2025 Complete Test Bank
Ati Capstone Medical Surgical
Assessment 1 & 2 Actual Exam Questions with Detailed Verified Answers
A nurse is developing a plan of care for a client who has meningitis. Which of the following
interventions should the nurse include in the plan
A. Keep the client's room dark and quiet
B. Perform a vascular assessment for the client every 6 hr
C. Maintain the head of the client's bed at 15 degrees at all times
D. Place the client on contact precautions - ✔✔✔ Answer: > A) Keep the client's room dark
and quiet
Meningitis often causes photophobia and phonophobia. Reduce stimuli
A nurse is providing teaching to a client who has venous insufficiency. Which of the following
statements by the client indicates an understanding of the teaching
A. "I will wear my graduated compression stockings while sleeping"
B. "I will elevate my legs for 10 minutes 3 times per day"
C. "I will limit the time I spend sitting down during the day"
D. "I will cross my legs at my knees when sitting" - ✔✔✔ Answer: > C) "I will limit the
time I spend sitting down during the day"
Avoid prolonged periods of sitting or standing, which keeps the legs from being in a dependent
position and helps prevent venous stasis
,A nurse is providing discharge teaching to a client who is postoperative following glaucoma
surgery. Which of the following instructions should the nurse include to prevent increased
intraocular pressure
A. "Avoid straining to have a bowel movement"
B. "Avoid lying on your right side"
C. "Avoid lifting objects that weigh more than 5 pounds"
D. "Avoid sleeping with your head elevated" - ✔✔✔ Answer: > A
Consume a diet high in fiber and fluids to prevent constipation and straining to have a bowel
movement, which can increase intraocular pressure
A nurse is providing teaching to a client who is undergoing radiation therapy and wants to go for
a walk outside. Which of the following recommendations should the nurse include in the
teaching?
A. "Try to avoid sun exposure by waiting until after sunset to go outdoors"
B. "Gently was the irradiated area to remove the markings before going outside"
C. "Protect exposed skin with an over the counter sunscreen"
D. "Wear form sitting clothing when going outside" - ✔✔✔ Answer: > A) "Try to avoid sun
exposure by waiting until after sunset to go outdoors"
Protect the skin from exposure to sunlight during treatment and for 1 year after the last treatment.
Stay in the shade, go outside in the early morning or evening to avoid the more intense sun rays
to allow the pt to stay outside for a longer period
,A nurse in an emergency department is monitoring a client who reports angina. Which of the
following findings should indicate to the nurse that the client might have experienced a
myocardial infarction (MI)
A. Increased troponin
B. Decreased creatinine kinase MB
C. Cholesterol 300 mg/dL
D. C- reactive protein 1.2 mg/dL - ✔✔✔ Answer: > A ) Increased troponin
Troponin is a myocardial muscle protein released into the blood stream as a result of injury to the
heart muscle. Troponin levels increase within 2-3 hr following an MI
A nurse is teaching a client how to administer a medication using an inhaler with a spacer. Which
of the following instructions should the nurse include
A. "Wait at least 5 minutes between puffs from the same inhaler"
B. "Breathe in rapidly when inhaling the medication"
C. "Clean the plastic inhaler cap weekly with cold water"
D. "Shake the inhaler vigorously prior to use" - ✔✔✔ Answer: > D .) "Shake the inhaler
vigorously prior to use"
Thoroughly shake the inhaler to disperse the medication because the medication in the inhaler
can separate easily
, A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration.
Which of the following laboratory results indicates effectiveness of the treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62% - ✔✔✔ Answer: > C Urine specific gravity 1.020 Within the expected range of
1.005-1.030
A nurse is monitoring the laboratory findings for a client who is postoperative following a total
hip arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased
risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million - ✔✔✔ Answer: > C Platelets 80,000 platelet range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle
crash. Which of the following interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing - ✔✔✔ Answer: > D Assist the client with quad
coughing
Ati Capstone Medical Surgical
Assessment 1 & 2 Actual Exam Questions with Detailed Verified Answers
A nurse is developing a plan of care for a client who has meningitis. Which of the following
interventions should the nurse include in the plan
A. Keep the client's room dark and quiet
B. Perform a vascular assessment for the client every 6 hr
C. Maintain the head of the client's bed at 15 degrees at all times
D. Place the client on contact precautions - ✔✔✔ Answer: > A) Keep the client's room dark
and quiet
Meningitis often causes photophobia and phonophobia. Reduce stimuli
A nurse is providing teaching to a client who has venous insufficiency. Which of the following
statements by the client indicates an understanding of the teaching
A. "I will wear my graduated compression stockings while sleeping"
B. "I will elevate my legs for 10 minutes 3 times per day"
C. "I will limit the time I spend sitting down during the day"
D. "I will cross my legs at my knees when sitting" - ✔✔✔ Answer: > C) "I will limit the
time I spend sitting down during the day"
Avoid prolonged periods of sitting or standing, which keeps the legs from being in a dependent
position and helps prevent venous stasis
,A nurse is providing discharge teaching to a client who is postoperative following glaucoma
surgery. Which of the following instructions should the nurse include to prevent increased
intraocular pressure
A. "Avoid straining to have a bowel movement"
B. "Avoid lying on your right side"
C. "Avoid lifting objects that weigh more than 5 pounds"
D. "Avoid sleeping with your head elevated" - ✔✔✔ Answer: > A
Consume a diet high in fiber and fluids to prevent constipation and straining to have a bowel
movement, which can increase intraocular pressure
A nurse is providing teaching to a client who is undergoing radiation therapy and wants to go for
a walk outside. Which of the following recommendations should the nurse include in the
teaching?
A. "Try to avoid sun exposure by waiting until after sunset to go outdoors"
B. "Gently was the irradiated area to remove the markings before going outside"
C. "Protect exposed skin with an over the counter sunscreen"
D. "Wear form sitting clothing when going outside" - ✔✔✔ Answer: > A) "Try to avoid sun
exposure by waiting until after sunset to go outdoors"
Protect the skin from exposure to sunlight during treatment and for 1 year after the last treatment.
Stay in the shade, go outside in the early morning or evening to avoid the more intense sun rays
to allow the pt to stay outside for a longer period
,A nurse in an emergency department is monitoring a client who reports angina. Which of the
following findings should indicate to the nurse that the client might have experienced a
myocardial infarction (MI)
A. Increased troponin
B. Decreased creatinine kinase MB
C. Cholesterol 300 mg/dL
D. C- reactive protein 1.2 mg/dL - ✔✔✔ Answer: > A ) Increased troponin
Troponin is a myocardial muscle protein released into the blood stream as a result of injury to the
heart muscle. Troponin levels increase within 2-3 hr following an MI
A nurse is teaching a client how to administer a medication using an inhaler with a spacer. Which
of the following instructions should the nurse include
A. "Wait at least 5 minutes between puffs from the same inhaler"
B. "Breathe in rapidly when inhaling the medication"
C. "Clean the plastic inhaler cap weekly with cold water"
D. "Shake the inhaler vigorously prior to use" - ✔✔✔ Answer: > D .) "Shake the inhaler
vigorously prior to use"
Thoroughly shake the inhaler to disperse the medication because the medication in the inhaler
can separate easily
, A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration.
Which of the following laboratory results indicates effectiveness of the treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62% - ✔✔✔ Answer: > C Urine specific gravity 1.020 Within the expected range of
1.005-1.030
A nurse is monitoring the laboratory findings for a client who is postoperative following a total
hip arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased
risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million - ✔✔✔ Answer: > C Platelets 80,000 platelet range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle
crash. Which of the following interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing - ✔✔✔ Answer: > D Assist the client with quad
coughing
