ATI CAPSTONE MED SURG PART 2
QUESTIONS WITH COMPLETE
SOLUTION
ca nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect - the pt
reports tingling and burning sensation in one foot
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a
"migraine coming on", the nurse should expect the pt to report what manifestation - visual disturbance
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as the
disease progresses, what would she include? - double vision
a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter
reading appears, the nurse should instruct the pt to take which of the following actions - take prescribed
relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are
experiencing the crisis - hypotension
(aldosterone deficit)
a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume oral
intake, what item should the nurse offer the pt - gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement indicates
understanding of the teaching? - i will remove my metal jewelry before coming in
a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to the
pt following the procedure - lie on your right side
a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower esophageal
sphincter (LES) pressure, what choice by the pt indicates understanding - cheddar cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving 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 - platelets 90,000
a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should the
nurse include in the teaching - apply dry heat to your abdomen when needed
, a nurse is obtaining the health history of a young adult male client, what information should indicate to
the nurse that the pt is at high risk for developing testicular cancer - undescended right testis
a nurse is instructing a pt's caregiver on how to position the client before administering tube feedings in
the home, which demonstrates understanding? - i will sit him up in bed
a triage nurse finds a school-age child lying in the road following a school bus crash with multiple
causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful stimuli,
what action should the nurse take - place an emergent category on the child's upper body and yell for
help
a nurse is caring for a client who has renal failure, what ABG result would the nurse expect - ph 7.25
HCO3 20
PaCO2 35
a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority - provide assistance
with ambulation
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be
experiencing neurogenic shock - heart rate 52/min
a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority action for
the nurse to take - strictly monitor intake and output
a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal,
what action is priority - monitoring BP
a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the
following factors places the pt at risk for gout - diuretic use
a nurse is caring for a pt who has a cervical spinal cord injury, what interventions should the nurse
include in the plan of care to prevent autonomic dysreflexia - monitor bowel movement regularity
a nurse is caring for an adult client who asks about vaccinations against communicable diseases, the
nurse should inform the client that which of the following vaccines are available - Hep A, Hep B,
Pneumococcal
a nurse is providing discharge instructions to a pt following a cataract surgery, the nurse should advise
the pt that he can perform what activities - cooking
light house work
(avoid bending at the waist, or anything that can increase IOP)
a nurse is teaching a pt who has angina pectoris about nitroglycerin sublingual tablets, what statements
should indicate to the nurse that the pt understands the teaching - i will keep the tablets in the original
container
QUESTIONS WITH COMPLETE
SOLUTION
ca nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect - the pt
reports tingling and burning sensation in one foot
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a
"migraine coming on", the nurse should expect the pt to report what manifestation - visual disturbance
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as the
disease progresses, what would she include? - double vision
a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter
reading appears, the nurse should instruct the pt to take which of the following actions - take prescribed
relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are
experiencing the crisis - hypotension
(aldosterone deficit)
a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume oral
intake, what item should the nurse offer the pt - gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement indicates
understanding of the teaching? - i will remove my metal jewelry before coming in
a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to the
pt following the procedure - lie on your right side
a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower esophageal
sphincter (LES) pressure, what choice by the pt indicates understanding - cheddar cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving 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 - platelets 90,000
a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should the
nurse include in the teaching - apply dry heat to your abdomen when needed
, a nurse is obtaining the health history of a young adult male client, what information should indicate to
the nurse that the pt is at high risk for developing testicular cancer - undescended right testis
a nurse is instructing a pt's caregiver on how to position the client before administering tube feedings in
the home, which demonstrates understanding? - i will sit him up in bed
a triage nurse finds a school-age child lying in the road following a school bus crash with multiple
causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful stimuli,
what action should the nurse take - place an emergent category on the child's upper body and yell for
help
a nurse is caring for a client who has renal failure, what ABG result would the nurse expect - ph 7.25
HCO3 20
PaCO2 35
a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority - provide assistance
with ambulation
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be
experiencing neurogenic shock - heart rate 52/min
a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority action for
the nurse to take - strictly monitor intake and output
a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal,
what action is priority - monitoring BP
a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the
following factors places the pt at risk for gout - diuretic use
a nurse is caring for a pt who has a cervical spinal cord injury, what interventions should the nurse
include in the plan of care to prevent autonomic dysreflexia - monitor bowel movement regularity
a nurse is caring for an adult client who asks about vaccinations against communicable diseases, the
nurse should inform the client that which of the following vaccines are available - Hep A, Hep B,
Pneumococcal
a nurse is providing discharge instructions to a pt following a cataract surgery, the nurse should advise
the pt that he can perform what activities - cooking
light house work
(avoid bending at the waist, or anything that can increase IOP)
a nurse is teaching a pt who has angina pectoris about nitroglycerin sublingual tablets, what statements
should indicate to the nurse that the pt understands the teaching - i will keep the tablets in the original
container
