Capstone ATI NCLEX Medical Surgical
Assessment 1, ATI Capstone Adult
Medical Surgical Assessment 2 Exam
Questions and Answers Graded A+
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" - Correct 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
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,A nurse is planning care for a client who is receiving mechanical ventilation.
Which of the following actions should the nurse include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - Correct answer-A.) Provide the
client with a means of communication
Use electronic tablet computer, programmable speech generating device, alphabet
board, pencil and paper, etc
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
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,C. Urine specific gravity 1.020
D. Hct 62% - Correct 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 - Correct 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
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, 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 - Correct answer-D Assist the client with
quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an obstructed
airway; the priority is to ensure the client can clear their airway. Apply abdominal
pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of the
following findings indicates that the client is experiencing transfusion-associated
circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - Correct answer-C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory overload,
leading to hypertension, bounding pulses, and confusion. Dyspnea can also
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Assessment 1, ATI Capstone Adult
Medical Surgical Assessment 2 Exam
Questions and Answers Graded A+
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" - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A nurse is planning care for a client who is receiving mechanical ventilation.
Which of the following actions should the nurse include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - Correct answer-A.) Provide the
client with a means of communication
Use electronic tablet computer, programmable speech generating device, alphabet
board, pencil and paper, etc
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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,C. Urine specific gravity 1.020
D. Hct 62% - Correct 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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 - Correct answer-D Assist the client with
quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an obstructed
airway; the priority is to ensure the client can clear their airway. Apply abdominal
pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of the
following findings indicates that the client is experiencing transfusion-associated
circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - Correct answer-C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory overload,
leading to hypertension, bounding pulses, and confusion. Dyspnea can also
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
