ATI CAPSTONE MEDICAL SURGICAL PROCTORED 2 VERSIONS
(VERSION A AND B) NEWEST 2024 ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS/ALREADY
PASSED
1. A client is admitted with acute pancreatitis. Which of the following
laboratory values would the nurse expect to be elevated?
• A. Hemoglobin
• B. Amylase
• C. Potassium
• D. Calcium
• Answer: B. Amylase
2. A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy. Which oxygen delivery system is most
appropriate to avoid suppressing the client’s drive to breathe?
• A. Non-rebreather mask
• B. Simple face mask
• C. Venturi mask
• D. Nasal cannula
• Answer: D. Nasal cannula
3. A nurse is caring for a client with a new colostomy. Which of the
following statements indicates that the client needs further teaching
about colostomy care?
• A. "I will change the colostomy bag before meals."
• B. "I will avoid foods that cause gas and odor."
• C. "I will empty the colostomy bag when it is full."
, • D. "I will inspect the stoma regularly for color changes."
• Answer: C. "I will empty the colostomy bag when it is full."
4. A client has been diagnosed with hyperthyroidism. Which of the
following findings should the nurse expect?
• A. Weight gain
• B. Bradycardia
• C. Heat intolerance
• D. Constipation
• Answer: C. Heat intolerance
5. A client with a history of deep vein thrombosis (DVT) is on warfarin
therapy. Which of the following statements by the client indicates a
need for further teaching?
• A. "I will avoid green leafy vegetables."
• B. "I will use an electric razor to avoid cuts."
• C. "I will take my medication at the same time each day."
• D. "I will take aspirin if I have a headache."
• Answer: D. "I will take aspirin if I have a headache."
6. A client presents with signs of septic shock. Which of the following
interventions should the nurse implement first?
• A. Administer antibiotics
• B. Obtain blood cultures
• C. Administer intravenous fluids
• D. Monitor urine output
• Answer: C. Administer intravenous fluids
,7. A nurse is providing discharge teaching for a client with heart
failure. Which of the following instructions should the nurse include?
• A. "Limit your fluid intake to 1 liter per day."
• B. "Weigh yourself daily and report a weight gain of 2 pounds in 24
hours."
• C. "Consume foods high in sodium to maintain electrolyte balance."
• D. "Discontinue your medications if you feel better."
• Answer: B. "Weigh yourself daily and report a weight gain of 2
pounds in 24 hours."
8. A nurse is caring for a client with a new diagnosis of diabetes
mellitus. Which of the following should the nurse include in the
teaching plan?
• A. "You can skip meals if you take your insulin."
• B. "Exercise may decrease your insulin needs."
• C. "Increase your carbohydrate intake during sick days."
• D. "Inject insulin into the same site every day."
• Answer: B. "Exercise may decrease your insulin needs."
9. A client with peptic ulcer disease is prescribed omeprazole. What is
the primary action of this medication?
• A. Neutralize stomach acid
• B. Protect the stomach lining
• C. Inhibit the proton pump in the stomach
• D. Eradicate Helicobacter pylori
• Answer: C. Inhibit the proton pump in the stomach
, 10. A client with chronic kidney disease (CKD) is being educated about
dietary restrictions. Which of the following foods should the client
avoid?
• A. Apples
• B. Chicken
• C. Bananas
• D. White bread
• Answer: C. Bananas
11. A nurse is caring for a client with rheumatoid arthritis. Which of
the following medications would the nurse expect to administer to
reduce inflammation?
• A. Metoprolol
• B. Prednisone
• C. Levothyroxine
• D. Furosemide
• Answer: B. Prednisone
12. A client with cirrhosis has an elevated ammonia level. Which of the
following medications would the nurse anticipate administering?
• A. Lactulose
• B. Spironolactone
• C. Propranolol
• D. Omeprazole
• Answer: A. Lactulose
(VERSION A AND B) NEWEST 2024 ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS/ALREADY
PASSED
1. A client is admitted with acute pancreatitis. Which of the following
laboratory values would the nurse expect to be elevated?
• A. Hemoglobin
• B. Amylase
• C. Potassium
• D. Calcium
• Answer: B. Amylase
2. A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy. Which oxygen delivery system is most
appropriate to avoid suppressing the client’s drive to breathe?
• A. Non-rebreather mask
• B. Simple face mask
• C. Venturi mask
• D. Nasal cannula
• Answer: D. Nasal cannula
3. A nurse is caring for a client with a new colostomy. Which of the
following statements indicates that the client needs further teaching
about colostomy care?
• A. "I will change the colostomy bag before meals."
• B. "I will avoid foods that cause gas and odor."
• C. "I will empty the colostomy bag when it is full."
, • D. "I will inspect the stoma regularly for color changes."
• Answer: C. "I will empty the colostomy bag when it is full."
4. A client has been diagnosed with hyperthyroidism. Which of the
following findings should the nurse expect?
• A. Weight gain
• B. Bradycardia
• C. Heat intolerance
• D. Constipation
• Answer: C. Heat intolerance
5. A client with a history of deep vein thrombosis (DVT) is on warfarin
therapy. Which of the following statements by the client indicates a
need for further teaching?
• A. "I will avoid green leafy vegetables."
• B. "I will use an electric razor to avoid cuts."
• C. "I will take my medication at the same time each day."
• D. "I will take aspirin if I have a headache."
• Answer: D. "I will take aspirin if I have a headache."
6. A client presents with signs of septic shock. Which of the following
interventions should the nurse implement first?
• A. Administer antibiotics
• B. Obtain blood cultures
• C. Administer intravenous fluids
• D. Monitor urine output
• Answer: C. Administer intravenous fluids
,7. A nurse is providing discharge teaching for a client with heart
failure. Which of the following instructions should the nurse include?
• A. "Limit your fluid intake to 1 liter per day."
• B. "Weigh yourself daily and report a weight gain of 2 pounds in 24
hours."
• C. "Consume foods high in sodium to maintain electrolyte balance."
• D. "Discontinue your medications if you feel better."
• Answer: B. "Weigh yourself daily and report a weight gain of 2
pounds in 24 hours."
8. A nurse is caring for a client with a new diagnosis of diabetes
mellitus. Which of the following should the nurse include in the
teaching plan?
• A. "You can skip meals if you take your insulin."
• B. "Exercise may decrease your insulin needs."
• C. "Increase your carbohydrate intake during sick days."
• D. "Inject insulin into the same site every day."
• Answer: B. "Exercise may decrease your insulin needs."
9. A client with peptic ulcer disease is prescribed omeprazole. What is
the primary action of this medication?
• A. Neutralize stomach acid
• B. Protect the stomach lining
• C. Inhibit the proton pump in the stomach
• D. Eradicate Helicobacter pylori
• Answer: C. Inhibit the proton pump in the stomach
, 10. A client with chronic kidney disease (CKD) is being educated about
dietary restrictions. Which of the following foods should the client
avoid?
• A. Apples
• B. Chicken
• C. Bananas
• D. White bread
• Answer: C. Bananas
11. A nurse is caring for a client with rheumatoid arthritis. Which of
the following medications would the nurse expect to administer to
reduce inflammation?
• A. Metoprolol
• B. Prednisone
• C. Levothyroxine
• D. Furosemide
• Answer: B. Prednisone
12. A client with cirrhosis has an elevated ammonia level. Which of the
following medications would the nurse anticipate administering?
• A. Lactulose
• B. Spironolactone
• C. Propranolol
• D. Omeprazole
• Answer: A. Lactulose
