NCLEX ATI Capstone Medical Surgical Assessment Retake Exam
with 50 Questions and Verified Rationalized Answers,
100% Graded A+ (2024/2025)
n
1. 1. A nurse is teaching a group of assistive personnel (AP) about caring
for clients who have Alzheimer's disease. Which of the following information
should the nurse include in the teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost: Provide
supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should
initiate interventions to keep the client safe, such as redirection, frequent monitoring,
and reorientation. The AP should encourage a client who has Alzheimer's disease
to participate in activities for as long as possible because socializing with others can
provide the client with comfort = D
2. 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?: Monitor the client's skin
under the halo vest
3. A nurse is providing discharge teaching for a client who has COPD about
nutrition. Which of the following instructions should the nurse include?: Con-
sume high-calorie foods
4. 4. A nurse is caring for a client who has anew diagnosis of tuberculosis.
Which of the following precautions should the nurse initiate to prevent trans-
mission of the disease?: Airborne precautions
5. 5. 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?: Propofol
6. 6. A nurse is teaching a group of clients about the risk factors for osteo-
porosis. Which of the following should the nurse include as a risk factor for
osteoporosis?: Early menopause
7. 7. A nurse is caring for a client who has a peripherally inserted central
catheter (PICC). For which of the following findings should the nurse notify
the provider?: The dressing was changed 7 days ago
1/6
, 8. 8. A nurse is reviewing the medical record of a client who has unstable angi-
na. Which of the following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min,
Resp rate 26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath
sounds with crackles heard at bases of lungs.
2/6
with 50 Questions and Verified Rationalized Answers,
100% Graded A+ (2024/2025)
n
1. 1. A nurse is teaching a group of assistive personnel (AP) about caring
for clients who have Alzheimer's disease. Which of the following information
should the nurse include in the teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost: Provide
supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should
initiate interventions to keep the client safe, such as redirection, frequent monitoring,
and reorientation. The AP should encourage a client who has Alzheimer's disease
to participate in activities for as long as possible because socializing with others can
provide the client with comfort = D
2. 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?: Monitor the client's skin
under the halo vest
3. A nurse is providing discharge teaching for a client who has COPD about
nutrition. Which of the following instructions should the nurse include?: Con-
sume high-calorie foods
4. 4. A nurse is caring for a client who has anew diagnosis of tuberculosis.
Which of the following precautions should the nurse initiate to prevent trans-
mission of the disease?: Airborne precautions
5. 5. 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?: Propofol
6. 6. A nurse is teaching a group of clients about the risk factors for osteo-
porosis. Which of the following should the nurse include as a risk factor for
osteoporosis?: Early menopause
7. 7. A nurse is caring for a client who has a peripherally inserted central
catheter (PICC). For which of the following findings should the nurse notify
the provider?: The dressing was changed 7 days ago
1/6
, 8. 8. A nurse is reviewing the medical record of a client who has unstable angi-
na. Which of the following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min,
Resp rate 26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath
sounds with crackles heard at bases of lungs.
2/6
