CAPSTONE ATI NCLEX
MEDICAL SURGICAL
ASSESSMENT
[Type the document subtitle]
CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1
QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST
2024/2025
JIMSE
[Pick the date]
, CAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1
QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
DOWNLOAD 2024/2025 BEST EXAM SOLUTION GRADED A+
A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip arthroplasty 6 hr ago.
Which of the following values indicates that the client has an increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million * VERIFIED ANSWER C Platelets 80,000
platelet range is 150,000*400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle crash. Which of the following
interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing * VERIFIED ANSWER D Assist the client with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the priority is to ensure the
client can clear their airway. Apply abdominal pressure as the client coughs (quad coughing)
1
, A nurse is caring for a client who is receiving a blood transfusion. Which of the following findings indicates that the client is
experiencing transfusion*associated circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia * VERIFIED ANSWER C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to hypertension, bounding pulses,
and confusion. Dyspnea can also indicate transfusion related acute lung injury to an anaphylactic response, which also
causes wheezing, chest tightness, cyanosis, and low BP
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 * VERIFIED ANSWER C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of the following actions 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
2
MEDICAL SURGICAL
ASSESSMENT
[Type the document subtitle]
CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1
QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST
2024/2025
JIMSE
[Pick the date]
, CAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1
QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
DOWNLOAD 2024/2025 BEST EXAM SOLUTION GRADED A+
A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip arthroplasty 6 hr ago.
Which of the following values indicates that the client has an increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million * VERIFIED ANSWER C Platelets 80,000
platelet range is 150,000*400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle crash. Which of the following
interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing * VERIFIED ANSWER D Assist the client with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the priority is to ensure the
client can clear their airway. Apply abdominal pressure as the client coughs (quad coughing)
1
, A nurse is caring for a client who is receiving a blood transfusion. Which of the following findings indicates that the client is
experiencing transfusion*associated circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia * VERIFIED ANSWER C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to hypertension, bounding pulses,
and confusion. Dyspnea can also indicate transfusion related acute lung injury to an anaphylactic response, which also
causes wheezing, chest tightness, cyanosis, and low BP
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 * VERIFIED ANSWER C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of the following actions 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
2
