ATI CAPSTONE ADULT MEDICAL SURGICAL
ASSESSMENT 2 Actual Exam Questions & Answers
(Deeply Explained Answers) guaranteed a+
s
1. What is the primary purpose of a nursing assessment?
o A) To provide treatment
o B) To collect comprehensive data
o C) To diagnose conditions
o D) To prescribe medications
Answer: B
2. Which of the following is a common sign of infection?
o A) Low blood pressure
o B) Hyperglycemia
o C) Fever
o D) Bradycardia
Answer: C
3. What is the normal range for adult blood pressure?
o A) 90/60 to 120/80 mmHg
o B) 120/80 to 140/90 mmHg
o C) 130/80 to 150/100 mmHg
o D) 140/90 to 160/110 mmHg
Answer: A
4. Which assessment finding is indicative of dehydration?
o A) Bradycardia
o B) Moist mucous membranes
o C) Decreased skin turgor
o D) Elevated blood pressure
Answer: C
5. What is the priority nursing action for a patient experiencing chest pain?
o A) Administer aspirin
o B) Notify the physician
o C) Obtain vital signs
o D) Place the patient in a comfortable position
Answer: A
6. Which electrolyte imbalance can cause muscle cramps?
o A) Hypercalcemia
o B) Hyperkalemia
o C) Hypocalcemia
o D) Hyponatremia
Answer: C
,7. What is the most effective way to prevent the spread of infection?
o A) Hand hygiene
o B) Wearing gloves
o C) Using antiseptics
o D) Isolation precautions
Answer: A
8. What should the nurse monitor in a patient receiving warfarin?
o A) INR levels
o B) Blood glucose
o C) Potassium levels
o D) Calcium levels
Answer: A
9. Which patient condition requires immediate intervention by the nurse?
o A) Hypertension
o B) Acute chest pain
o C) Mild headache
o D) Controlled diabetes
Answer: B
10. What is the primary purpose of a care plan?
o A) To delegate tasks
o B) To outline nursing interventions
o C) To document patient history
o D) To establish discharge criteria
Answer: B
11. What symptom is associated with congestive heart failure?
o A) Bradycardia
o B) Edema
o C) Hyperactivity
o D) Diarrhea
Answer: B
12. Which medication is commonly prescribed for hypertension?
o A) Digoxin
o B) Metoprolol
o C) Warfarin
o D) Aspirin
Answer: B
13. What is a common side effect of opioid analgesics?
o A) Diarrhea
o B) Constipation
o C) Hypertension
o D) Bradycardia
Answer: B
14. Which lab value is most indicative of kidney function?
o A) Blood glucose
o B) Serum creatinine
o C) Hemoglobin
, o D) Serum calcium
Answer: B
15. What should the nurse do if a patient develops wheezing?
o A) Administer a bronchodilator
o B) Assess vital signs
o C) Notify the physician
o D) Document the finding
Answer: A
16. What is the most important nursing intervention for a patient with a deep vein
thrombosis (DVT)?
o A) Encourage ambulation
o B) Apply cold compresses
o C) Administer anticoagulants
o D) Elevate the affected limb
Answer: C
17. Which of the following is a sign of anaphylaxis?
o A) Sneezing
o B) Itching
o C) Swelling of the face and throat
o D) Nausea
Answer: C
18. What is the priority nursing diagnosis for a patient with pneumonia?
o A) Impaired gas exchange
o B) Ineffective airway clearance
o C) Risk for infection
o D) Activity intolerance
Answer: B
19. Which assessment finding may indicate a urinary tract infection (UTI)?
o A) Elevated blood pressure
o B) Hematuria
o C) Bradycardia
o D) Weight gain
Answer: B
20. What is the primary goal of rehabilitation?
o A) To cure the disease
o B) To improve functional ability
o C) To provide emotional support
o D) To prevent complications
Answer: B
21. What is a common complication of immobility?
o A) Hypoglycemia
o B) Pressure ulcers
o C) Hypertension
o D) Hyperkalemia
Answer: B
22. What does the Glasgow Coma Scale assess?
ASSESSMENT 2 Actual Exam Questions & Answers
(Deeply Explained Answers) guaranteed a+
s
1. What is the primary purpose of a nursing assessment?
o A) To provide treatment
o B) To collect comprehensive data
o C) To diagnose conditions
o D) To prescribe medications
Answer: B
2. Which of the following is a common sign of infection?
o A) Low blood pressure
o B) Hyperglycemia
o C) Fever
o D) Bradycardia
Answer: C
3. What is the normal range for adult blood pressure?
o A) 90/60 to 120/80 mmHg
o B) 120/80 to 140/90 mmHg
o C) 130/80 to 150/100 mmHg
o D) 140/90 to 160/110 mmHg
Answer: A
4. Which assessment finding is indicative of dehydration?
o A) Bradycardia
o B) Moist mucous membranes
o C) Decreased skin turgor
o D) Elevated blood pressure
Answer: C
5. What is the priority nursing action for a patient experiencing chest pain?
o A) Administer aspirin
o B) Notify the physician
o C) Obtain vital signs
o D) Place the patient in a comfortable position
Answer: A
6. Which electrolyte imbalance can cause muscle cramps?
o A) Hypercalcemia
o B) Hyperkalemia
o C) Hypocalcemia
o D) Hyponatremia
Answer: C
,7. What is the most effective way to prevent the spread of infection?
o A) Hand hygiene
o B) Wearing gloves
o C) Using antiseptics
o D) Isolation precautions
Answer: A
8. What should the nurse monitor in a patient receiving warfarin?
o A) INR levels
o B) Blood glucose
o C) Potassium levels
o D) Calcium levels
Answer: A
9. Which patient condition requires immediate intervention by the nurse?
o A) Hypertension
o B) Acute chest pain
o C) Mild headache
o D) Controlled diabetes
Answer: B
10. What is the primary purpose of a care plan?
o A) To delegate tasks
o B) To outline nursing interventions
o C) To document patient history
o D) To establish discharge criteria
Answer: B
11. What symptom is associated with congestive heart failure?
o A) Bradycardia
o B) Edema
o C) Hyperactivity
o D) Diarrhea
Answer: B
12. Which medication is commonly prescribed for hypertension?
o A) Digoxin
o B) Metoprolol
o C) Warfarin
o D) Aspirin
Answer: B
13. What is a common side effect of opioid analgesics?
o A) Diarrhea
o B) Constipation
o C) Hypertension
o D) Bradycardia
Answer: B
14. Which lab value is most indicative of kidney function?
o A) Blood glucose
o B) Serum creatinine
o C) Hemoglobin
, o D) Serum calcium
Answer: B
15. What should the nurse do if a patient develops wheezing?
o A) Administer a bronchodilator
o B) Assess vital signs
o C) Notify the physician
o D) Document the finding
Answer: A
16. What is the most important nursing intervention for a patient with a deep vein
thrombosis (DVT)?
o A) Encourage ambulation
o B) Apply cold compresses
o C) Administer anticoagulants
o D) Elevate the affected limb
Answer: C
17. Which of the following is a sign of anaphylaxis?
o A) Sneezing
o B) Itching
o C) Swelling of the face and throat
o D) Nausea
Answer: C
18. What is the priority nursing diagnosis for a patient with pneumonia?
o A) Impaired gas exchange
o B) Ineffective airway clearance
o C) Risk for infection
o D) Activity intolerance
Answer: B
19. Which assessment finding may indicate a urinary tract infection (UTI)?
o A) Elevated blood pressure
o B) Hematuria
o C) Bradycardia
o D) Weight gain
Answer: B
20. What is the primary goal of rehabilitation?
o A) To cure the disease
o B) To improve functional ability
o C) To provide emotional support
o D) To prevent complications
Answer: B
21. What is a common complication of immobility?
o A) Hypoglycemia
o B) Pressure ulcers
o C) Hypertension
o D) Hyperkalemia
Answer: B
22. What does the Glasgow Coma Scale assess?
