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2024 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 150+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/CAPSTONE MED SURG TEST BANK$15.49
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2024 MED SURG CAPSTONE PROCTOR EXAM
LATEST TEST BANK 150+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES/CAPSTONE MED SURG TEST BANK
Terms in this set (1085)
1. A 62-year old man with ANS: D
chronic anemia is The patient's clinical manifestations indicate moderate
experiencing increased anemia, which is consistent with a Hgb of 6 to 10 g/dL.
fatigue and occasional The other values are all within the range of normal.
palpitations at rest. The
nurse would expect the
patient's laboratory findings
to include
a. a hematocrit (Hct) of
38%.
b. an RBC count of
4,500,000/L.
c. normal red blood cell
(RBC) indices.
d. a hemoglobin (Hgb) of
8.6 g/dL (86 g/L).
1. A patient is to receive an ANS:
infusion of 250 mL of 21
platelets over 2 hours To infuse 250 mL over 2 hours, the calculated drip rate is
through tubing that is 20.8 drops/minute or 21 drops/minute.
labeled: 1 mL equals 10
drops. How many drops per
minute will the nurse
infuse?
,1. While assessing a 68- C
year-old with ascites, the The jugular veins empty into the superior vena cava and
nurse also notes jugular then into the right atrium, so JVD with the patient sitting
venous distention (JVD) with at a 45-degree angle reflects increased right atrial
the head of the patient's pressure. JVD is an indicator of excessive fluid volume
bed elevated 45 degrees. (increased preload), not decreased fluid volume. JVD is
The nurse knows this finding not caused by incompetent jugular vein valves or
indicates atherosclerosis.
a. decreased fluid volume.
b. jugular vein DIF: Cognitive Level: Understand (comprehension) REF:
atherosclerosis. 769
c. increased right atrial TOP: Nursing Process: Assessment MSC:
pressure.
d. incompetent jugular vein
valves.
2. A patient is diagnosed b, c, d, f. Cluster headaches have only alcohol as a
with cluster headaches. The dietary trigger and have an abrupt onset lasting 5
nurse knows that which minutes to 3 hours with severe, sharp, penetrating pain.
characteristics are Cluster headaches may be accompanied by unilateral
associated with this type of ptosis, lacrimation, rhinitis, facial flushing or pallor and
headache (select all that commonly recur several times each day for several
apply)? weeks, with months or years between clustered attacks.
Family history and nausea, vomiting, or irritability may be
a. Family history seen with migraine headaches. Bilateral pressure
b. Alcohol is the only occurring between migraine headaches and intermittent
dietary trigger occurrence over long periods of time are characteristics
c. Abrupt onset lasting 5 to of tension-type headaches.
180 minutes
d. Severe, sharp,
penetrating head pain
e. Bilateral pressure or
tightness sensation
f. May be accompanied by
unilateral ptosis or
lacrimation
,2. Which menu choice ANS: A
indicates that the patient Eggs and whole grain breads are high in iron. The other
understands the nurse's choices are appropriate for other nutritional deficiencies
teaching about best dietary but are not the best choice for a patient with iron-
choices for iron-deficiency deficiency anemia.
anemia?
a. Omelet and whole wheat
toast
b. Cantaloupe and cottage
cheese
c. Strawberry and banana
fruit plate
d. Cornmeal muffin and
orange juice
3. A patient who is receiving ANS: B
methotrexate for severe Methotrexate use can lead to folic acid deficiency.
rheumatoid arthritis Supplementation with oral folic acid supplements is the
develops a megaloblastic usual treatment. The other nutrients would not correct
anemia. The nurse will folic acid deficiency, although they would be used to
anticipate teaching the treat other types of anemia.
patient about increasing
oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
, 3. What is the most d. The primary way to diagnose and differentiate
important method of between headaches is with a careful history of the
diagnosing functional headaches, requiring assessment of specific details
headaches? related to the headache. Electromyelography (EMG)
may reveal contraction of the neck, scalp, or facial
a. CT scan muscles in tensiontype headaches but this is not seen in
b. Electromyography (EMG) all patients. CT scans and cerebral angiography are used
c. Cerebral blood flow to rule out organic causes of the headaches.
studies
d. Thorough history of the
headache
4. A 52-year-old patient has ANS: C
a new diagnosis of Because pernicious anemia prevents the absorption of
pernicious anemia. The vitamin B12, this patient requires injections or intranasal
nurse determines that the administration of cobalamin. Alcohol use does not cause
patient understands the cobalamin deficiency. Proton pump inhibitors decrease
teaching about the disorder the absorption of vitamin B12. Eating more foods rich in
when the patient states, "I vitamin B12 is not helpful because the lack of intrinsic
a. need to start eating more factor prevents absorption of the vitamin.
red meat and liver."
b. will stop having a glass of
wine with dinner."
c. could choose nasal spray
rather than injections of
vitamin B12."
d. will need to take a proton
pump inhibitor like
omeprazole (Prilosec)."
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