ATI CAPSTONE MED SURG (VERSION 1 & VERSION 2) LATEST 2022-2023 EACH
VERSION CONTAINS 120 QUESTIONS AND CORRECT ANSWERS | AGRADE
a nurse is reviewing the ABG results of a client who the provider suspects has metabolic
acidosis. what would the nurse expect to see Correct ans
- pH below 7.35
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3),
what should the nurse anticipate as the cause of these s/s Correct ans - HF
a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12
hours, available is 6.7 mEq/5mL. how many mL shouldthe nurse administer per dose?
Correct ans - 30mL
a nurse is caring for a pt in the ED who was just admitted with chest pain,possible acute coronary
syndrome. what should the nurse do first?
Correct ans - administer sublingual nitroglycerin (treat
chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at
the bedside. what electrical intervention should be usedto correct this dysrhythmia?
Correct ans - synchronized cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing,which of the
following interventions should the nurse take? Correct ans
- monitor serum albumin levels and notify provider if below 3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be
included? Correct ans - reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG level
as 210mg/dL, instead of 120mg/dL and administered theinsulin dose appropriate for a
reading over 200mg/dL before the client's breakfast, what action is the nurse's priority?
Correct ans - monitorthe
,client for hypoglycemia
, a nurse is planning care for a pt who has a new diagnosis of DI, which of thefollowing
interventions should the nurse include in the plan of care?
Correct ans - check urine specific gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to
a newly prescribed medication, what medication shouldbe administered first? Correct
ans - albuterol 3mL via nebulizer
a nurse is caring for a female client in the ED who reports SOB and pain in the lung area,
she states that she started taking BC pills 3 weeks ago and that she smokes, her heart rate
is 110/min, RR 40/min, and BP 140/80, herABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3
20, SaO2 86%, what is the priority of nursing interventions Correct ans -
administer oxygen viaface mask
a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the pt
is experiencing compartment syndrome?
Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins andneedles
sensation, swelling, tightness of the effected extremity
a nurse is administering a tap water enema to a pt who is constipated, during the
administration of the enema, the client states he is having abdominal cramps, what action
should the nurse take to relieve the client'scomfort Correct ans - lower the height of the
solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke, what action
should the nurse take? Correct ans - place the clients bedside table on the right side of
the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this
complication is developing? Correct ans - narrowing
pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what
finding should the nurse expect Correct ans - weak,
irregular pulse
a nurse is providing teaching for a client who has experienced an acuteepisode of
gastritis, what instruction should the nurse include in the teaching? Correct ans -
avoid drinking alcohol
a nurse at an outpt surgery center is providing discharge teaching to a pt anhis spouse
following surgical removal of a cataract, what should the nurse include? Correct ans - the
client should wear dark glasses while outdoors
VERSION CONTAINS 120 QUESTIONS AND CORRECT ANSWERS | AGRADE
a nurse is reviewing the ABG results of a client who the provider suspects has metabolic
acidosis. what would the nurse expect to see Correct ans
- pH below 7.35
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3),
what should the nurse anticipate as the cause of these s/s Correct ans - HF
a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12
hours, available is 6.7 mEq/5mL. how many mL shouldthe nurse administer per dose?
Correct ans - 30mL
a nurse is caring for a pt in the ED who was just admitted with chest pain,possible acute coronary
syndrome. what should the nurse do first?
Correct ans - administer sublingual nitroglycerin (treat
chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at
the bedside. what electrical intervention should be usedto correct this dysrhythmia?
Correct ans - synchronized cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing,which of the
following interventions should the nurse take? Correct ans
- monitor serum albumin levels and notify provider if below 3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be
included? Correct ans - reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG level
as 210mg/dL, instead of 120mg/dL and administered theinsulin dose appropriate for a
reading over 200mg/dL before the client's breakfast, what action is the nurse's priority?
Correct ans - monitorthe
,client for hypoglycemia
, a nurse is planning care for a pt who has a new diagnosis of DI, which of thefollowing
interventions should the nurse include in the plan of care?
Correct ans - check urine specific gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to
a newly prescribed medication, what medication shouldbe administered first? Correct
ans - albuterol 3mL via nebulizer
a nurse is caring for a female client in the ED who reports SOB and pain in the lung area,
she states that she started taking BC pills 3 weeks ago and that she smokes, her heart rate
is 110/min, RR 40/min, and BP 140/80, herABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3
20, SaO2 86%, what is the priority of nursing interventions Correct ans -
administer oxygen viaface mask
a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the pt
is experiencing compartment syndrome?
Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins andneedles
sensation, swelling, tightness of the effected extremity
a nurse is administering a tap water enema to a pt who is constipated, during the
administration of the enema, the client states he is having abdominal cramps, what action
should the nurse take to relieve the client'scomfort Correct ans - lower the height of the
solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke, what action
should the nurse take? Correct ans - place the clients bedside table on the right side of
the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this
complication is developing? Correct ans - narrowing
pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what
finding should the nurse expect Correct ans - weak,
irregular pulse
a nurse is providing teaching for a client who has experienced an acuteepisode of
gastritis, what instruction should the nurse include in the teaching? Correct ans -
avoid drinking alcohol
a nurse at an outpt surgery center is providing discharge teaching to a pt anhis spouse
following surgical removal of a cataract, what should the nurse include? Correct ans - the
client should wear dark glasses while outdoors
