ATI Capstone Adult Medical Surgical Assessment 1

Question 1 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a possible complication of TPN administration?

A. Pitting edema of bilateral lower extremities B. Hypoactive bowel sounds in all four quadrants C. Weight is the same as the day before D. Bilateral posterior lung sounds are diminished

Question 2 of 5

A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately?

A. Distended, board-like abdomen B. WBC count of 15,000/mm3 C. Rebound tenderness over McBurney's point D. Temperature of 37.3�C (99.1�F)

Question 3 of 5

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?

A. Explain procedures clearly and concisely to the client before initiating care B. Encourage a client's engagement in appropriate activities to minimize emotional outbursts C. Speak calmly and at a moderate volume to a client who is unable to form words or sentences D. Provide supervision to prevent a client from becoming injured or lost

Question 4 of 5

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?

A. Keep a padded tongue depressor near the bedside B. Place a pillow under the client's head during a seizure C. Administer diazepam intravenously at the onset of seizures D. Position the client on their side during a seizure

Question 5 of 5

A client with heart failure is prescribed furosemide 20 mg PO twice daily. Which of the following instructions should the nurse include during discharge teaching?

A. Monitor for increased blood pressure B. Increase intake of high-potassium foods C. Expect an increase in swelling in the hands and feet D. Take the second dose at bedtime

ATI Capstone Adult Medical Surgical Assessment 1

Skildor

ATI RN

ATI RN