NCLEX ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT
1 EXAM NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERSLATEST UPDATES 2024-
2025(VERIFIED ANSWERS) ALREADY GRADED A+
A nurse is teaching the caregiver of a client who has mild alzheimer's disease
about progression of the disease. Which of the following should the nurse include
as a manifestation of moderate alzheimer's disease
A. Short term memory loss
B. misplacement of household items
C. Episodes of wandering
D. loss of mobility - ANSWER-C) Episodes of wandering
Wandering occurs in the moderate stage of AD
A nurse is providing discharge teaching to a client who was admitted to the
medical surgical unit due to heart failure. Which of the following statements by
the client indicates an understanding of the teaching
A. "I will limit my dietary sodium intake to 4 grams per day"
B. "I should weigh myself once a week"
C. "I plan to wait 2 hours after eating to take my walk"
D. "I will take my diuretic before going to bed at night" - ANSWER-C
,To promote exercise tolerance, the client should wait for 2 hr after eating before
engaging in exercise
--
A, limit sodium to 2-3g per day to prevent fluid retention in a heart healthy diet
B, weigh daily! Report a weight gain of more than 1.4kg (3lb) in 1 day or more
than 2.3 kg (5lb) per week
D, take diuretics in the morning to avoid having to get up during the night to void
A nurse is reviewing the laboratory reports of a client who has cirrhosis. Which of
the following results should the nurse report to the provider immediately
A. BUN 22 mg/dL
B. Sodium 134 mEq/L
C. Platelet count 18,000 mm
D. WBC 4,500 mm - ANSWER-C) Platelet count 18,000 mm
The greatest risk to this client is injury from hemorrhage, and 18,000 is critically
lower than the range of 150,000-400,000. A level <20,000 is a critical value
representing thrombocytopenia and the potential for spontaneous bleeding
A nurse is preparing to transfuse 1 unit of packed RBC to a client. Which of the
following actions should the nurse take first
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 - ANSWER-B) Check
the client's medical record to verify the provider's prescription
The greatest risk to this client is injury from a transfusion reaction, so the first
action is to check the medical record to verify the providers order. This reduces
the risk for client injury form receiving incompatible packed RBCs
A nurse is providing discharge teaching to a client who is postoperative following
glaucoma surgery. Which of the following instructions should the nurse include to
prevent increased intraocular pressure
A. "Avoid straining to have a bowel movement"
B. "Avoid lying on your right side"
C. "Avoid lifting objects that weigh more than 5 pounds"
D. "Avoid sleeping with your head elevated" - ANSWER-A
Consume a diet high in fiber and fluids to prevent constipation and straining to
have a bowel movement, which can increase intraocular pressure
A nurse is providing teaching about health promotion activities to an older adult
client. Which of the following recommendations should the nurse include in the
teaching
A. "Maintain your dietary fat intake at 45% of your daily caloric intake"
B. "Obtain 15 minutes of sunlight exposure 3 times per week"
C. "Exercise for 30 minutes twice per week"
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