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 bydead cells
A nurse is preparing to administer a unit of
packed RBCs to a client who has anemia. Which
of the followingactions 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
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
otherconditions 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
, kneeamputation due to a traumatic injury 2 days
ago. Which
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 bydead cells
A nurse is preparing to administer a unit of
packed RBCs to a client who has anemia. Which
of the followingactions 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
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
otherconditions 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
, kneeamputation due to a traumatic injury 2 days
ago. Which
