ATI CAPSTONE MEDICAL SURGICAL PROCTORED 2 VERSIONS (VERSION A AND B) NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse is preparing to obtain blood cultures from a
client's central venous catheter (CVC). Which of the
following actions should the nurse take when accessing the
catheter
A. Flush the lumen with heparin solution before each use
B. Aspirate for blood return prior to each use
C. Perform a 5 second scrub to the catheter hub before
accessing the catheter
D. Apply firm pressure to the syringe plunger when
flushing the lumen - ....ANSWER...B) Aspirate for blood
return prior to each use
A nurse on a medical surgical unit has received shift report
for a group of clients. Which of the following interventions
should the nurse plan to complete first
A. Perform a dressing change on a client who is 24 hr
postoperative following abdominal surgery and has
sanguineous drainage on the dressing
B. Replace an infiltrated IV for a client who has
pneumonia and has scheduled IV antibiotics due in 30
minutes
C. administer a prescribed opioid pain medication to a
client who is reporting back pain as a 5 on a numeric pain
scale of 0 to 10
D. Assess a client who is 4hr postoperative following
thoracic surgery and has a respiratory rate of 7/min -
....ANSWER...D) Assess a client who is 4hr postoperative
following thoracic surgery and has a respiratory rate of
7/min
Using the ABC approach, this is the priority. A RR of 7
indicates hypoventilation and can indicate respiratory
failure or shock, especially in pt who is postop.
A nurse on a medical unit is planning care for a client who
has COPD. Which of the following actions should the
nurse include in the plan
A. Suction the client's airway every 4 hours
B. Limit the client's fluid intake to control secretions
C. Provide the client with a high protein diet
D. Administer the client's bronchodilator following each
meal - ....ANSWER...C) Provide the client with a high
protein diet
RATIONALE: COPD needs a diet high in protein and
calories. They should eat freuqent, small meals and should
avoid drinking fluids prior to or during meals
A nurse is administering parenteral nutrition to a client
who has a history of heart failure. Which of the following
manifestations indicates to the nurse that the client is
experiencing fluid overload
A. hypotension
B. flattened neck veins
C. nocturia
D. weight loss - ....ANSWER...C