ATI CAPSTONE MED SURG QUESTIONS AND
ANSWERS 2026
◉ 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. Answer: 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 should the nurse administer per dose?. Answer: 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?. Answer: 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 used to correct this dysrhythmia?. Answer:
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?. Answer: 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?. Answer: 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 the insulin dose appropriate for a reading over
200mg/dL before the client's breakfast, what action is the nurse's
priority?. Answer: monitor the client for hypoglycemia
◉ a nurse is planning care for a pt who has a new diagnosis of DI,
which of the following interventions should the nurse include in the
plan of care?. Answer: 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 should be administered first?. Answer: 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, her ABGs are pH 7.50, PaCO2 29, PaO2 60,
HCO3 20, SaO2 86%, what is the priority of nursing interventions.
Answer: administer oxygen via face 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?. Answer: unrelieved pain, pallor,
pulselessness, numbness, pins and needles 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's comfort. Answer: lower the height of the
solution container
◉ a pt is diagnosed with left homonymous hemianopsia following a
stroke, what action should the nurse take?. Answer: place the clients
bedside table on the right side of the bed
ANSWERS 2026
◉ 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. Answer: 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 should the nurse administer per dose?. Answer: 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?. Answer: 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 used to correct this dysrhythmia?. Answer:
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?. Answer: 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?. Answer: 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 the insulin dose appropriate for a reading over
200mg/dL before the client's breakfast, what action is the nurse's
priority?. Answer: monitor the client for hypoglycemia
◉ a nurse is planning care for a pt who has a new diagnosis of DI,
which of the following interventions should the nurse include in the
plan of care?. Answer: 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 should be administered first?. Answer: 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, her ABGs are pH 7.50, PaCO2 29, PaO2 60,
HCO3 20, SaO2 86%, what is the priority of nursing interventions.
Answer: administer oxygen via face 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?. Answer: unrelieved pain, pallor,
pulselessness, numbness, pins and needles 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's comfort. Answer: lower the height of the
solution container
◉ a pt is diagnosed with left homonymous hemianopsia following a
stroke, what action should the nurse take?. Answer: place the clients
bedside table on the right side of the bed
