8/22/24, 2:34 AM
DANIEL
Capstone ATI NCLEX Medical Surgical Assessment 1
Practice questions for this set
Learn 1 /7 Study with Learn
C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
Choose matching term
A nurse is preparing to transfuse 1 unit of packed RBC to a client. Which of the following actions
should the nurse take first
1 A. Verify the label on the blood product with 2 client identifiers
B. Check the client's medical record to verify the provider's prescription
C. Flush the blood tubing with 0.9% sodium chloride
D. Instruct the client to report itching or shortness of breath
A nurse is reviewing the laboratory findings for a client who has heart failure and is taking
furosemide. The nurse should identify which of the following findings as an adverse effect of the
medication
2 A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia
1/16
,8/22/24, 2:34 AM
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
3 A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%
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
4 A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold
Don't know?
Terms in this set (61)
A nurse is teaching a client how to administer D .) "Shake the inhaler vigorously prior to use"
a medication using an inhaler with a spacer. Thoroughly shake the inhaler to disperse the medication because the medication in the
Which of the following instructions should inhaler can separate easily
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"
A nurse is planning care for a client who is A.) Provide the client with a means of communication
receiving mechanical ventilation. Which of
the following actions should the nurse Use electronic tablet computer, programmable speech generating device, alphabet
include in the plan board, pencil and paper, etc
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
2/16
, 8/22/24, 2:34 AM
A nurse is caring for a client who is receiving C Urine specific gravity 1.020
IV fluid replacement therapy for dehydration. Within the expected range of 1.005-1.030
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%
A nurse is monitoring the laboratory findings C Platelets 80,000
for a client who is postoperative following a platelet range is 150,000-400,000
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
A nurse is admitting a client who has a D Assist the client with quad coughing
cervical spinal cord injury following a motor The greatest risk to a client who has a cervical spinal cord injury is an obstructed
vehicle crash. Which of the following airway; the priority is to ensure the client can clear their airway. Apply abdominal
interventions is the nurse's priority while pressure as the client coughs (quad coughing)
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
A nurse is caring for a client who is receiving C Dyspnea
a blood transfusion. Which of the following Dyspnea is an indication of possible transfusion associated circulatory overload,
findings indicates that the client is leading to hypertension, bounding pulses, and confusion. Dyspnea can also indicate
experiencing transfusion-associated transfusion related acute lung injury to an anaphylactic response, which also causes
circulatory overload wheezing, chest tightness, cyanosis, and low BP
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia
A nurse is assessing a client who has lung C Altered taste sensations
cancer and is undergoing radiation therapy Altered taste is a result of the release of metabolites by dead cells
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
3/16
DANIEL
Capstone ATI NCLEX Medical Surgical Assessment 1
Practice questions for this set
Learn 1 /7 Study with Learn
C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
Choose matching term
A nurse is preparing to transfuse 1 unit of packed RBC to a client. Which of the following actions
should the nurse take first
1 A. Verify the label on the blood product with 2 client identifiers
B. Check the client's medical record to verify the provider's prescription
C. Flush the blood tubing with 0.9% sodium chloride
D. Instruct the client to report itching or shortness of breath
A nurse is reviewing the laboratory findings for a client who has heart failure and is taking
furosemide. The nurse should identify which of the following findings as an adverse effect of the
medication
2 A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia
1/16
,8/22/24, 2:34 AM
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
3 A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%
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
4 A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold
Don't know?
Terms in this set (61)
A nurse is teaching a client how to administer D .) "Shake the inhaler vigorously prior to use"
a medication using an inhaler with a spacer. Thoroughly shake the inhaler to disperse the medication because the medication in the
Which of the following instructions should inhaler can separate easily
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"
A nurse is planning care for a client who is A.) Provide the client with a means of communication
receiving mechanical ventilation. Which of
the following actions should the nurse Use electronic tablet computer, programmable speech generating device, alphabet
include in the plan board, pencil and paper, etc
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
2/16
, 8/22/24, 2:34 AM
A nurse is caring for a client who is receiving C Urine specific gravity 1.020
IV fluid replacement therapy for dehydration. Within the expected range of 1.005-1.030
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%
A nurse is monitoring the laboratory findings C Platelets 80,000
for a client who is postoperative following a platelet range is 150,000-400,000
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
A nurse is admitting a client who has a D Assist the client with quad coughing
cervical spinal cord injury following a motor The greatest risk to a client who has a cervical spinal cord injury is an obstructed
vehicle crash. Which of the following airway; the priority is to ensure the client can clear their airway. Apply abdominal
interventions is the nurse's priority while pressure as the client coughs (quad coughing)
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
A nurse is caring for a client who is receiving C Dyspnea
a blood transfusion. Which of the following Dyspnea is an indication of possible transfusion associated circulatory overload,
findings indicates that the client is leading to hypertension, bounding pulses, and confusion. Dyspnea can also indicate
experiencing transfusion-associated transfusion related acute lung injury to an anaphylactic response, which also causes
circulatory overload wheezing, chest tightness, cyanosis, and low BP
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia
A nurse is assessing a client who has lung C Altered taste sensations
cancer and is undergoing radiation therapy Altered taste is a result of the release of metabolites by dead cells
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
3/16
