Correct Verified Answers/Graded A+
1. a nurse is assessing a pt who has a history visual disturbance
of migraine headaches with aura and reports
feeling a "migraine coming on", the nurse
should expect the pt to report what manifes-
tation
2. a nurse is teaching a pt who has a new diag- double vision
nosis of MS about visual changes she might
experience as the disease progresses, what
would she include?
3. a nurse is teaching a pt who has asthma take prescribed relief meds
about using a peak flow meter, when a yel-
low zone meter reading appears, the nurse
should instruct the pt to take which of the
following actions
4. a nurse is assessing a pt who has Addison's hypotension
disease, what manifestation would indicate
they are experiencing the crisis (aldosterone deficit)
5. a nurse is caring for pt who has acute gastri- gelatin
tis and is NPO, the pt has a new prescription
to resume oral intake, what item should the
nurse offer the pt
6. a nurse is providing education to a pt who is i will remove my metal jewel-
scheduled for a barium swallow, what state- ry before coming in
ment indicates understanding of the teach-
ing?
7. a nurse is caring for pt who is undergoing lie on your right side
a liver biopsy, what instruction should the
nurse provide to the pt following the proce-
dure
8. a nurse is teaching a pt who has a hiatal cheddar cheese
hernia about dietary selections to maintain
lower esophageal sphincter (LES) pressure, (avoid fried, fatty, pepper-
, ATI Capstone Med Surg
what choice by the pt indicates understand- mint, caffeine, tomatoes, cit-
ing rus fruits, and alcohol)
9. a nurse is reviewing the lab results of a pt platelets 90,000
who has unstable angina and has been re-
ceiving heparin via continuous IV infusion
for the past 5 days, what lab values should
the nurse identify as an indication that the pt
has developed HIT
10. a nurse is teaching a pt who has a new di- apply dry heat to your ab-
agnosis of polycystic kidney disease, what domen when needed
statement should the nurse include in the
teaching
11. a nurse is obtaining the health history of undescended right testis
a young adult male client, what information
should indicate to the nurse that the pt is at
high risk for developing testicular cancer
12. a nurse is instructing a pt's caregiver on how i will sit him up in bed
to position the client before administering
tube feedings in the home, which demon-
strates understanding?
13. a triage nurse finds a school-age child lying place an emergent category
in the road following a school bus crash with on the child's upper body and
multiple causalities, the child has a respira- yell for help
tory rate of 10/min, strong distal pulses, and
groans to painful stimuli, what action should
the nurse take
14. a nurse is caring for a client who has renal ph 7.25
failure, what ABG result would the nurse ex- HCO3 20
pect PaCO2 35
15. a nurse is caring for pt who has a cerebellar provide assistance with am-
tumor, what action is the nurse's priority bulation
16. heart rate 52/min