Page 1 of 65
CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1, ATI CAPSTONE ADULT
MEDICAL SURGICAL ASSESSMENT 2 | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
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"
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 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
A) Keep the client's room dark and quiet
Meningitis often causes photophobia and phonophobia.
Reduce stimuli
A nurse is caring for a client who has a right subclavian central
venous catheter. Which reconnecting a new intravenous
infusion administration set, which of the following actions
should the nurse take
A. Ask the client to exhale slowly
B. Turn the client's head to the right
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C. Place the client in a semi fowlers position
D. use aseptic technique
D use aseptic technique
aseptic= sterile
prevents central line related blood infections when
disconnecting and reconnecting the new set
A nurse is educating an older adult client about
immunizations. Which of the following immunizations should
the nurse include in the recommendation for the client
A. Recombinant herpes zoster
B. Human papillomavirus
C. Live attenuated influenza
D. Varicella
A) Recombinant herpes zoster
herpes zoster= shingles
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Older adults can get either the live or recombinant herpes
zoster immunization
A nurse is caring fro a client who has continuous bladder
irrigation following a transurthral resection of the prostate
(TURP). Which of he following actions should the nurse take
A. Place the indwelling urinary catheter tubing so it lies freely
between the client's legs
B. Irrigate the indwelling urinary catheter using sterile water
C. Subtract the amount of irrigation solution from the
indwelling urinary catheter output
D. Flush the indwelling urinary catheter with 30mL of
irrigation solution to clear an obstruction
C ) Subtract the amount of irrigation solution from the
indwelling urinary catheter output
Determine an accurate urinary output by subtracting the
amount of irrigation solution from the total output in the
urinary drainage bag
CAPSTONE ATI NCLEX MEDICAL SURGICAL
ASSESSMENT 1, ATI CAPSTONE ADULT
MEDICAL SURGICAL ASSESSMENT 2 | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
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"
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
,Page 2 of 65
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
A) Keep the client's room dark and quiet
Meningitis often causes photophobia and phonophobia.
Reduce stimuli
A nurse is caring for a client who has a right subclavian central
venous catheter. Which reconnecting a new intravenous
infusion administration set, which of the following actions
should the nurse take
A. Ask the client to exhale slowly
B. Turn the client's head to the right
,Page 3 of 65
C. Place the client in a semi fowlers position
D. use aseptic technique
D use aseptic technique
aseptic= sterile
prevents central line related blood infections when
disconnecting and reconnecting the new set
A nurse is educating an older adult client about
immunizations. Which of the following immunizations should
the nurse include in the recommendation for the client
A. Recombinant herpes zoster
B. Human papillomavirus
C. Live attenuated influenza
D. Varicella
A) Recombinant herpes zoster
herpes zoster= shingles
, Page 4 of 65
Older adults can get either the live or recombinant herpes
zoster immunization
A nurse is caring fro a client who has continuous bladder
irrigation following a transurthral resection of the prostate
(TURP). Which of he following actions should the nurse take
A. Place the indwelling urinary catheter tubing so it lies freely
between the client's legs
B. Irrigate the indwelling urinary catheter using sterile water
C. Subtract the amount of irrigation solution from the
indwelling urinary catheter output
D. Flush the indwelling urinary catheter with 30mL of
irrigation solution to clear an obstruction
C ) Subtract the amount of irrigation solution from the
indwelling urinary catheter output
Determine an accurate urinary output by subtracting the
amount of irrigation solution from the total output in the
urinary drainage bag
