(Free answers) Capstone Med Surg Assessment NR601 Quiz (Free Solution)

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?

Answer: It delivers a preset 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?

Answer: 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 findings should the nurse identify as an indication that the SIADH is resolving?

Answer: 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?

Answer: 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?

Answer: 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 client’s plan? (Select all that apply.)

Monitor blood glucose levels
Maintain NPO status until pain-free
Manage acute pain

Answer: 3 oz of chicken breast.

8. 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?

Answer: Breath sounds.

9. 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?

Answer: I will limit activities that require bending at the waist.

10. A nurse at a provider’s office is interviewing a client who has multiple sclerosis and has been taking dantrolene for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective?

Answer: 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 findings should the nurse identify as an early manifestation of HIV infection?

Answer: 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?

Answer: 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?

Answer: Increase intake of high-potassium foods.

14. A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance. Which of the following statements should the nurse make?

Answer: It could be helpful for you to attend a support group for people who have burn injuries.

15. 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?

Answer: Monitor the client’s skin under the halo vest.

16. A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?

Answer: Respiratory rate 30/min.

17. A nurse is assessing a client who has meningitis. The nurse should identify which of the following findings as a positive Kernig’s sign?

Answer: After hip flexion, the client is unable to extend their leg completely without pain.

18. 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?

Answer: Provide supervision to prevent a client from becoming injured or lost.

19. A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which of the following interventions should the nurse include in the teaching?

Answer: 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?

Answer: Begin antibiotic therapy after culture and sensitivity results are obtained.

21. A nurse is assessing a client who has a herniated lumbar disc. Which of the following findings should the nurse expect?

Answer: The client reports tingling and a burning sensation in one foot.

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 offer the client?

Answer: Gelatin.

23. A triage nurse finds 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. The nurse should assign the client which of the following triage tags?

Answer: Red.

24. A nurse is teaching a client who has a new diagnosis of polycystic kidney disease. Which of the following statements should the nurse include in the teaching?

Answer: Apply dry heat to your abdomen when needed.

25. A nurse is assessing a client who has right lower lobe pneumonia. Which of the following findings should the nurse expect?

Answer: Dull percussion sounds.

26. A nurse is providing teaching to the caregivers of a client who has Alzheimer’s disease. Which of the following instructions should the nurse give? (Select all that apply.)

Install safety locks and alarm systems
Place nightlights throughout the home
Establish a predictable daily routine for the client

27. A nurse is caring for a client who is hyperventilating and has the following ABG results: pH 7.50, PaCO2 29 mm Hg, and HCO3 25 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?

Answer: Respiratory 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?

Answer: Consume high-calorie foods.

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?

Answer: Gentle bubbling in the suction chamber.

30. A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the following precautions should the nurse initiate to prevent transmission of the disease?

Answer: Airborne precautions.

31. A nurse is planning care for a client who has Ménière’s disease and is experiencing episodes of vertigo. Which of the following interventions should the nurse include in the plan?

Answer: Provide a low-sodium diet.

32. A nurse reviewing laboratory reports for a client who is taking NSAIDs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAID therapy?

Answer: Positive fecal occult blood test.

33. A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates the client might be experiencing a hemolytic transfusion reaction?

Answer: Report of chest pain.

34. A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first?

Answer: Ask the client to describe the pain and rate it on a scale of 0 to 10.

35. A nurse is teaching strategies to prevent carpal tunnel syndrome to a group of office workers. Which of the following instructions should the nurse include? (Select all that apply.)

Take breaks from repetitive activity
Use a wrist rest when working at a computer station
Stretch your fingers and wrists periodically while working

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?

Answer: Tracheal deviation to the unaffected 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

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?

Answer: I will keep the tablets in the original container.

39. A nurse is caring for a client who is 2 hours post-operative following a right knee replacement. Which of the following actions should the nurse take first?

Answer: Assess the client’s vital signs.

40. A nurse is caring for a client who is receiving morphine for pain management. Which of the following findings should the nurse report to the provider?

Answer: Respiratory rate of 8/min.

41. A nurse is caring for a client who has hyperkalemia. Which of the following findings should the nurse expect?

Answer: Peaked T waves.

42. A nurse is providing teaching to a client who is to undergo a colonoscopy. Which of the following instructions should the nurse include in the teaching?

Answer: You will need to avoid eating or drinking for 12 hours prior to the procedure.

43. A nurse is providing discharge instructions to a client who is postoperative following a cataract removal. Which of the following instructions should the nurse include in the teaching?

Answer: Wear dark sunglasses outdoors.

44. A nurse is caring for a client who has a history of alcohol abuse and is experiencing symptoms of delirium tremens. Which of the following findings should the nurse expect?

Answer: Hallucinations.

45. A nurse is caring for a client who is post-operative following a left hip replacement. The nurse should recognize that which of the following actions is a priority when caring for this client?

Answer: Ensure that the client maintains proper hip alignment.

This guide is designed to assist nursing students in preparing for the Capstone Med Surg Assessment and NR601 quiz with answers based on current clinical practices and care standards.

(Free Solution) Capstone Med Surg Assessment NR601