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ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1 LATEST 2024 TEST BANK ACTUAL EXAM 160 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES$16.99
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ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT
1 LATESTATI
Capstone 2024 TESTMedical
NCLEX BANK ACTUAL
Surgical EXAM 160
QUESTIONS AND CORRECT DETAILED ANSWERS
Terms in this set (61) WITH RATIONALES
A nurse in an emergency A ) Increased troponin
department is monitoring a Troponin is a myocardial muscle protein released into
client who reports angina. the blood stream as a result of injury to the heart muscle.
Which of the following Troponin levels increase within 2-3 hr following an MI
findings should indicate to
the nurse that the client
might have experienced a
myocardial infarction (MI)
A. Increased troponin
B. Decreased creatinine
kinase MB
C. Cholesterol 300 mg/dL
D. C- reactive protein 1.2
mg/dL
,A nurse in an endoscopy D.) "You will need someone to drive you home after your
clinic is providing teaching procedure"
to a client who is to Do not drive for 12-18 hours following the procedure,
undergo a colonoscopy for because during a colonoscopy, the pt receives
colon cancer screening. moderate sedation
Which of the following
information should the
nurse provide
A. "You should have nothing
to eat or drink for 3 hours
prior to the procedure"
B. "You should drink the
bowel preparation slowly to
prevent nausea"
C. "You will have no
discomfort following the
procedure"
D. "You will need someone
to drive you home after
your procedure"
,A nurse in a postanesthesia A. Clear drainage on the surgical dressing
care unit is performing a
postoperative assessment Clear fluid on or around the surgical dressing following a
on a client who is laminectomy is an indication of CSF leak. Place the client
recovering from a lumbar flat to prevent a spinal headache and notify provider
laminectomy and has a immediately
surgical drain. Which of the
following findings should
the nurse identify as a
complication of the
procedure
A. Clear drainage on the
surgical dressing
B. Pain level of 5 on a scale
from 0 to 10
C. Reports discomfort when
log rolling
D. Drainage output 30m:
during the first hour
A nurse in the emergency -Bradycardia
department is caring for a -Asymmetric pupils
client who has a traumatic -Widened pulse pressure
brain injury (TBI). Which of
the following assessment
findings should the nurse
recognize as a late
manifestation of increased
intracranial pressure (ICP)
(select all that apply)
A. Tachypnea
B. Increased restlessness
C. Bradycardia
D. Asymmetric pupils
E. Widened pulse pressure
, A nurse in the ICU is caring B. Prepare the client for cardioversion
for a client who is reporting
heart palpitations. The nurse cardioversion is a synchronized countershock that uses a
notes ventricular pulse to help convert vtach back to sinus rhythm for a
tachycardia on the ECG client who is STABLE AND RESPONSIVE
monitor. Which of the
following actions should the
nurse take
A. Defibrillate the client
B. Prepare the client for
cardioversion
C. Initiate CPR
D. Administer digoxin
A nurse is administering D) Non itchy skin wheals
epinephrine IV to a client A pt in anaphylactic shock can experience intensely
who is having an itchy skin with wheals or hives that can merge to form
anaphylactic reaction. large red blotches. Epi blocks the release of histamine
Which of the following and decreases erythema, angioedema, and hives
findings should the nurse
identify as a therapeutic
response to the medication
A. Hypoglycemia
B. Thickened bronchial
secretions
C. Regular heart rate with
hypotension
D. Non itchy skin wheals
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