ATI Capstone Med Surg
Study online at https://quizlet.com/_g1k5bs
1. a nurse is reviewing the ABG results of a client pH below 7.35
who the provider suspects has metabolic acido-
sis. what would the nurse expect to see
2. a pt is experiencing SOB, fatigue, JVD, the HF
nurse auscultates a third heart sound (S3), what
should the nurse anticipate as the cause of
these s/s
3. a nurse is administering potassium chloride 30mL
elixer 40mEq divided into 2 equal doses every
12 hours, available is 6.7 mEq/5mL. how many
mL should the nurse administer per dose?
4. a nurse is caring for a pt in the ED who was administer sublingual
just admitted with chest pain, possible acute nitroglycerin
coronary syndrome. what should the nurse do
first? (treat chest pain to
reduce cardiac tissue
damage)
5. a nurse is caring for pt who is experiencing ven- synchronized cardiover-
tricular tachycardia with a pulse, the RRT is at sion
the bedside. what electrical intervention should
be used to correct this dysrhythmia? (tx for afib, SVT, and v
tach with a pulse)
6. a nurse is caring for an adult pt who is expe- monitor serum albu-
riencing delayed wound healing, which of the min levels and noti-
following interventions should the nurse take? fy provider if below
3.5g/dL
(lack of protein increas-
es the risk for a delay
in wound healing and in-
fection)
7. a nurse is teaching a client who has pre-dialysis reduce intake of foods
ESKD about diet, what should be included? high in potassium
, ATI Capstone Med Surg
Study online at https://quizlet.com/_g1k5bs
(potassium clearance is
impaired in ESKD)
8. a nurse is caring for a client who has T1DM, monitor the client for hy-
the nurse misread the client's morning BG level poglycemia
as 210mg/dL, instead of 120mg/dL and admin-
istered the insulin dose appropriate for a read-
ing over 200mg/dL before the client's breakfast,
what action is the nurse's priority?
9. a nurse is planning care for a pt who has a new check urine specific
diagnosis of DI, which of the following interven- gravity
tions should the nurse include in the plan of
care?
10. a nurse is caring for a pt admitted with wheezing albuterol 3mL via nebu-
and coughing due to an allergic reaction to a lizer
newly prescribed medication, what medication
should be administered first?
11. a nurse is caring for a female client in the ED who administer oxygen via
reports SOB and pain in the lung area, she states face mask
that she started taking BC pills 3 weeks ago and
that she smokes, her heart rate is 110/min, RR
40/min, and BP 140/80, her ABGs are pH 7.50,
PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what
is the priority of nursing interventions
12. a nurse is caring for a pt following repair of a unrelieved pain, pallor,
fracture, what finding should alert the nurse that pulselessness, numb-
the pt is experiencing compartment syndrome? ness, pins and needles
sensation, swelling,
tightness of the effected
extremity
13. a nurse is administering a tap water enema to a lower the height of the
pt who is constipated, during the administration solution container
of the enema, the client states he is having ab-
, ATI Capstone Med Surg
Study online at https://quizlet.com/_g1k5bs
dominal cramps, what action should the nurse
take to relieve the client's comfort
14. a pt is diagnosed with left homonymous hemi- place the clients bed-
anopsia following a stroke, what action should side table on the right
the nurse take? side of the bed
15. a nurse is caring for a pt who is at risk for shock, narrowing pulse pres-
what finding is the earliest indicator that this sure
complication is developing?
16. a nurse is assessing a client who has hy- weak, irregular pulse
pokalemia as a result of n/v, and diarrhea, what
finding should the nurse expect
17. a nurse is providing teaching for a client who avoid drinking alcohol
has experienced an acute episode of gastritis,
what instruction should the nurse include in the
teaching?
18. a nurse at an outpt surgery center is providing the client should wear
discharge teaching to a pt an his spouse follow- dark glasses while out-
ing surgical removal of a cataract, what should doors
the nurse include?
19. a nurse is assessing a pt who has a puncture localized erythema
wound on his foot, what is a manifestation of
acute osteomylitis?
20. a nurse is monitoring a pt who had a cere- irritability
bral aneurysm rupture, what finding should the
nurse identify as a manifestation of increased
intracranial pressure
21. when caring for a pt with a chest tube the nurse an air leak
notes continuous bubbling in the chest tube wa-
ter seal chamber, what does this indicate
22. a nurse is an ED is caring for a client who had a hemorrhagic stroke
seizure and became unresponsive after stating
Study online at https://quizlet.com/_g1k5bs
1. a nurse is reviewing the ABG results of a client pH below 7.35
who the provider suspects has metabolic acido-
sis. what would the nurse expect to see
2. a pt is experiencing SOB, fatigue, JVD, the HF
nurse auscultates a third heart sound (S3), what
should the nurse anticipate as the cause of
these s/s
3. a nurse is administering potassium chloride 30mL
elixer 40mEq divided into 2 equal doses every
12 hours, available is 6.7 mEq/5mL. how many
mL should the nurse administer per dose?
4. a nurse is caring for a pt in the ED who was administer sublingual
just admitted with chest pain, possible acute nitroglycerin
coronary syndrome. what should the nurse do
first? (treat chest pain to
reduce cardiac tissue
damage)
5. a nurse is caring for pt who is experiencing ven- synchronized cardiover-
tricular tachycardia with a pulse, the RRT is at sion
the bedside. what electrical intervention should
be used to correct this dysrhythmia? (tx for afib, SVT, and v
tach with a pulse)
6. a nurse is caring for an adult pt who is expe- monitor serum albu-
riencing delayed wound healing, which of the min levels and noti-
following interventions should the nurse take? fy provider if below
3.5g/dL
(lack of protein increas-
es the risk for a delay
in wound healing and in-
fection)
7. a nurse is teaching a client who has pre-dialysis reduce intake of foods
ESKD about diet, what should be included? high in potassium
, ATI Capstone Med Surg
Study online at https://quizlet.com/_g1k5bs
(potassium clearance is
impaired in ESKD)
8. a nurse is caring for a client who has T1DM, monitor the client for hy-
the nurse misread the client's morning BG level poglycemia
as 210mg/dL, instead of 120mg/dL and admin-
istered the insulin dose appropriate for a read-
ing over 200mg/dL before the client's breakfast,
what action is the nurse's priority?
9. a nurse is planning care for a pt who has a new check urine specific
diagnosis of DI, which of the following interven- gravity
tions should the nurse include in the plan of
care?
10. a nurse is caring for a pt admitted with wheezing albuterol 3mL via nebu-
and coughing due to an allergic reaction to a lizer
newly prescribed medication, what medication
should be administered first?
11. a nurse is caring for a female client in the ED who administer oxygen via
reports SOB and pain in the lung area, she states face mask
that she started taking BC pills 3 weeks ago and
that she smokes, her heart rate is 110/min, RR
40/min, and BP 140/80, her ABGs are pH 7.50,
PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what
is the priority of nursing interventions
12. a nurse is caring for a pt following repair of a unrelieved pain, pallor,
fracture, what finding should alert the nurse that pulselessness, numb-
the pt is experiencing compartment syndrome? ness, pins and needles
sensation, swelling,
tightness of the effected
extremity
13. a nurse is administering a tap water enema to a lower the height of the
pt who is constipated, during the administration solution container
of the enema, the client states he is having ab-
, ATI Capstone Med Surg
Study online at https://quizlet.com/_g1k5bs
dominal cramps, what action should the nurse
take to relieve the client's comfort
14. a pt is diagnosed with left homonymous hemi- place the clients bed-
anopsia following a stroke, what action should side table on the right
the nurse take? side of the bed
15. a nurse is caring for a pt who is at risk for shock, narrowing pulse pres-
what finding is the earliest indicator that this sure
complication is developing?
16. a nurse is assessing a client who has hy- weak, irregular pulse
pokalemia as a result of n/v, and diarrhea, what
finding should the nurse expect
17. a nurse is providing teaching for a client who avoid drinking alcohol
has experienced an acute episode of gastritis,
what instruction should the nurse include in the
teaching?
18. a nurse at an outpt surgery center is providing the client should wear
discharge teaching to a pt an his spouse follow- dark glasses while out-
ing surgical removal of a cataract, what should doors
the nurse include?
19. a nurse is assessing a pt who has a puncture localized erythema
wound on his foot, what is a manifestation of
acute osteomylitis?
20. a nurse is monitoring a pt who had a cere- irritability
bral aneurysm rupture, what finding should the
nurse identify as a manifestation of increased
intracranial pressure
21. when caring for a pt with a chest tube the nurse an air leak
notes continuous bubbling in the chest tube wa-
ter seal chamber, what does this indicate
22. a nurse is an ED is caring for a client who had a hemorrhagic stroke
seizure and became unresponsive after stating
