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Capstone Med Surg Assessment Exam 2024, Exams of Nursing

Capstone Med Surg Assessment Exam 2024

Typology: Exams

2023/2024

Available from 08/12/2024

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Capstone Med Surg Assessment
Exam 2024
A nurse is teaching a client about using a continuous positive airway
pressure (CPAP) device to treat obstructive sleep apnea. Which of the
following information should the nurse include in the teaching? - ANS It delivers a pre-
set amount of airway pressure throughout the breathing cycle
A nurse is providing discharge teaching to a client following a heart
transplant. Which of the following information should the nurse include in
the teaching? - ANS Shortness of breath might be an indication of transplant rejection
A nurse is caring for a client who has syndrome of inappropriate
antidiuretic hormone (SIADH) and is receiving 3 % sodium chloride via
continuous IV. Which of the following laboratory finding should the nurse
identify as an indication that the SIADH is resolving? - ANS Urine specific gravity 1.020
A nurse is teaching a client about fecal occult blood testing (FOBT) for the
screening of colorectal cancer. Which of the following statements should
the nurse include in the teaching? - ANS You should avoid taking corticosteroids prior
to testing
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? - ANS Propofol
A nurse is planning care for a client who has acute pancreatitis. Which of
the following interventions should the nurse include in the clients plan?
Select all that apply - ANS Monitor blood glucose levels
Maintain NPO status until pain-free
Manage acute pain
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 client to include in their diet? - ANS 3 oz
of chicken breast
A nurse is reviewing the medical record of a client who has unstable angina.
Which of the findings should the nurse report to the provider? - ANS Breath Sounds
A nurse is providing discharge instructions to a client who has GERD.
Which of the following statements by the client demonstrates an
understanding of the teaching? - ANS I will limit activities that require bending at the
waist.
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Capstone Med Surg Assessment

Exam 2024

A nurse is teaching a client about using a continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea. Which of the following information should the nurse include in the teaching? - ANS It delivers a pre- set amount of airway pressure throughout the breathing cycle A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching? - ANS Shortness of breath might be an indication of transplant rejection A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3 % sodium chloride via continuous IV. Which of the following laboratory finding should the nurse identify as an indication that the SIADH is resolving? - ANS Urine specific gravity 1. A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? - ANS You should avoid taking corticosteroids prior to testing 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? - ANS Propofol A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the clients plan? Select all that apply - ANS Monitor blood glucose levels Maintain NPO status until pain-free Manage acute pain 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 client to include in their diet? - ANS 3 oz of chicken breast A nurse is reviewing the medical record of a client who has unstable angina. Which of the findings should the nurse report to the provider? - ANS Breath Sounds A nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching? - ANS I will limit activities that require bending at the waist.

A nurse at a provide office is interviewing a client who has multiple sclerosis and has been taking dantrolone for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective? - ANS I don't have muscle spasms as frequently .A nurse is assessing a client who reports a possible exposure to HIV. Which of the following finding should the nurse identify as an early manifestation of HIV infection? - ANS Fatigue A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia .which of the following statements by the client indicates an understanding of the teaching? - ANS I can drink 4 ounces of soda if my blood sugar is low 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? - ANS Increase intake of high-potassium foods A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance .Which of the following statements should the nurse make? - ANS It could be helpful for you to attend a support group for people who have burn injuries 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? - ANS Monitor the client skin under the halo vest A nurse is caring for a client who has a traumatic brain injury. Which of the following finding should indicate to the nurse the need for immediate intervention? - ANS RR 30/min A nurse is assessing a client who has meningitis. The nurse should identify which of the following finding as a positive Kerning s sign? After stroking the lateral area of the foot, the client's toes contract and draw together. - ANS After hip flexion, the client is unable to extend their leg completely without pain A nurse is teaching a group of assistive personnel (AP) about caring for client who have Alzheimer's disease. Which of the following information should the nurse include in the teaching? - ANS Provide supervision to prevent a client from becoming injured or lost. A home health nurse is providing teaching to the family of a client who has

Normal range of PaCO2 = 35 to 45 mmHg. But, here is 29 mmHg. It is reduced. Therefore, it is respiratory alkalosis. Hyperventilation reduced the normal carbon dioxide level. A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include? - ANS Consume high-calorie foods A nurse is caring for a client who has a right-sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly? - ANS Gentle bubbling in the suction chamber A nurse is caring for client who has a new diagnosis of tuberculosis. Which of the following precautions should the nurse initiate to present transmission of the disease? - ANS Airborne precautions A nurse is planning care for a client who has Ménière's disease and is experiencing episodes of vertigo. Which of the following interventions should the nurse include in the plan? - ANS Provide a low-sodium diet A nurse reviewing laboratory reports for client who is taking NSAISs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAID therapy? - ANS Increased serum potassium A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates the client might be experiencing a hemolytic transfusion reaction? - ANS Report of urticaria A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first? - ANS Ask the client to describe the pain and rate it on a scale of 0 to 10. A nurse is teaching strategies to prevent carpal tunnel syndrome to a group of oce workers. Which of the following instructions should the nurse include? (Select all that apply.) - ANS "Use a wrist rest when working at a computer station." "Stretch your ngers and wrists periodically while working." "Take breaks from the repetitive activity." A nurse is assessing a client who has a tension pneumothorax following blunt chest trauma. Which of the following findings should the nurse expect? - ANS Tracheal deviation to the unaffected side

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? (Select all that apply) - ANS Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine A nurse is teaching a client who has angina pectoris about nitroglycerin sublingual tablets. Which of the following statements should indicate to the nurse that the client understands the teaching? - ANS "I will keep the tablets in the original container." A nurse is preparing to administer epoetin to a client who has anemia due to chemotherapy. Which of the following actions should the nurse plan to take? - ANS Ensure the client is not taking iron supplements while on this medication. A nurse is assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse report to the provider immediately? - ANS Decreased deep tendon reflexes A nurse is assessing a client who has Addison's disease. Which of the following manifestations should indicate to the nurse that the client is experiencing an Addisonian crisis? - ANS Hypotension A nurse is caring for a client who has a cerebellar tumor. Which of the following actions is the nurse's priority? - ANS Provide assistance with ambulation. A nurse is providing teaching to a newly licensed nurse about caring for a client who is receiving a ealed radioactive implant. Which of the following information should the nurse include in the teaching? - ANS Wear a lead apron during care A nurse is assessing a client who is postoperative following a kidney transplant. Which of the following findings indicates the client is experiencing a transplant rejection? - ANS Hypertension A nurse is providing teaching to a client who is scheduled for a bone marrow biopsy taken from the iliac crest. Which of the following information should the nurse include? - ANS "Avoid taking warm baths following the procedure." • A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following dietary modifications should the nurse include? - ANS Avoid drinking liquids with meals

statements by the caregiver demonstrates an understanding of the teaching? - ANS "I will sit him up in bed." A nurse is teaching a client who has asthma about using a peak ow meter. When a yellow zone meter reading appears, the nurse should instruct the client to take which of the following actions? - ANS Take prescribed relief medication. A nurse is caring for a client who is postoperative and reports frequent leakage of small amounts of urine. The nurse notes that the client's bladder is palpable upon examination. The nurse should identify these findings as which of the following forms of incontinence? - ANS stress A nurse is assessing a client who has tuberculosis and is taking rifampin. Which of the following findings should the nurse report as an adverse effect of the medication? - ANS Yellowing of the sclera A nurse is caring for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse include in the plan of care to prevent autonomic dysreflexia? - ANS Monitor bowel movement regularity. A nurse is caring for a client who is using a ventilator when the low- pressure ventilator alarm sounds. Which of the following actions should the nurse take? - ANS Check the ventilator tubing connections. A nurse is caring for a client who has renal calculi. Which of the following prescriptions by the provider is the priority action for the nurse to take? - ANS Monitor intake and output A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements by the client indicates an understanding of the teaching? - ANS "I'll use my reaching device to help me pick up objects I drop on the floor." A nurse is providing teaching for a client who has Parkinson's disease and a new prescription for selegiline. Which of the following statements should the nurse include? - ANS "Avoid eating aged cheeses or smoked meats while taking this medication." A nurse is caring for a client who has renal failure. Which of the following arterial blood gas (ABG) results should the nurse expect? - ANS pH 7.25, HCO 20 mEq/L, PaCO 35 mm Hg - A nurse is reviewing a client's medical record prior to administering furosemide via IV bolus to a client who has heart failure. For which of the following ndings should the nurse withhold the medication and notify the

provider? - ANS Hypokalemia A nurse is initiating a plan of care for a client who has COPD. Which of the following interventions should the nurse include? - ANS Educate the client on pursed- lip breathing. A nurse is receiving report on a group of clients. Which of the following clients should the nurse assess first? - ANS A client who has a systemic infection and an oral temperature of 39.1° C (102.4° F) A nurse is discussing risk factors for hepatitis A with a newly licensed nurse. Which of the following clients should the nurse identify as being at an increased risk for hepatitis A? - ANS A client who has recently done volunteer work in a developing country A nurse is providing education regarding the prevention of urinary tract infections (UTIs) to a client who has a history of cystitis. Which of the following statements by the client indicates that the teaching has been effective? - ANS "I will empty my bladder every 2 to 3 hours throughout the day." A nurse is providing instructions to a newly licensed nurse about NG intubation for a client who is postoperative following a colectomy. Which of the following statements should the nurse include? - ANS "The tube decreases pressure within the stomach." A nurse is caring for a client who has a history of tonic-clonic seizures. Which of the following precautions should the nurse take? (Select all that apply.) - ANS Keep a suction apparatus at the bedside Keep the bed in the lowest position. Keep oxygen equipment at the bedside A nurse is creating a plan of care for a client who has meningitis. Which of the following interventions should the nurse include? - ANS Initiate contact isolation precautions. A nurse is a caring for client who is postoperative following a below-the- knee amputation. Which of the following actions should the nurse take? - ANS Place the client prone for 20 min every 3 hr A nurse is assessing a client who has meningitis. The nurse should identify which of the following findings as a positive Kernig's sign? - ANS After hip flexion, the client is unable to extend their leg completely without pain

A nurse is caring for a client who has a right-sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly? - ANS Gentle bubbling in the suction chamber A nurse is planning care for a client who has acute post-streptococcal glomerulonephritis. Which of the following interventions should the nurse include in the client's plan? - ANS Administer diuretics to the client. 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? - ANS Monitor the client's skin under the halo vest. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a possible complication of TPN administration? - ANS Diminished lung sounds A nurse is assessing a client who has a heart rate of 40/min. The client is diaphoretic and has chest pain. Which of the following medications should the nurse plan to administer? - ANS Atropine A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). Which of the following referrals should the nurse plan to initiate? - ANS Dietary services A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance. Which of the following statements should the nurse make? - ANS "It could be helpful for you to attend a support group for people who have burn injuries." A nurse is caring for a client who has dehydration. The client has a peripheral IV and has a prescription for an infusion of 0.9% sodium chloride 1,000 mL with 40 mEq potassium chloride to infuse over 1 hr. Which of the following actions should the nurse take first? - ANS Verify the prescription with the provider A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately? - ANS Rebound tenderness over McBurney's point A nurse in an emergency department is caring for a client who has sustained multiple injuries. The nurse observes the client's thorax moving inward during inspiration and outward during expiration. The nurse should suspect which of the following injuries? - ANS Flail chest

A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following ndings should the nurse expect? - ANS Decreased deep-tendon reflexes A nurse is providing teaching to a client who is scheduled for electromyography (EMG). The nurse should include which of the following information in the teaching? - ANS "You should expect insertion of small needle electrodes into the muscles." A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include? - ANS Consume high-calorie foods. A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hr ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) - ANS ✓ Use an electric shaver. ✓ Avoid crowds ✓ Consume a low-residue diet. ✓ Monitor for bruising. A nurse is planning care for a group of postoperative clients. Which of the following interventions should the nurse identify as the priority? - ANS Administer oxygen to a client who has an oxygen saturation of 91%. A nurse is caring for a client who is to undergo a liver biopsy. Which of the following instructions should the nurse provide to the client following the procedure? - ANS "Lie on your right side." A nurse is assessing a client who has a permanent spinal cord injury and is scheduled for discharge. Which of the following client statements indicates that the client is coping effectively? - ANS "I'm glad I'll only be in this wheelchair temporarily. I can't wait to get back to running." A nurse is caring for a client who has chronic kidney disease. Which of the following diets should the nurse anticipate the provider to prescribe? - ANS Potassium-restricted diet