CAPSTONE ATI NCLEX MEDICAL
SURGICAL ASSESSMENT 1 QUESTIONS
AND SOLUTIONS LATEST 2024/2025
A IPnurse IPis IPteaching IPa IPclient IPhow IPto IPadminister IPa IPmedication IPusing IPan
IPinhaler IPwith IPa IPspacer. IPWhich IPof IPthe IPfollowing IPinstructions IPshould IPthe
IPnurse IPinclude
A. IP"Wait IPat IPleast IP5 IPminutes IPbetween IPpuffs IPfrom IPthe IPsame IPinhaler"
B. IP"Breathe IPin IPrapidly IPwhen IPinhaling IPthe IPmedication"
C. IP"Clean IPthe IPplastic IPinhaler IPcap IPweekly IPwith IPcold IPwater"
D. IP"Shake IPthe IPinhaler IPvigorously IPprior IPto IPuse" IP- IPCorrect IP IPAnswer IP✔✔ IP-
IPD IP.) IP"Shake IPthe IPinhaler IPvigorously IPprior IPto IPuse"
Thoroughly IPshake IPthe IPinhaler IPto IPdisperse IPthe IPmedication IPbecause IPthe
IPmedication IPin IPthe IPinhaler IPcan IPseparate IPeasily
A IPnurse IPis IPplanning IPcare IPfor IPa IPclient IPwho IPis IPreceiving IPmechanical
IPventilation. IPWhich IPof IPthe IPfollowing IPactions IPshould IPthe IPnurse IPinclude IPin IPthe
IPplan
A. IPProvide IPthe IPclient IPwith IPa IPmeans IPof IPcommunication
B. IPMaintain IPthe IPhead IPof IPthe IPclient's IPbed IPin IPa IPflat IPposition
C. IPSuction IPthe IPclient's IPendotracheal IPtube IPevery IP4 IPhr
D. IPPerform IPoral IPhygiene IPfor IPthe IPclient IPevery IP8 IPhr IP- IPCorrect IP IPAnswer IP✔✔
IP- IPA.) IPProvide IPthe IPclient IPwith IPa IPmeans IPof IPcommunication
Use IPelectronic IPtablet IPcomputer, IPprogrammable IPspeech IPgenerating IPdevice,
IPalphabet IPboard, IPpencil IPand IPpaper, IPetc
A IPnurse IPis IPcaring IPfor IPa IPclient IPwho IPis IPreceiving IPIV IPfluid IPreplacement
IPtherapy IPfor IPdehydration. IPWhich IPof IPthe IPfollowing IPlaboratory IPresults IPindicates
IPeffectiveness IPof IPthe IPtreatment
A. IPSodium IP165 IPmEq/L
B. IPPotassium IP5.2 IPmEq/L
C. IPUrine IPspecific IPgravity IP1.020
D. IPHct IP62% IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPUrine IPspecific IPgravity IP1.020
Within IPthe IPexpected IPrange IPof IP1.005-1.030
,A IPnurse IPis IPmonitoring IPthe IPlaboratory IPfindings IPfor IPa IPclient IPwho IPis
IPpostoperative IPfollowing IPa IPtotal IPhip IParthroplasty IP6 IPhr IPago. IPWhich IPof IPthe
IPfollowing IPvalues IPindicates IPthat IPthe IPclient IPhas IPan IPincreased IPrisk IPfor
IPbleeding
A. IPPT IP11.5 IPseconds
B. IPaPTT IP35 IPseconds
C. IPPlatelets IP80,000
D. IPRBC IP4.0 IPmillion IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPPlatelets IP80,000
platelet IPrange IPis IP150,000-400,000
A IPnurse IPis IPadmitting IPa IPclient IPwho IPhas IPa IPcervical IPspinal IPcord IPinjury
IPfollowing IPa IPmotor IPvehicle IPcrash. IPWhich IPof IPthe IPfollowing IPinterventions IPis
IPthe IPnurse's IPpriority IPwhile IPcaring IPfor IPthis IPclient
A. IPChange IPthe IPclient's IPposition IPevery IP2 IPhours
B. IPPad IPpressure IPpoints IPat IPthe IPedges IPof IPthe IPclient's IPcervical IPcollar
C. IPPalpate IPthe IPclient's IPabdomen IPfor IPbladder IPdistention
D. IPAssist IPthe IPclient IPwith IPquad IPcoughing IP- IPCorrect IP IPAnswer IP✔✔ IP- IPD
IPAssist IPthe IPclient IPwith IPquad IPcoughing
The IPgreatest IPrisk IPto IPa IPclient IPwho IPhas IPa IPcervical IPspinal IPcord IPinjury IPis IPan
IPobstructed IPairway; IPthe IPpriority IPis IPto IPensure IPthe IPclient IPcan IPclear IPtheir
IPairway. IPApply IPabdominal IPpressure IPas IPthe IPclient IPcoughs IP(quad IPcoughing)
A IPnurse IPis IPcaring IPfor IPa IPclient IPwho IPis IPreceiving IPa IPblood IPtransfusion. IPWhich
IPof IPthe IPfollowing IPfindings IPindicates IPthat IPthe IPclient IPis IPexperiencing
IPtransfusion-associated IPcirculatory IPoverload
A. IPNasuea
B. IPHypothermia
C. IPDyspnea
D. IPBradycardia IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPDyspnea
Dyspnea IPis IPan IPindication IPof IPpossible IPtransfusion IPassociated IPcirculatory
IPoverload, IPleading IPto IPhypertension, IPbounding IPpulses, IPand IPconfusion. IPDyspnea
IPcan IPalso IPindicate IPtransfusion IPrelated IPacute IPlung IPinjury IPto IPan IPanaphylactic
IPresponse, IPwhich IPalso IPcauses IPwheezing, IPchest IPtightness, IPcyanosis, IPand IPlow
IPBP
A IPnurse IPis IPassessing IPa IPclient IPwho IPhas IPlung IPcancer IPand IPis IPundergoing
IPradiation IPtherapy IPto IPthe IPchest. IPWhich IPof IPthe IPfollowing IPindicates IPan
IPadverse IPeffect IPof IPthe IPtherapy
A. IPHair IPloss IPon IPthe IPscalp
B. IPSweating IPat IPthe IPtreatment IPsite
C. IPAltered IPtaste IPsensations
, D. IPIntolerance IPto IPcold IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPAltered IPtaste
IPsensations
Altered IPtaste IPis IPa IPresult IPof IPthe IPrelease IPof IPmetabolites IPby IPdead IPcells
A IPnurse IPis IPpreparing IPto IPadminister IPa IPunit IPof IPpacked IPRBCs IPto IPa IPclient
IPwho IPhas IPanemia. IPWhich IPof IPthe IPfollowing IPactions IPshould IPthe IPnurse IPplan
IPto IPtake IP(select IPall IPthat IPapply)
A. IPObtain IPpre-transfusion IPtemperature
B. IPPrime IPthe IPIV IPtubing IPwith IPlactated IPRinger's
C. IPInstruct IPan IPassistive IPpersonnel IPto IPmonitor IPthe IPclient IPduring IPthe
IPtransfusion
D. IPVerify IPthe IPclient's IPblood IPtype IPwith IPa IPsecond IPnurse
E. IPUse IPa IP20 IPgauge IPIV IPneedle IPfor IPvenous IPaccess IP- IPCorrect IP IPAnswer IP✔✔
IP- IPA, IPD, IPE
A, IPcomplete IPassessment IPprior IPto IPtransfusion
D, IPverify IPidentification, IPblood IPcompatibility, IPand IPexpiration IPof IPproduct IPwith
IPsecond IPnurse IP
E, IPthe IPnurse IPshould IPuse IPa IPlarge IPbore IPneedle IPto IPtransfuse IPthe IPPRBCs IPto
IPreduce IPthe IPrisk IPof IPcell IPhemolysis IPand IPobstruction IPof IPflow
A IPnurse IPis IPreviewing IPthe IPlaboratory IPfindings IPfor IPa IPclient IPwho IPis
IPdehydrated. IPWhich IPof IPthe IPfollowing IPBUN IPlevels IPshould IPthe IPnurse IPexpect
A. IP3.6 IPmg/dl
B. IP8 IPmg/dL
C. IP18.7 IPmg/dL
D. IP26 IPmg/dL IP- IPCorrect IP IPAnswer IP✔✔ IP- IPD IP26 IPmg/dL
Normal IPrange IPis IP10-20, IPand IPelevated IPlevels IPindicates IPrenal IPdisease,
IPdehydration, IPshock, IPexcessive IPprotein IPin IPthe IPdiet, IPsepsis, IPglucocorticoid IPuse,
IPGI IPbleeding, IPor IPother IPconditions IPin IPwhich IPblood IPis IPreabsorbed IPfrom IPinjured
IPtissues
A IPnurse IPis IPreviewing IPECG IPstrips IPfor IPseveral IPclients. IPWhich IPof IPthe IPfollowing
IPimages IPshould IPthe IPnurse IPidentify IPas IPatrial IPfibrillation
(cannot IPinsert IPpictures, IPread IPdescription)
A. IPmultiple IPirregular IPand IPvariable IPwaves IPat IPthe IPbaseline IPand IPirregular IPR IPto
IPR IPintervals
B. IPa IPrate IPof IP140-180/min
SURGICAL ASSESSMENT 1 QUESTIONS
AND SOLUTIONS LATEST 2024/2025
A IPnurse IPis IPteaching IPa IPclient IPhow IPto IPadminister IPa IPmedication IPusing IPan
IPinhaler IPwith IPa IPspacer. IPWhich IPof IPthe IPfollowing IPinstructions IPshould IPthe
IPnurse IPinclude
A. IP"Wait IPat IPleast IP5 IPminutes IPbetween IPpuffs IPfrom IPthe IPsame IPinhaler"
B. IP"Breathe IPin IPrapidly IPwhen IPinhaling IPthe IPmedication"
C. IP"Clean IPthe IPplastic IPinhaler IPcap IPweekly IPwith IPcold IPwater"
D. IP"Shake IPthe IPinhaler IPvigorously IPprior IPto IPuse" IP- IPCorrect IP IPAnswer IP✔✔ IP-
IPD IP.) IP"Shake IPthe IPinhaler IPvigorously IPprior IPto IPuse"
Thoroughly IPshake IPthe IPinhaler IPto IPdisperse IPthe IPmedication IPbecause IPthe
IPmedication IPin IPthe IPinhaler IPcan IPseparate IPeasily
A IPnurse IPis IPplanning IPcare IPfor IPa IPclient IPwho IPis IPreceiving IPmechanical
IPventilation. IPWhich IPof IPthe IPfollowing IPactions IPshould IPthe IPnurse IPinclude IPin IPthe
IPplan
A. IPProvide IPthe IPclient IPwith IPa IPmeans IPof IPcommunication
B. IPMaintain IPthe IPhead IPof IPthe IPclient's IPbed IPin IPa IPflat IPposition
C. IPSuction IPthe IPclient's IPendotracheal IPtube IPevery IP4 IPhr
D. IPPerform IPoral IPhygiene IPfor IPthe IPclient IPevery IP8 IPhr IP- IPCorrect IP IPAnswer IP✔✔
IP- IPA.) IPProvide IPthe IPclient IPwith IPa IPmeans IPof IPcommunication
Use IPelectronic IPtablet IPcomputer, IPprogrammable IPspeech IPgenerating IPdevice,
IPalphabet IPboard, IPpencil IPand IPpaper, IPetc
A IPnurse IPis IPcaring IPfor IPa IPclient IPwho IPis IPreceiving IPIV IPfluid IPreplacement
IPtherapy IPfor IPdehydration. IPWhich IPof IPthe IPfollowing IPlaboratory IPresults IPindicates
IPeffectiveness IPof IPthe IPtreatment
A. IPSodium IP165 IPmEq/L
B. IPPotassium IP5.2 IPmEq/L
C. IPUrine IPspecific IPgravity IP1.020
D. IPHct IP62% IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPUrine IPspecific IPgravity IP1.020
Within IPthe IPexpected IPrange IPof IP1.005-1.030
,A IPnurse IPis IPmonitoring IPthe IPlaboratory IPfindings IPfor IPa IPclient IPwho IPis
IPpostoperative IPfollowing IPa IPtotal IPhip IParthroplasty IP6 IPhr IPago. IPWhich IPof IPthe
IPfollowing IPvalues IPindicates IPthat IPthe IPclient IPhas IPan IPincreased IPrisk IPfor
IPbleeding
A. IPPT IP11.5 IPseconds
B. IPaPTT IP35 IPseconds
C. IPPlatelets IP80,000
D. IPRBC IP4.0 IPmillion IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPPlatelets IP80,000
platelet IPrange IPis IP150,000-400,000
A IPnurse IPis IPadmitting IPa IPclient IPwho IPhas IPa IPcervical IPspinal IPcord IPinjury
IPfollowing IPa IPmotor IPvehicle IPcrash. IPWhich IPof IPthe IPfollowing IPinterventions IPis
IPthe IPnurse's IPpriority IPwhile IPcaring IPfor IPthis IPclient
A. IPChange IPthe IPclient's IPposition IPevery IP2 IPhours
B. IPPad IPpressure IPpoints IPat IPthe IPedges IPof IPthe IPclient's IPcervical IPcollar
C. IPPalpate IPthe IPclient's IPabdomen IPfor IPbladder IPdistention
D. IPAssist IPthe IPclient IPwith IPquad IPcoughing IP- IPCorrect IP IPAnswer IP✔✔ IP- IPD
IPAssist IPthe IPclient IPwith IPquad IPcoughing
The IPgreatest IPrisk IPto IPa IPclient IPwho IPhas IPa IPcervical IPspinal IPcord IPinjury IPis IPan
IPobstructed IPairway; IPthe IPpriority IPis IPto IPensure IPthe IPclient IPcan IPclear IPtheir
IPairway. IPApply IPabdominal IPpressure IPas IPthe IPclient IPcoughs IP(quad IPcoughing)
A IPnurse IPis IPcaring IPfor IPa IPclient IPwho IPis IPreceiving IPa IPblood IPtransfusion. IPWhich
IPof IPthe IPfollowing IPfindings IPindicates IPthat IPthe IPclient IPis IPexperiencing
IPtransfusion-associated IPcirculatory IPoverload
A. IPNasuea
B. IPHypothermia
C. IPDyspnea
D. IPBradycardia IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPDyspnea
Dyspnea IPis IPan IPindication IPof IPpossible IPtransfusion IPassociated IPcirculatory
IPoverload, IPleading IPto IPhypertension, IPbounding IPpulses, IPand IPconfusion. IPDyspnea
IPcan IPalso IPindicate IPtransfusion IPrelated IPacute IPlung IPinjury IPto IPan IPanaphylactic
IPresponse, IPwhich IPalso IPcauses IPwheezing, IPchest IPtightness, IPcyanosis, IPand IPlow
IPBP
A IPnurse IPis IPassessing IPa IPclient IPwho IPhas IPlung IPcancer IPand IPis IPundergoing
IPradiation IPtherapy IPto IPthe IPchest. IPWhich IPof IPthe IPfollowing IPindicates IPan
IPadverse IPeffect IPof IPthe IPtherapy
A. IPHair IPloss IPon IPthe IPscalp
B. IPSweating IPat IPthe IPtreatment IPsite
C. IPAltered IPtaste IPsensations
, D. IPIntolerance IPto IPcold IP- IPCorrect IP IPAnswer IP✔✔ IP- IPC IPAltered IPtaste
IPsensations
Altered IPtaste IPis IPa IPresult IPof IPthe IPrelease IPof IPmetabolites IPby IPdead IPcells
A IPnurse IPis IPpreparing IPto IPadminister IPa IPunit IPof IPpacked IPRBCs IPto IPa IPclient
IPwho IPhas IPanemia. IPWhich IPof IPthe IPfollowing IPactions IPshould IPthe IPnurse IPplan
IPto IPtake IP(select IPall IPthat IPapply)
A. IPObtain IPpre-transfusion IPtemperature
B. IPPrime IPthe IPIV IPtubing IPwith IPlactated IPRinger's
C. IPInstruct IPan IPassistive IPpersonnel IPto IPmonitor IPthe IPclient IPduring IPthe
IPtransfusion
D. IPVerify IPthe IPclient's IPblood IPtype IPwith IPa IPsecond IPnurse
E. IPUse IPa IP20 IPgauge IPIV IPneedle IPfor IPvenous IPaccess IP- IPCorrect IP IPAnswer IP✔✔
IP- IPA, IPD, IPE
A, IPcomplete IPassessment IPprior IPto IPtransfusion
D, IPverify IPidentification, IPblood IPcompatibility, IPand IPexpiration IPof IPproduct IPwith
IPsecond IPnurse IP
E, IPthe IPnurse IPshould IPuse IPa IPlarge IPbore IPneedle IPto IPtransfuse IPthe IPPRBCs IPto
IPreduce IPthe IPrisk IPof IPcell IPhemolysis IPand IPobstruction IPof IPflow
A IPnurse IPis IPreviewing IPthe IPlaboratory IPfindings IPfor IPa IPclient IPwho IPis
IPdehydrated. IPWhich IPof IPthe IPfollowing IPBUN IPlevels IPshould IPthe IPnurse IPexpect
A. IP3.6 IPmg/dl
B. IP8 IPmg/dL
C. IP18.7 IPmg/dL
D. IP26 IPmg/dL IP- IPCorrect IP IPAnswer IP✔✔ IP- IPD IP26 IPmg/dL
Normal IPrange IPis IP10-20, IPand IPelevated IPlevels IPindicates IPrenal IPdisease,
IPdehydration, IPshock, IPexcessive IPprotein IPin IPthe IPdiet, IPsepsis, IPglucocorticoid IPuse,
IPGI IPbleeding, IPor IPother IPconditions IPin IPwhich IPblood IPis IPreabsorbed IPfrom IPinjured
IPtissues
A IPnurse IPis IPreviewing IPECG IPstrips IPfor IPseveral IPclients. IPWhich IPof IPthe IPfollowing
IPimages IPshould IPthe IPnurse IPidentify IPas IPatrial IPfibrillation
(cannot IPinsert IPpictures, IPread IPdescription)
A. IPmultiple IPirregular IPand IPvariable IPwaves IPat IPthe IPbaseline IPand IPirregular IPR IPto
IPR IPintervals
B. IPa IPrate IPof IP140-180/min
