RN ATI CAPSTONE EXAM SCRIPT 2026
MEDICAL SURGICAL NURSING REVIEW
COMPLETE SOLUTION VIEW
◉ Endocrine Diagnostic Procedures: Priority Action Following a
Pheochromocytoma Removal (RM AMS RN 10.0 Chp 76, Active
Learning Template - System Disorder, RN QSEN - Safety)
Answer: Adrenalectomy: removing gland with the tumor
Monitor for hypertensive crisis (systolic >180, diastolic >120) - BP
too high can damage organs such as kidney, eyes, brain and of course
the heart.
Monitor for chest pain (risk for MI), neuro status (stroke), EKG
changes, hyperglycemia
Provide calm and quiet environment, no overstimulation
◉ Starting Med 2 Review
Answer:
◉ Emergency Nursing Principles and Management: Providing
Education About First Aid for Snake Bites (RM AMS RN 10.0 Chp 2,
Active Learning Template - Basic Concept)
Answer: Children ages 1 to 9 are at highest risk for snakebites
, The nurse should be familiar with indigenous snakes in the
community
Generally, ice, tourniquets, heparin and corticosteroids are
contraindicated in the first 6 to 8 hour after the bite
Anti-venom based on the type and severity of a snake bite is most
effective if administered within 4 to 12 hrs
◉ Cholecystitis and Cholelithiasis: Teaching About Dietary
Recommendations (RM AMS RN 10.0 Chp 53, Active Learning
Template - System Disorder)
Answer: Encourage a low-fat diet (reduce dairy products and avoid
fried foods, chocolate, nuts, gravies). The client can have increased
tolerance of small, frequent meals.
Tell the client to avoid gas-forming foods (beans, cabbage,
cauliflower, broccoli)
Promote weight reduction
Instruct the client to take fat-soluble vitamins or bile salts as
prescribed to enhance absorption and aid with digestion
◉ Heart Failure and Pulmonary Edema: Teaching a Client About
Furosemide (Active Learning Template - Medication, RN QSEN -
Safety , RM AMS RN 10.0 Chp 32)
Answer: Administer furosemide IV no faster than 20 mg/min
Loop (diuretics) and thiazide (hydrocholorthiazide) diuretics can
cause hypokalemia, and potassium supplementation can be required
MEDICAL SURGICAL NURSING REVIEW
COMPLETE SOLUTION VIEW
◉ Endocrine Diagnostic Procedures: Priority Action Following a
Pheochromocytoma Removal (RM AMS RN 10.0 Chp 76, Active
Learning Template - System Disorder, RN QSEN - Safety)
Answer: Adrenalectomy: removing gland with the tumor
Monitor for hypertensive crisis (systolic >180, diastolic >120) - BP
too high can damage organs such as kidney, eyes, brain and of course
the heart.
Monitor for chest pain (risk for MI), neuro status (stroke), EKG
changes, hyperglycemia
Provide calm and quiet environment, no overstimulation
◉ Starting Med 2 Review
Answer:
◉ Emergency Nursing Principles and Management: Providing
Education About First Aid for Snake Bites (RM AMS RN 10.0 Chp 2,
Active Learning Template - Basic Concept)
Answer: Children ages 1 to 9 are at highest risk for snakebites
, The nurse should be familiar with indigenous snakes in the
community
Generally, ice, tourniquets, heparin and corticosteroids are
contraindicated in the first 6 to 8 hour after the bite
Anti-venom based on the type and severity of a snake bite is most
effective if administered within 4 to 12 hrs
◉ Cholecystitis and Cholelithiasis: Teaching About Dietary
Recommendations (RM AMS RN 10.0 Chp 53, Active Learning
Template - System Disorder)
Answer: Encourage a low-fat diet (reduce dairy products and avoid
fried foods, chocolate, nuts, gravies). The client can have increased
tolerance of small, frequent meals.
Tell the client to avoid gas-forming foods (beans, cabbage,
cauliflower, broccoli)
Promote weight reduction
Instruct the client to take fat-soluble vitamins or bile salts as
prescribed to enhance absorption and aid with digestion
◉ Heart Failure and Pulmonary Edema: Teaching a Client About
Furosemide (Active Learning Template - Medication, RN QSEN -
Safety , RM AMS RN 10.0 Chp 32)
Answer: Administer furosemide IV no faster than 20 mg/min
Loop (diuretics) and thiazide (hydrocholorthiazide) diuretics can
cause hypokalemia, and potassium supplementation can be required
