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Identifying Effective Medication Use in Nursing Assessments, Exams of Nursing

Nursing scenarios covering a range of topics including heart transplant, diabetes, burn injuries, Alzheimer's disease, and more. Nurses must identify effective medication use and understanding of teachings from clients. Topics also include tube feedings, urinary tract infections, and first aid for snake bites.

Typology: Exams

2023/2024

Available from 03/04/2024

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Nur 406 Capstone Med Surg Assessment graded A
LATEST EDITION WITH CORRECT/VERIFIED ANSWERS
Capstone Med Surg Assessment
1. 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?
It delivers a present amount of airway pressure throughout the breathing
cycle
2. 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?
Shortness of breath might be an indication of transplant rejection
3. 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?
Urine specific gravity 1.020
4. 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?
You should avoid taking corticosteroids prior to testing
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. 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.
Monitor blood glucose levels
Maintain NPO status until pain-free
Manage acute pain
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LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

Capstone Med Surg Assessment

  1. 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? It delivers a present amount of airway pressure throughout the breathing cycle
  2. 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? Shortness of breath might be an indication of transplant rejection
  3. 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? Urine specific gravity 1.
  4. 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? You should avoid taking corticosteroids prior to testing
  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. 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. Monitor blood glucose levels Maintain NPO status until pain-free Manage acute pain

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

  1. 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? 3 oz of chicken breast
  2. 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? Breath Sounds
  3. 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? I will limit activities that require bending at the waist. 10.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? I don’t have muscle spasms as frequently 11.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? Fatigue 12.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? I can drink 4 ounces of soda if my blood sugar is low 13.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? Increase intake of high-potassium foods

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

Position the client on their side during a seizure. 20.A nurse is contributing to the plan of care for a client who has pyelonephritis. Which of the following interventions should the nurse include? Encourage the client to consume caffeinated beverages Avoid the use of acetaminophen for discomfort Monitor the clients the urine for color changes Begin antibiotic therapy after culture and sensitivity results are obtained 21.Nurse is assessing a client who has a herniated lumbar disc. Which of the following findings should the nurse expect? The client reports relief from pain when lying in the prone position. The client reports that her low-back pain radiates upward toward one scapula. The client reports tingling and a burning sensation in one foot. The client reports decreased pain when the affected leg is raised and straightened 22.A nurse is caring for a client who has acute gastritis and is NPO. The client has a new prescription to resume oral intake. Which of the following items should the nurse offered the client? Lemonade Tomato soup Gelatin Black coffee 23.A triage nurse nds a school-age child lying in the road following a school bus crash with multiple casualties. The child has a respiratory rate of 8/min, is unresponsive to verbal commands, and groans to painful stimuli.

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

The nurse should assign the client which of the following triage tags?

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

The nurse

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

should recognize that the client has which of the following acid-base imbalances? 2 3 – Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis 28.A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include? Eat three large meals daily. Consume high-calorie foods. Limit caffeinated drinks to two per day. Drink fluids during mealtime 29.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? Gentle bubbling in the suction chamber Crepitus around the insertion site Constant bubbling in the water seal chamber Absence of breath sounds on the right side 30.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? Contact precautions Airborne precautions Droplet precautions Protective environment

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

35.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.) "Raise your chair height so that you lean over to type." "Use a wrist rest when working at a computer station." "Stretch your ngers and wrists periodically while working." "Position your keyboard at shoulder height." "Take breaks from the repetitive activity." 36.A nurse is assessing a client who has a tension pneumothorax following blunt chest trauma. Which of the following findings should the nurse expect? Tracheal deviation to the unaffected side Pleural friction rub Frothy, pink-tinged sputum Increased breath sounds on the affected side 37.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) Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine Hepatitis C vaccine Helicobacter pylori vaccine 38.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? "I will keep the tablets in the original container." "I should keep the container in my shirt or pants pocket." "I should begin to feel relief within 20 minutes of taking the medication." "I will drive myself to the emergency room if three nitroglycerin tablets do not relieve my pain."

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

39.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? Review the client's Hgb level prior to administration. Use the Z-tract method when administering the medication. Shake the vial for 30 seconds prior to withdrawing the medication. Ensure the client is not taking iron supplements while on this medication. 40.A nurse is assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse report to the provider immediately? Decreasing leg strength Decreasing voice volume Decreased deep tendon reflexes Decreased sensation in the arm 41.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? Hypothermia Increased deep tendon reflexes Hypotension Erythema of the neck and chest 42.A nurse is caring for a client who has a cerebellar tumor. Which of the following actions is the nurse's priority? Provide assistance with ambulation. Facilitate retention of facts by repeating instructions. Place the client in a darkened room. Speak slowly and clearly. 43.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? Place soiled linens in a lead container. • Allow children who are over 10 years old to visit.

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

48.A nurse is assessing a client who has a history of migraine headaches with aura and reports feeling "a migraine coming on." The nurse should expect the client to report which of the following manifestations? Visual disturbances

  • Photophobia Nasal congestion Phonophobia 49.A nurse is reviewing laboratory values for a client who has Cushing's disease. Which of the following values should the nurse expect? Blood glucose 65 mg/dL • Serum calcium 12.2 mg/dL Potassium 5 mEq/L Sodium 150 mEq/L 50.A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect? Expressive aphasia • Poor impulse control Left hemiparesis Disorientation to place 51.A nurse is assessing a client who has a mild traumatic brain injury. The nurse should report which of the following findings as a complication of this injury? (Select all that apply.) Bradycardia Vomiting Drainage from the ear para mi Unequal pupils Pruritus 52.A nurse is providing discharge teaching to a client who has multiple sclerosis. Which of the following instructions should the nurse include in the teaching?

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

"It is important to engage in a strenuous aerobic exercise program to build strength and endurance." "It is important with this disease to relax muscles in a hot tub or spa." "It is important to engage in social activity, and volunteering to read to schoolchildren will keep you active." "It is important to develop a daily schedule that reduces fatigue and conserves energy." 53.A nurse is caring for a client who is postoperative immediately following a pheochromocytoma removal. Which of the following actions is the nurse's priority? Increase hydration. Monitor blood pressure. • Measure urine output. Provide a calm environment. 54.A nurse is teaching a client who has glaucoma and is to start taking timolol. Which of the following information should the nurse include? "Notify the provider if you experience a stinging sensation following administration." Para mi "Watch for a decreased heart rate while using this medication." "You can expect to develop a harmless darkening of the iris." • "This medication can cause the lashes of the affected eye to lengthen." 55.A nurse is providing teaching to a client who has a new onset of genital herpes. Which of the following statements should the nurse include in the teaching? "You are not contagious when lesions are healed." "This infection is spread through the air." "Stress can activate an outbreak." "Antiviral drugs will cure the infection." 56.A nurse is instructing a client's caregiver on how to position the client

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

"I will allow him to assume a position of comfort." "I will elevate the head of the bed 10 degrees." "I will place him in a left side-lying position." "I will sit him up in bed." 57.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? Take another peak ow meter reading in 15 min. Take prescribed relief medication. Call for emergency transport to a hospital. Inhale through pursed lips. 58.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? Stress Urge Functional Overow 59.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? Alopecia Yellowing of the sclera Report of constipation Report of insomnia 60.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 dyslexia? Monitor bowel movement regularity.

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

Use a fan to promote air circulation in the client's room

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

65.A nurse is caring for a client who has renal failure. Which of the following arterial blood gas (ABG) results should the nurse expect? pH 7.25, HCO3 20 mEq/L, PaCO 35 mm Hg - pH 7.30, HCO3 22 mEq/L, PaCO 50 mm Hg - pH 7.50, HCO3 32 mEq/L, PaCO 45 mm Hg - pH 7.55, HCO3 28 mEq/L, PaCO 31 mm Hg 66.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? Hypokalemia Hypernatremia Hypoglycemia Hypermagnesemia 67.A nurse is initiating a plan of care for a client who has COPD. Which of the following interventions should the nurse include? Request a prescription for an antibiotic. Educate the client on pursed-lip breathing. Place the client in airborne precautions. Initiate a referral for gene therapy. 68.A nurse is receiving report on a group of clients. Which of the following clients should the nurse assess first? A client who has a chest tube and reports a pain level of 6 on a scale of 0 to 10 A client who received parenteral cephalosporin and reports urticaria and edema A client who is being admitted with bilateral Stage 3 pressure injuries on both heels A client who has a systemic infection and an oral temperature of 39.1° C (102.4° F)

LATEST EDITION WITH CORRECT/VERIFIED ANSWERS

69.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? A client who is hepatitis B positive A client who had a kidney transplant in 1990 A client who has a history of intravenous street drug use A client who has recently done volunteer work in a developing country 70.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? "I will limit my fluid intake to 1 liter per day to prevent frequency and urgency." "I will empty my bladder every 2 to 3 hours throughout the day." "I will use an antiseptic vaginal deodorant spray twice a day to reduce the bacterial growth." "I will take a hot bath after sexual intercourse." 71.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? "Tube drainage should be rust-colored." "Nutrition will be provided through the tube." Para mi "The tube decreases pressure within the stomach." "The tube should be irrigated with sterile water." 72.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.) Keep a suction apparatus at the bedside. Keep a padded tongue blade next to the bed. Keep the bed in the lowest position. Keep oxygen equipment at the bedside. Keep safety restraints near the bedside.