ATI CAPSTONE MEDICAL SURGICAL
ASSESSMENT 1 2026 EXAM REVIEW SOLVED
QUESTIONS AND CORRECT ANSWERS
◉ A nurse is caring for a client who has ingested a toxic agent.
Which of the following actions should the nurse plan to take? (Select
all that apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids.
Answer: B, C, E
◉ A nurse in the emergency department is caring for a client who
fell through the ice on a pond and is unresponsive and breathing
slowly. Which of the following actions should the nurse take? (Select
all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
,C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids.
Answer: A, C, D, E
◉ A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and
slumped to the ground." Which of the following techniques should
the nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head.
Answer: A
◉ A nurse is reviewing the common emergency management
protocol for clients who have asystole. Which of the following
actions should the nurse plan to take during this cardiac emergency?
A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
,D. Elevate the client's lower extremities.
Answer: C
◉ A nurse is caring for a client who is postprocedural following LP
and reports throbbing headache when sitting upright. Which of the
following actions should the nurse take? (Select all that apply)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing exercises and
coughing exercises.
Answer: B, C, D
◉ A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?
A. Headache
B. Infection
C. Aphasia
, D. Hypertension.
Answer: B
◉ A nurse is assessing a client for changes in the level of
consciousness using the GCS. The client opens his eyes when spoken
to, speaks incoherently, and moves his extremities when pain is
applied. Which of the following GCS scores should the nurse
document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8.
Answer: B
◉ A nurse is developing a plan of care for a client who is scheduled
for cerebral angiography with contrast dye. Which of the following
statements by the client should the nurse report to the provider?
(Select all that apply)
A. "I think I might be pregnant"
B. "I take warfarin"
C. "I take antihypertensive medication"
D. "I am allergic to shrimp"
ASSESSMENT 1 2026 EXAM REVIEW SOLVED
QUESTIONS AND CORRECT ANSWERS
◉ A nurse is caring for a client who has ingested a toxic agent.
Which of the following actions should the nurse plan to take? (Select
all that apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids.
Answer: B, C, E
◉ A nurse in the emergency department is caring for a client who
fell through the ice on a pond and is unresponsive and breathing
slowly. Which of the following actions should the nurse take? (Select
all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
,C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids.
Answer: A, C, D, E
◉ A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and
slumped to the ground." Which of the following techniques should
the nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head.
Answer: A
◉ A nurse is reviewing the common emergency management
protocol for clients who have asystole. Which of the following
actions should the nurse plan to take during this cardiac emergency?
A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
,D. Elevate the client's lower extremities.
Answer: C
◉ A nurse is caring for a client who is postprocedural following LP
and reports throbbing headache when sitting upright. Which of the
following actions should the nurse take? (Select all that apply)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing exercises and
coughing exercises.
Answer: B, C, D
◉ A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?
A. Headache
B. Infection
C. Aphasia
, D. Hypertension.
Answer: B
◉ A nurse is assessing a client for changes in the level of
consciousness using the GCS. The client opens his eyes when spoken
to, speaks incoherently, and moves his extremities when pain is
applied. Which of the following GCS scores should the nurse
document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8.
Answer: B
◉ A nurse is developing a plan of care for a client who is scheduled
for cerebral angiography with contrast dye. Which of the following
statements by the client should the nurse report to the provider?
(Select all that apply)
A. "I think I might be pregnant"
B. "I take warfarin"
C. "I take antihypertensive medication"
D. "I am allergic to shrimp"
