1|Page
ATI CAPSTONE MEDICAL SURGICAL
PROCTORED VERSION 1 AND 2 NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
ATI CAPSTONE MEDICAL SURGICAL VERSION 1
A nurse is preparing to admit a client who has a new
tracheostomy from the operating room. Which of the following
items is the priority for the nurse to have available in the client's
room upon admission
A. Obturator
B. Hydrogen peroxide
C. Sterile gloves
D. Inner cannula - CORRECT ANSWER-A.) Obturator
Rationale; The obturator can be inserted in the stoma in the even
of dislodgment or decannulation to maintain an airway until a
new trach tube can be placed. For the first 72 hr following the
insertion of a trach, dislodgement or decannulation is considered
an emergency
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A nurse is caring for a client who had a below the knee
amputation due to a traumatic injury 2 days ago. Which of the
following statements should the nurse use to assess how the
client is coping with this change in their body image
A. "Tell me how the changes to your leg make you feel"
B. "What potential changes do you think you'll need to make
when doing your job"
C. "Let's discuss how you can adjust once you have a prosthesis"
D. "What are some possible issues that you foresee when
completing self-management tasks" - CORRECT ANSWER-A .)
"Tell me how the changes to your leg make you feel"
A nurse in an endoscopy clinic is providing teaching to a client
who is to undergo a colonoscopy for colon cancer screening.
Which of the following information should the nurse provide
A. "You should have nothing to eat or drink for 3 hours prior to
the procedure"
B. "You should drink the bowel preparation slowly to prevent
nausea"
C. "You will have no discomfort following the procedure"
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D. "You will need someone to drive you home after your
procedure" - CORRECT ANSWER-D.) "You will need someone
to drive you home after your procedure"
Rationale; Do not drive for 12-18 hours following the procedure,
because during a colonoscopy, the pt receives moderate sedation
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 - CORRECT ANSWER-B) No response to verbal
stimuli
Rationale; 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
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A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia - CORRECT ANSWER-C. Potassium 3.2
mEq/L
Rationale; 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 - CORRECT
ANSWER-A, D, E
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ATI CAPSTONE MEDICAL SURGICAL
PROCTORED VERSION 1 AND 2 NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
ATI CAPSTONE MEDICAL SURGICAL VERSION 1
A nurse is preparing to admit a client who has a new
tracheostomy from the operating room. Which of the following
items is the priority for the nurse to have available in the client's
room upon admission
A. Obturator
B. Hydrogen peroxide
C. Sterile gloves
D. Inner cannula - CORRECT ANSWER-A.) Obturator
Rationale; The obturator can be inserted in the stoma in the even
of dislodgment or decannulation to maintain an airway until a
new trach tube can be placed. For the first 72 hr following the
insertion of a trach, dislodgement or decannulation is considered
an emergency
,2|Page
A nurse is caring for a client who had a below the knee
amputation due to a traumatic injury 2 days ago. Which of the
following statements should the nurse use to assess how the
client is coping with this change in their body image
A. "Tell me how the changes to your leg make you feel"
B. "What potential changes do you think you'll need to make
when doing your job"
C. "Let's discuss how you can adjust once you have a prosthesis"
D. "What are some possible issues that you foresee when
completing self-management tasks" - CORRECT ANSWER-A .)
"Tell me how the changes to your leg make you feel"
A nurse in an endoscopy clinic is providing teaching to a client
who is to undergo a colonoscopy for colon cancer screening.
Which of the following information should the nurse provide
A. "You should have nothing to eat or drink for 3 hours prior to
the procedure"
B. "You should drink the bowel preparation slowly to prevent
nausea"
C. "You will have no discomfort following the procedure"
,3|Page
D. "You will need someone to drive you home after your
procedure" - CORRECT ANSWER-D.) "You will need someone
to drive you home after your procedure"
Rationale; Do not drive for 12-18 hours following the procedure,
because during a colonoscopy, the pt receives moderate sedation
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 - CORRECT ANSWER-B) No response to verbal
stimuli
Rationale; 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
, 4|Page
A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia - CORRECT ANSWER-C. Potassium 3.2
mEq/L
Rationale; 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 - CORRECT
ANSWER-A, D, E
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