ATI Capstone Adult Medical Surgical Assessment 2024 Test With Complete Solutions
ATI Capstone Adult Medical Surgical Assessment 2024 Test With Complete Solutions 1. A nurse Is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). Which of the following referrals should the nurse plan to initiate? (Answer: - Dietary services 2. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a possible complication of TPN administration? (Answer: - Pitting edema of bilateral lower extremities 3. 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 instructions should the nurse include in the teaching? (Answer: - Immobilize the affected extremity with a split 4. A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hr ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply) (Answer: - Use an eclectic shaver Avoid crowds Monitor for bruising 5. A nurse is planning care for a client who has acute post-streptococcal glomerulonephritis. Which of the following interventions should the nurse include in the client's plan? (Answer: - Administer diuretics to the client 6. A nurse in an emergency department is caring for a client who has sustained multiple injuries. The nurse observes the client's thorax moving inward during inspiration and outward during expiration. The nurse should suspect which of the following injuries? (Answer: - Flail chest 7. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving? (Answer: - Sodium 119 mEq/L 8. A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention? (Answer: - Respiratory rate 30/min 9. A nurse is caring for a client who has a right sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly? (Answer: - Gentle bubbling in the suction chamber 10. A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching? (Answer: - Shortness of breath might be an indication of transplant rejection 11. A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson's disease. Which of the following instructions should the nurse include in the teaching? (Answer: - "This medication can cause your urine to turn a dark color." 12. A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse implement? (Answer: - Keep the client's neck in a midline position 13. A nurse is caring for a client who is hyperventilating and has the following ABG results: pH 7.50, PaCO2 29 mm Hg, and HCO3- 25 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances? (Answer: - Respiratory alkalosis
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