ATI CAPSTONE MEDICAL SURGICAL
ASSESSMENT 1 2026 CERTIFICATION
EVALUATION EXAMS COMPLETE QUESTIONS
AND ANSWERS
◉ A nurse is monitoring a client who is receiving moderate sedation
with midazolam. Which of the following findings requires immediate
intervention by the nurse
A. Oxygen saturation 90%
B. No response to verbal stimuli
C. Occasional premature ventricular contractions (PVCs)
D. Nausea
Answer: B) No response to verbal stimuli
using urgent vs non-urgent approach, this is the priority. During
moderate sedation, the pt should be able to provide a response to
questions and commands. No response to verbal stimuli can indicate
a loss or consciousness or oversedation
◉ A nurse is reviewing the laboratory findings for a client who has
heart failure and is taking furosemide. The nurse should identify
which of the following findings as an adverse effect of the
medication
,A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia
Answer: C. Potassium 3.2 mEq/L
Loop diuretics remove excessive extracellular fluid through the
kidneys, causing an increased excretion of potassium. Monitor for
dysrhythmias
◉ A nurse is caring for a client who is in Buck's traction. Which of
the following actions should the nurse take? (select all that apply)
A. Monitor peripheral pulses in the affected extremity
B. Position weights against the foot of the bed
C. Adjust the prescribed weights every 24 hrs
D. Examine the skin under the traction bood
E. Assess the temperature of the affected extremity
Answer: A, D, E
--
A, closely monitor the neurovascular integrity. Circulation can be
compromised from the fracture as well as the traction device
, D, monitor skin integrity at least every 8 hr
E, Circulation can be compromised from the fracture as well as the
traction device. Check and document color, temperature, distal
pulses, capillary refill, movement, and sensation during
neurovascular assessment. Monitor 6 P's: pain, pallor, pulselessness,
pressure, paresthesia, and paralysis
◉ A nurse is reviewing safety measures with the caregiver of a client
who has Alzheimer's disease. Which of the following instructions
should the nurse include in the teaching
A. Lock doors leading to stairways
B. Instruct the client not to use the stove
C. Place a throw rug in front of the toilet
D. Provide a darkened room for the client to sleep
Answer: A) Lock doors leading to stairways
This pt is at an increased risk for falls d/t difficulty with balance and
an inability to recognize dangerous situations due to brain damage
from the disease
ASSESSMENT 1 2026 CERTIFICATION
EVALUATION EXAMS COMPLETE QUESTIONS
AND ANSWERS
◉ A nurse is monitoring a client who is receiving moderate sedation
with midazolam. Which of the following findings requires immediate
intervention by the nurse
A. Oxygen saturation 90%
B. No response to verbal stimuli
C. Occasional premature ventricular contractions (PVCs)
D. Nausea
Answer: B) No response to verbal stimuli
using urgent vs non-urgent approach, this is the priority. During
moderate sedation, the pt should be able to provide a response to
questions and commands. No response to verbal stimuli can indicate
a loss or consciousness or oversedation
◉ A nurse is reviewing the laboratory findings for a client who has
heart failure and is taking furosemide. The nurse should identify
which of the following findings as an adverse effect of the
medication
,A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia
Answer: C. Potassium 3.2 mEq/L
Loop diuretics remove excessive extracellular fluid through the
kidneys, causing an increased excretion of potassium. Monitor for
dysrhythmias
◉ A nurse is caring for a client who is in Buck's traction. Which of
the following actions should the nurse take? (select all that apply)
A. Monitor peripheral pulses in the affected extremity
B. Position weights against the foot of the bed
C. Adjust the prescribed weights every 24 hrs
D. Examine the skin under the traction bood
E. Assess the temperature of the affected extremity
Answer: A, D, E
--
A, closely monitor the neurovascular integrity. Circulation can be
compromised from the fracture as well as the traction device
, D, monitor skin integrity at least every 8 hr
E, Circulation can be compromised from the fracture as well as the
traction device. Check and document color, temperature, distal
pulses, capillary refill, movement, and sensation during
neurovascular assessment. Monitor 6 P's: pain, pallor, pulselessness,
pressure, paresthesia, and paralysis
◉ A nurse is reviewing safety measures with the caregiver of a client
who has Alzheimer's disease. Which of the following instructions
should the nurse include in the teaching
A. Lock doors leading to stairways
B. Instruct the client not to use the stove
C. Place a throw rug in front of the toilet
D. Provide a darkened room for the client to sleep
Answer: A) Lock doors leading to stairways
This pt is at an increased risk for falls d/t difficulty with balance and
an inability to recognize dangerous situations due to brain damage
from the disease
