MED SURG ATI CAPSTONE
ACTUAL EXAM 2026 GRADED
A+
A nurse in the emergency department is caring for a client who fell
through the ice on a pond and is unresponsive and breathing slowly.
Which of the following actions should the nurse take? (Select all that
apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids - ANSWER✅✨--A, C, D, E
A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and
slumped to the ground." Which of the following techniques should the
nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
,D. Flexion of the head - ANSWER✅✨--A
A nurse on a med surg unit is caring for a group of clients. The nurse
should notify the rapid response team for which of the following
clients?
A. Client who has an ulceration of the right heel whose blood glucose
is 300
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area
following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent pedal
pulse - ANSWER✅✨--B
A nurse is caring for a client who has ingested a toxic agent. Which of
the following actions should the nurse plan to take? (Select all that
apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids - ANSWER✅✨--B, C, E
A nurse is reviewing the common emergency management protocol
for clients who have asystole. Which of the following actions should
the nurse plan to take during this cardiac emergency?
, A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
D. Elevate the client's lower extremities - ANSWER✅✨--C
A nurse is providing education to a client who is to undergo an EEG
the next day. Which of the following information should the nurse
include in the teaching?
A. "Do not wash your hair the morning of the procedure"
B. "Try to stay awake most of the night prior to the procedure"
C. "The procedure will take approximately 15 minutes"
D. "You will need to lie flat for 4 hours after the procedure" -
ANSWER✅✨--B
A nurse is assessing a client who reports severe headache and a stiff
neck. The nurse's assessment reveals positive Kernig's and
Brudzinski's signs. Which of the following actions should the nurse
perform first?
A. Administer antibiotics
B. Implement droplet precautions
C. Initiate IV access
D. Decrease bright lights - ANSWER✅✨--B
ACTUAL EXAM 2026 GRADED
A+
A nurse in the emergency department is caring for a client who fell
through the ice on a pond and is unresponsive and breathing slowly.
Which of the following actions should the nurse take? (Select all that
apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids - ANSWER✅✨--A, C, D, E
A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and
slumped to the ground." Which of the following techniques should the
nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
,D. Flexion of the head - ANSWER✅✨--A
A nurse on a med surg unit is caring for a group of clients. The nurse
should notify the rapid response team for which of the following
clients?
A. Client who has an ulceration of the right heel whose blood glucose
is 300
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area
following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent pedal
pulse - ANSWER✅✨--B
A nurse is caring for a client who has ingested a toxic agent. Which of
the following actions should the nurse plan to take? (Select all that
apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids - ANSWER✅✨--B, C, E
A nurse is reviewing the common emergency management protocol
for clients who have asystole. Which of the following actions should
the nurse plan to take during this cardiac emergency?
, A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
D. Elevate the client's lower extremities - ANSWER✅✨--C
A nurse is providing education to a client who is to undergo an EEG
the next day. Which of the following information should the nurse
include in the teaching?
A. "Do not wash your hair the morning of the procedure"
B. "Try to stay awake most of the night prior to the procedure"
C. "The procedure will take approximately 15 minutes"
D. "You will need to lie flat for 4 hours after the procedure" -
ANSWER✅✨--B
A nurse is assessing a client who reports severe headache and a stiff
neck. The nurse's assessment reveals positive Kernig's and
Brudzinski's signs. Which of the following actions should the nurse
perform first?
A. Administer antibiotics
B. Implement droplet precautions
C. Initiate IV access
D. Decrease bright lights - ANSWER✅✨--B
