ATI Capstone Adult Medical Surgical
Assessment 2
1. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have
Alzheimer's disease. Which of the following information should the nurse include in the
teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost
Provide supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should initiate
interventions to keep the client safe, such as redirection, frequent monitoring, and reorientation.
The AP should encourage a client who has Alzheimer's disease to participate in activities for as
long as possible because socializing with others can provide the client with comfort = D
A nurse is developing a plan of care for a client who will be placed in halo traction following
surgical repair of the cervical spine. Which of the following interventions should the nurse
include in the plan?
Monitor the client’s skin under the halo vest
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instructions should the nurse include?
Consume high-calorie foods
4. A nurse is caring for a client who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease?
Airborne precautions
5. A nurse is preparing a client for a colonoscopy. Which of the following medications should the
nurse anticipate the provider to prescribe as an anesthetic for the procedure?
, Propofol
6. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the
following should the nurse include as a risk factor for osteoporosis?
Early menopause
7. A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following findings should the nurse notify the provider?
The dressing was changed 7 days ago
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of the
following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate
26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with
crackles heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase
Breath sounds
9. A nurse is planning care for a group of postoperative clients. Which of the following
interventions should the nurse identify as the priority?
Administer oxygen to a client who has an oxygen saturation of 91%
10. A nurse is providing discharge teaching to a client who has heart failure and a prescription
for furosemide 20 mg PO two times daily. Which of the following instructions should the nurse
include in the teaching?
Increase intake of high-potassium foods
A nurse is teaching a client who has hypertension about dietary modifications to help control
blood pressure. Which of the following food choices should the nurse recommend as the best
choice for the client to include in their diet?
3 oz of chicken breast
Assessment 2
1. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have
Alzheimer's disease. Which of the following information should the nurse include in the
teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost
Provide supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should initiate
interventions to keep the client safe, such as redirection, frequent monitoring, and reorientation.
The AP should encourage a client who has Alzheimer's disease to participate in activities for as
long as possible because socializing with others can provide the client with comfort = D
A nurse is developing a plan of care for a client who will be placed in halo traction following
surgical repair of the cervical spine. Which of the following interventions should the nurse
include in the plan?
Monitor the client’s skin under the halo vest
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instructions should the nurse include?
Consume high-calorie foods
4. A nurse is caring for a client who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease?
Airborne precautions
5. A nurse is preparing a client for a colonoscopy. Which of the following medications should the
nurse anticipate the provider to prescribe as an anesthetic for the procedure?
, Propofol
6. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the
following should the nurse include as a risk factor for osteoporosis?
Early menopause
7. A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following findings should the nurse notify the provider?
The dressing was changed 7 days ago
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of the
following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate
26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with
crackles heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase
Breath sounds
9. A nurse is planning care for a group of postoperative clients. Which of the following
interventions should the nurse identify as the priority?
Administer oxygen to a client who has an oxygen saturation of 91%
10. A nurse is providing discharge teaching to a client who has heart failure and a prescription
for furosemide 20 mg PO two times daily. Which of the following instructions should the nurse
include in the teaching?
Increase intake of high-potassium foods
A nurse is teaching a client who has hypertension about dietary modifications to help control
blood pressure. Which of the following food choices should the nurse recommend as the best
choice for the client to include in their diet?
3 oz of chicken breast
