip flexi
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
on, the client is unable to extend their leg completely without pain
xc xc xc xc xc xc xc xc xc xc xc
18. A nurse is teaching a group of assistive personnel (AP) about caring for clie
xc xc xc xc xc xc xc xc xc xc xc xc xc
nt who have Alzheimer’s disease. Which of the following information sho
xc xc xc xc xc xc xc xc xc xc
uld the nurse include in the teaching?
xc xc xc xc xc xc
Provide supervision to prevent a client from becoming injured or lost.
xc xc xc xc xc xc xc xc xc xc
19. A home health nurse is providing teaching to the family of a client who has
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a seizure disorder. Which of the following interventions should the nurse i
xc xc xc xc xc xc xc xc xc xc xc
nclude in the teaching? xc xc xc
Keep a padded tongue blade near the bedside.
xc xc xc xc xc xc xc
Place a pillow under the client's head while in bed during a seizure. Ad
xc xc xc xc xc xc xc xc xc xc xc xc xc
minister diazepam orally at the onset of seizures. xc xc xc xc xc xc xc
QUESTIONS WITH
ANSWERS BEST EXAM SOLUTIONS.
1. A nurse is teaching a client about using a continuous positive airway pre
xc xc xc xc xc xc xc xc xc xc xc xc
ssure (CPAP) device to treat obstructive sleep apnea. Which of the foll
xc xc xc xc xc xc xc xc xc xc xc
owing information should the nurse include in the teaching?
xc xc xc xc xc xc xc xc
It delivers a present amount of airway pressure throughout the breathing cycl
xc xc xc xc xc xc xc xc xc xc xc
e
2. A nurse is providing discharge teaching to a client following a heart transpl
xc xc xc xc xc xc xc xc xc xc xc xc
ant. Which of the following information should the nurse include in the teac
xc xc xc xc xc xc xc xc xc xc xc xc
hing?
Shortness of breath might be an indication of transplant rejection xc xc xc xc xc xc xc xc xc
3. A nurse is caring for a client who has syndrome of inappropriate antidiureti
xc xc xc xc xc xc xc xc xc xc xc xc
c hormone (SIADH) and is receiving 3 % sodium chloride via continuous I
xc xc xc xc xc xc xc xc xc xc xc xc
V. Which of the following laboratory finding should the nurse identify as a
xc xc xc xc xc xc xc xc xc xc xc xc
n indication that the SIADH is resolving?
xc xc xc xc xc xc
Urine specific gravity 1.020 xc xc xc
4. A nurse is teaching a client about fecal occult blood testing (FOBT) for the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
screening of colorectal cancer. Which of the following statements should xc xc xc xc xc xc xc xc xc xc
the nurse include in the teaching?
xc xc xc xc xc
You should avoid taking corticosteroids prior to testing
xc xc xc xc xc xc xc
5. A nurse is preparing a client for a colonoscopy. Which of the follow
xc xc xc xc xc xc xc xc xc xc xc xc
ing medications should the nurse anticipate the provider to prescribe
xc xc xc xc xc xc xc xc xc
as an anesthetic for the procedure?
xc xc xc xc xc xc
Propofol
6. A nurse is planning care for a client who has acute pancreatitis. Which of t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he following interventions should the nurse include in the clients plan? S
xc xc xc xc xc xc xc xc xc xc xc
elect all that apply. xc xc xc
Monitor blood glucose levels Maintai xc xc xc xc
n NPO status until pain-
xc xc xc xc
free Manage acute pain xc xc xc
,7. A nurse is teaching a client who has hypertension about dietary modificatio
xc xc xc xc xc xc xc xc xc xc xc
ns to help control blood pressure. Which of the following food choices shou
xc xc xc xc xc xc xc xc xc xc xc xc
ld the nurse recommend as the client to include in their diet?
xc xc xc xc xc xc xc xc xc xc xc
3 oz of chicken breast
xc xc xc xc
8. A nurse is reviewing the medical record of a client who has unstable angi
xc xc xc xc xc xc xc xc xc xc xc xc xc
na. Which of the findings should the nurse report to the provider? Breath
xc xc xc xc xc xc xc xc xc xc xc xc xc
Sounds
9. A nurse is providing discharge instructions to a client who has GERD.
xc xc xc xc xc xc xc xc xc xc xc xc
Which of the following statements by the client demonstrates an underst
xc xc xc xc xc xc xc xc xc xc
anding of the teaching? xc xc xc
I will limit activities that require bending at the waist.
xc xc xc xc xc xc xc xc xc
10. A nurse at a provide office is interviewing a client who has multiple scleros
xc xc xc xc xc xc xc xc xc xc xc xc xc
is and has been taking dantrolone for several months. Which of the followi
xc xc xc xc xc xc xc xc xc xc xc xc
ng client statements should the nurse identify as an indication that the medic
xc xc xc xc xc xc xc xc xc xc xc xc
ation is effective? xc xc
I don’t have muscle spasms as frequently
xc xc xc xc xc xc
11. A nurse is assessing a client who reports a possible exposure to HIV. Wh
xc xc xc xc xc xc xc xc xc xc xc xc xc
ich of the following finding should the nurse identify as an early manife
xc xc xc xc xc xc xc xc xc xc xc xc
station of HIV infection? xc xc xc
Fatigue
12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglyce
xc xc xc xc xc xc xc xc xc xc xc xc xc
mia .which of the following statements by the client indicates an understandin
xc xc xc xc xc xc xc xc xc xc xc
g of the teaching?
xc xc xc
I can drink 4 ounces of soda if my blood sugar is low
xc xc xc xc xc xc xc xc xc xc xc xc
13. A nurse is providing discharge teaching to a client who has heart failure and a
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
prescription for furosemide 20 mg PO two times daily. Which of the followin xc xc xc xc xc xc xc xc xc xc xc xc
g instructions should the nurse include in the teaching?
xc xc xc xc xc xc xc xc
Increase intake of high-potassium foods xc xc xc xc
, 14. A nurse is caring for a client who has burn injuries covering their upper b
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ody and is concerned about their altered appearance .Which of the follow
xc xc xc xc xc xc xc xc xc xc xc
ing statements should the nurse make?
xc xc xc xc xc
It could be helpful for you to attend a support group for people who have burn
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
injuries.
15. A nurse is developing a plan of care for a client who will be placed in halo tra
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ction following surgical repair of the cervical spine .Which of the following
xc xc xc xc xc xc xc xc xc xc xc xc
interventions should the nurse include in the plan? xc xc xc xc xc xc xc
Monitor the client skin under the halo vest. xc xc xc xc xc xc xc
16. A nurse is caring for a client who has a traumatic brain injury. Which of the f
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ollowing finding should indicate to the nurse the need for immediate interve
xc xc xc xc xc xc xc xc xc xc xc
ntion?
Respiratory rate 30/min xc xc
17. A nurse is assessing a client who has meningitis. The nurse should identify whi
xc xc xc xc xc xc xc xc xc xc xc xc xc
ch of the following finding as a positive Kerning s sign? After stroking the late
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ral area of the foot, the client’s toes contract and draw together. After hip flexi
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
on, the client is unable to extend their leg completely without pain
xc xc xc xc xc xc xc xc xc xc xc
18. A nurse is teaching a group of assistive personnel (AP) about caring for clie
xc xc xc xc xc xc xc xc xc xc xc xc xc
nt who have Alzheimer’s disease. Which of the following information sho
xc xc xc xc xc xc xc xc xc xc
uld the nurse include in the teaching?
xc xc xc xc xc xc
Provide supervision to prevent a client from becoming injured or lost.
xc xc xc xc xc xc xc xc xc xc
19. A home health nurse is providing teaching to the family of a client who has
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a seizure disorder. Which of the following interventions should the nurse i
xc xc xc xc xc xc xc xc xc xc xc
nclude in the teaching? xc xc xc
Keep a padded tongue blade near the bedside.
xc xc xc xc xc xc xc
Place a pillow under the client's head while in bed during a seizure. Ad
xc xc xc xc xc xc xc xc xc xc xc xc xc
minister diazepam orally at the onset of seizures. xc xc xc xc xc xc xc
