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10/7/24, 3:15 PM ATI CAPSTONE MED SURG ASSESSMENT 1 2024/2025 COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS(VE…
ATI CAPSTONE MED SURG ASSESSMENT 1
2024/2025 COMPREHENSIVE QUESTIONS AND
CORRECT ANSWERS(VERIFIED SOLUTIONS)
/A+ GRADE ASSURED/GET IT 100% ACCURATE!!
Terms in this set (154)
A nurse on a med surg B
unit is caring for a group
of clients. The nurse
should notify the rapid
response team for which
of the following clients?
A. Client who has an
ulceration of the right
heel whose blood
glucose is 300
B. Client who reports
right calf pain and
shortness of breath
C. Client who has blood
on a pressure dressing in
the femoral area
following a cardiac
catheterization
D. Client who has dark
red coloration of left toes
and absent pedal pulse
,10/7/24, 3:15 PM ATI CAPSTONE MED SURG ASSESSMENT 1 2024/2025 COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS(VE…
A nurse is caring for a B, C, E
client who has ingested a
toxic agent. Which of the
following actions should
the nurse plan to take?
(Select all that apply)
A. Induce vomiting
B. Instill activated
charcoal
C. Perform a gastric
lavage with aspiration
D. Administer syrup of
ipecac
E. Infuse IV fluids
A nurse in the emergency A, C, D, E
department is caring for
a client who fell through
the ice on a pond and is
unresponsive and
breathing slowly. Which
of the following actions
should the nurse take?
(Select all that apply)
A. Remove wet clothing
B. Maintain normal room
temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV
fluids
,10/7/24, 3:15 PM ATI CAPSTONE MED SURG ASSESSMENT 1 2024/2025 COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS(VE…
A nurse in the ED is A
assessing a client who is
unresponsive. The client's
partner states, "He was
pulling weeds in the yard
and slumped to the
ground." Which of the
following techniques
should the nurse use to
open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the
head
D. Flexion of the head
A nurse is reviewing the C
common emergency
management protocol
for clients who have
asystole. Which of the
following actions should
the nurse plan to take
during this cardiac
emergency?
A. Perform defibrillation
B. Prepare for
transcutaneous pacing
C. Administer IV
epinephrine
D. Elevate the client's
lower extremities
, 10/7/24, 3:15 PM ATI CAPSTONE MED SURG ASSESSMENT 1 2024/2025 COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS(VE…
A nurse is caring for a B, C, D
client who is
postprocedural following
LP and reports throbbing
headache when sitting
upright. Which of the
following actions should
the nurse take? (Select all
that apply)
A. Use the Glasgow
Coma Scale when
assessing the client
B. Assist the client to a
supine position
C. Administer an opioid
medication
D. Encourage the client
to increase fluid intake
E. Instruct the client to
perform deep breathing
exercises and coughing
exercises
A nurse is caring for a B
client who experienced a
traumatic head injury and
has an intraventricular
catheter
(ventriculostomy) for ICP
monitoring. The nurse
should monitor the client
for which of the following
complications related to
the ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension
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