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Capstone ATI NCLEX Medical Surgical Assessment 1 EXAM 2025 QUESTIONS AND CORRECT ANSWER
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Capstone ATI NCLEX Medical Surgical Assessment 1 EXAM 2025 QUESTIONS AND CORRECT ANSWER
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Capstone ATI NCLEX Medical Surgical Assessment 1 EXAM2025 QUESTIONS AND CORRECT ANSWER
A nurse is caring for a client who has an above the knee amputation related to trauma and is
experiencing phantom limb pain. Which of the following medications should the nurse
administer to treat the client's pain?
A. Meloxicam
B. Cyclobenzaprine
C. Gabapentin
D. Lidocaine - answer>>>C) Gabapentin
phantom limb pain is a type of neuropathic pain resulting from damage to peripheral and
central nervous system pathways. Gabapentin is an anticonvulsant medication that helps treat
neuropathic pain
A nurse is reviewing the laboratory findings for a client who has a urinary tract infection. Which
of the following laboratory findings should the nurse identify as an indication the client is in the
initial stages of systemic inflammatory response syndrome (SIRS)?
A. WBC count 14,000/mm
B. Platelets 110,000/ mm
C. Lactic acid 19 mg/dL
D. C reactive protein 2.8 mg/L - answer>>>A. ) WBC count 14,000/mm
WBC count of 14,000 is above the expected range of 5,000-10,000. SIRS overwhelms the body's
defenses, resulting in a widespread inflammation. WBCs might increase initially, but depending
on the bone marrow's ability to produce neutrophils and WBCs, the WBC count can become
extremely low
A nurse is caring for a client who is receiving brachytherapy. Which of the following actions
should the nurse take?
,A. Limit visitation time to 2 hr per day, per visitor
B. Wear a dosimeter film badge when caring for the client
C. Open the door toe the client's room when visitors are present
D. Double bag bed linens and remove them daily from the client's room - answer>>>B ) Wear a
dosimeter film badge when caring for the client
the badge does not protect the nurse form the effects of radiation, it does record the amount
of individual exposure to the radiation
A nurse is panning care for a client who has been newly diagnosed with acute pancreatitis.
Which of the following interventions should the nurse include in the plan of care
A. Encourage liquid nutritional supplements
B. Administer opioid medications via a PCA
C. Assess for signs of hypercalcemia
D. Administer hypotonic IV fluids - answer>>>B) Administer opioid medications via a PCA
pain mangement is important in the care of a client who has pancreatitis. Clients are most often
started on opioid medication via PCA in the early stages of pancreatitis to mange pain
A nurse is reviewing the current laboratory findings for a client who has a pulmonary embolism
and is receiving heparin therapy by continuous IV infusion. Which of the following prescriptions
should the nurse anticipate for an aPTT of 110 seconds
A. Increase the rate of the heparin infusion
B. Stop the heparin infusion
C. Administer vitamin K to the client
D. Administer atropine to the client - answer>>>B) Stop the heparin infusion
Therapeutic range of aPTT for client on heparin is 1.5-2.5 times the normal value. A value
greater than 2.5 times the expected reference range of 20-40 seconds is critical! If the aPTT is >
100 seconds, anticipate a prescription to stop or decrease the heparin infusion rate
, A nurse in the emergency department is caring for a client who has a traumatic 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 - answer>>>-Bradycardia
-Asymmetric pupils
-Widened pulse pressure
A nurse is caring for a client who has end stage liver disease and an active upper GI bleed. After
inserting an NG tube, which of the following findings should the nurse expect
A. Bright red drainage
B. Dark brown drainage
C. Off white drainage
D. Greenish yellow drainage - answer>>>A. Bright red drainage
Red NG output indicates the client has an active upper GI bleed
A nurse is educating a group of clients about menopause. Which of the following information
should the nurse include
A. Limit exercise to 30 min, one to two times a week to reduce fatigue
B. Hormone therapy (HT) is no longer used because of the risk of cancer
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