2023 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST
BANK 320 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES/CAPSTONE MED SURG TEST BANK
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is providing discharge instructions to a female client who as a prescription
for phenytoin. Which of the following information should the nurse include?
A. Consider taking oral contraceptives when on the medication
B. Watch for receding gums when taking the medication
C. Take the medication at the same time every day
D. Provide a urine sample to determine therapeutic levels of the medication –
ANSWER- C
A nurse is reviewing trigger factors that can cause seizures with a client who has a
new diagnosis of generalized seizures. Which of the following information should
the nurse include in this review? (Select all that apply)
A. Avoid overwhelming fatigue
B. Remove caffeinated products from the diet
C. Limit looking at flashing lights
D. Perform aerobic exercise
E. Limit episodes of hypoventilation
F. Use of aerosol hairspray is recommended – ANSWER- A, B, C
A nurse is completing discharge teaching to a client who has seizures and received
a vagal nerve stimulator to decrease seizure activity. Which of the following
statements should the nurse include in the teaching?
A. “It is safe to use microwaves that are 1,200 watts or less”
B. “You should avoid the use of CT scans with contrast”
C. “You should place a magnet over the implantable device when you feel an aura
occurring”
D. “It is recommended that you use ultrasound diathermy for pain management” –
ANSWER- C
A nurse is caring for a client who has MS. Which of the following findings should
the nurse expect?
A. Fluctuations in BP
B. Loss of cognitive function
C. Ineffective cough
D. Drooping eye lids – ANSWER- B
A nurse is beginning a physical assessment of a client who has a new diagnosis of
MS. Which of the following findings should the nurse expect? (Select all that
apply)
A. Areas of paresthesia
B. Involuntary eye movements
C. Alopecia
D. Increased salivation
E. Ataxia – ANSWER- A, B, E
A nurse is teaching a client who has MS and a new prescription for baclofen.
Which of the following statements should the nurse include in the teaching?
A. “This med will help you with your tremors”
B. “This med will help you with your bladder function”
C. “This med may cause your skin to bruise easily”
D. “This med may cause your skin to appear yellow in color” – ANSWER- D
A nurse is caring for a client who was recently admitted to the ED following a
head-on MVA. The client is unresponsive, has spontaneous respirations of 22/min,
and has a laceration on the forehead that is bleeding. Which of the following is the
priority nursing action at this time?
A. Keep neck stabilized
B. Insert NG tube
C. Monitor pulse and blood pressure frequently
D. Establish IV access and start fluid replacement – ANSWER- A
A nurse is caring for a client who has just been admitted following surgical
evacuation of a subdural hematoma. Which of the following is the priority
assessment?
A. Glasgow Coma Scale
B. Cranial nerve function
C. Oxygen saturation
D. Pupillary response – ANSWER- C
A nurse is caring for a client who has a closed-head injury with ICP readings
ranging from 16-22 mm Hg. Which of the following actions should the nurse take
to decrease the potential for raising the client’s ICP? (Select all that apply)
A. Suction the ETT frequently
B. Decrease the noise level in the client’s room
C. Elevate the client’s head on two pillows
D. Administer a stool softener
E. Keep the client well hydrated – ANSWER- B, D
A nurse in the critical care unit is completing an admission assessment of a client
who has a gunshot wound to the head. Which of the following assessment findings
are indicative of increased ICP? (Select all that apply)
A. Headache
B. Dilated pupils
C. Tachycardia
D. Decorticate posturing
E. Hypotension – ANSWER- A, B, D
A nurse is caring for a client who has increased ICP and a new prescription for
mannitol. For which of the following adverse effects should the nurse monitor?
A. Hyperglycemia
B. Hyponatremia
C. Hypervolemia
D. Oliguria – ANSWER- B