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5.0
Capstone ATI NCLEX Medical Surgical Assessment 1
Recent Questions with Detailed Verified Answers
and Correct Answers Already Graded A+
Quiz: A nurse is teaching a client how to administer a medication using
an inhaler with a spacer. Which of the following instructions should the
nurse include
A. "Wait at least 5 minutes between puffs from the same inhaler"
B. "Breathe in rapidly when inhaling the medication"
C. "Clean the plastic inhaler cap weekly with cold water"
D. "Shake the inhaler vigorously prior to use"
Ans: D .) "Shake the inhaler vigorously prior to use"
Thoroughly shake the inhaler to disperse the medication because the
medication in the inhaler can separate easily
Quiz: A nurse is planning care for a client who is receiving
mechanical ventilation. Which of the following actions should the nurse
include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr
18:36:59
,Ans: A.) Provide the client with a means of communication
Use electronic tablet computer, programmable speech generating device,
alphabet board, pencil and paper, etc
Quiz: A nurse is caring for a client who is receiving IV fluid
replacement therapy for dehydration. Which of the following
laboratory results indicates effectiveness of the treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%
Ans: C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
Quiz: 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
Examstudy - Stuvia US
,D. RBC 4.0 million
Ans: C Platelets 80,000
platelet range is 150,000-400,000
Quiz: 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
Ans: 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)
Quiz: 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
Examstudy - Stuvia US
, C. Dyspnea
D. Bradycardia
Ans: 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
Quiz: 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
Ans: C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells
Quiz: 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)
Examstudy - Stuvia US
In today's fast-paced educational landscape, students need reliable resources to excel in their studies.
5.0
Capstone ATI NCLEX Medical Surgical Assessment 1
Recent Questions with Detailed Verified Answers
and Correct Answers Already Graded A+
Quiz: A nurse is teaching a client how to administer a medication using
an inhaler with a spacer. Which of the following instructions should the
nurse include
A. "Wait at least 5 minutes between puffs from the same inhaler"
B. "Breathe in rapidly when inhaling the medication"
C. "Clean the plastic inhaler cap weekly with cold water"
D. "Shake the inhaler vigorously prior to use"
Ans: D .) "Shake the inhaler vigorously prior to use"
Thoroughly shake the inhaler to disperse the medication because the
medication in the inhaler can separate easily
Quiz: A nurse is planning care for a client who is receiving
mechanical ventilation. Which of the following actions should the nurse
include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr
18:36:59
,Ans: A.) Provide the client with a means of communication
Use electronic tablet computer, programmable speech generating device,
alphabet board, pencil and paper, etc
Quiz: A nurse is caring for a client who is receiving IV fluid
replacement therapy for dehydration. Which of the following
laboratory results indicates effectiveness of the treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%
Ans: C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
Quiz: 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
Examstudy - Stuvia US
,D. RBC 4.0 million
Ans: C Platelets 80,000
platelet range is 150,000-400,000
Quiz: 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
Ans: 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)
Quiz: 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
Examstudy - Stuvia US
, C. Dyspnea
D. Bradycardia
Ans: 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
Quiz: 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
Ans: C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells
Quiz: 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)
Examstudy - Stuvia US
