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ATI NCLEX CAPSTONE MEDICAL SURGICAL ASSESSMENT 1/ CAPSTONE ATI MED SURG ACTUAL ASSESSMENT 1 LATEST 2024 APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (FULL REVISED EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND NEW!!)

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ATI NCLEX CAPSTONE MEDICAL SURGICAL ASSESSMENT 1

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ATI NCLEX CAPSTONE MEDICAL SURGICAL ASSESSMENT 1

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ati nclex capstone medical surgical assessment 1
ati nclex capstone medical surgical assessment
ati nclex capstone medical surgical
nclex capstone medical surgical
nclex capstone medical surgical

Institution ATI NCLEX CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
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ATI NCLEX CAPSTONE MEDICAL SURGICAL ASSESSMENT 1/ CAPSTONE ATI MED SURG ACTUAL ASSESSMEN T 1 LATEST 2024 APPROVED QUESTIONS AND CORRECT D ETAILED ANSWERS WITH RATIONALES (FULL REVISED EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND N EW!!) A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle cras h. 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 dist ention D. Assist the client with quad coughing - Answer -D Assist the client with quad coughing Rationale: 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 a bdominal pressure as the client coughs (quad coughing) 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 - Answer -C Dyspnea Rationale: 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 the rapy A. Hair loss on the scalp B. Sweating at the treatment site C. Altered taste sensations D. Intolerance to cold - 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 D. Verify the client's blood type with a second nurse E. Use a 20 gauge IV needle for venous access - Answer -A, D, E A, complete assessment prior to transfusion D, verify identification, blood compati bility, and expiration of product with second nurse E, the nurse should use a large bore needle to transfuse the PRBCs to reduce the risk of cell hemolysis and obstruction of flow A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the following BUN levels should the nurse expect A. 3.6 mg/dl B. 8 mg/dL C. 18.7 mg/dL D. 26 mg/dL - Answer -D 26 mg/dL Rationale: Normal range is 10 -20, and elevated levels indica tes renal disease, dehydration, shock, excessive protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other conditions in which blood is reabsorbed from injured tissues 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 minu tes 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" - Answer -D .) "Shake the inhaler vigorously prior to use" Rationale: Thoroughly shake the inhaler to disperse the medication because the medication in the inhaler can separate easily 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 - Answer -A.) Provide the client with a means of communication

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ATI NCLEX CAPSTONE MEDICAL SURGICAL ASSESSMENT 1/ CAPSTONE ATI MED SURG ACTUAL ASSESSMENT 1 LATEST 2024 APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (FULL REVISED EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND NEW!!)

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