ATI MED SURG CAPSTONE QUIZ REVIEW

1. A nurse in a rural community center is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instruction should the nurse include in the teaching? a. Apply an ice pack directly to the affected area b. Immobilize the affected extremity with a splint c. Place tourniquet above and below the affected area d. Elevate the affected extremity 2. A nurse in an Emergency Department is caring for a client who sustained multiple injuries. The nurse observes client’s thorax moving inward during inspiration and outward during expiration. The nurse should suspect which of the following injuries? a. Flail chest b. Hemothorax c. Pulmonary contusion d. Pneumothorax 3. A nurse is caring for a client who has rights sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly? a. Gentle bubbling in the suction chamber b. crepitus around the insertion site c. constant bubbling in the water seal chamber d. absence of breath sounds on the right side 4. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching? a. I can expect swelling in my hands an on my face b. the amount of protein in my blood is high c. I might have some pain and gas in my stomach from this condition d. I will use a soft bristle toothbrush so my gums don't bleed 5. A nurse is planning for a group of postoperative clients. Which of the following interventions should the nurse identify as the priority? a. Administer IV pain medication to a client who reports pain as a 6 on a scale of 0 to 10 b. administer oxygen to a client who has an oxygen saturation of 91% c. instructor client who is 1 hour postoperative about coughing and deep breathing exercises d. initiate an infusion of 0.9% sodium chloride for a client who has just had abdominal surgery 6. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the following intervention should the nurse implement? a. Place several pillows behind the client's head b. place the client in a Sims position c. keep the client's neck in a midline position d. maintain flexion of the client's hips at a 90 degree angle 7. A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instruction should the nurse provide to the client following the procedure? a. Lie on your left side b. lie on your right side c. increase your fluid intake d. decrease your fluid intake 8. A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG). which of the following statements by the client indicates an understanding of the teaching? a. I should not wash my hair prior to the procedure b. I will receive a sedated 1 hour before the procedure c. I should avoid eating prior to the procedure d. I will be exposed to flashes of light during the procedure 9. A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone. Which of the following finding should the nurse identify as an adverse effect of this medication? a. Weight loss b. hypoglycemia c. hypertension d. hyperkalemia 10. A nurse is caring for a client who has dehydration. The client has a peripheral IV and has a prescription for an infusion of 0.9% sodium chloride 1000 mL with 40 mEq potassium chloride to infuse over 1 hr. Which of the following action should the nurse take first? a. Teach the client to report findings of IV extravasation b. evaluate the patency of the IV c. consult with the pharmacist about the prescription d. verify the prescription with the provider