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ATI RN · ATI Capstone Medical Surgical · ATI Capstone Adult Medical Surgical Assessment 1

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following findings should the nurse expect?

A. Decreased deep tendon reflexes

B. Positive Chvostek's sign

C. Hyperactive bowel sounds

D. Dry mucous membranes

Expert Explanatory Rationale

Correct Answer: Decreased deep tendon reflexes

Question 2 of 5

A client at high risk for iron deficiency anemia should increase the consumption of which of the following foods?

A. Yogurt

B. Apples

C. Raisins

D. Cheddar cheese

Expert Explanatory Rationale

Correct Answer: Raisins

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

Expert Explanatory Rationale

Correct Answer: Provide supervision to prevent a client from becoming injured or lost

Question 4 of 5

A nurse is developing a plan of care for a client who will be placed in halo traction following surgical repair of the cervical spine. Which of the following interventions should the nurse include in the plan?

A. Inspect the pin site every 4 hours

B. Monitor the client's skin under the halo vest

C. Ensure two personnel hold the halo device when repositioning the client

D. Apply powder to the client's skin under the vest to decrease itching

Expert Explanatory Rationale

Correct Answer: Monitor the client's skin under the halo vest

Question 5 of 5

A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include?

A. Eat three large meals daily

B. Consume high-calorie foods

C. Limit caffeinated drinks to two per day

D. Drink fluids during meal time

Expert Explanatory Rationale

Correct Answer: Consume high-calorie foods

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