ATI CAPSTONE MEDICAL SURGICAL
PROCTORED VERSION 1 AND 2 2025 WITH
ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY GRADED
A+|BRAND NEW!!|LATEST UPDATE |GUARANTEED
PASS
VERSION 1
A nurse is preparing to transfuse 1 unit of packed RBC to a client. Which of the following actions should
the nurse take first
A. Verify the label on the blood product with 2 client identifiers
B. Check the client's medical record to verify the provider's prescription
C. Flush the blood tubing with 0.9% sodium chloride
D. Instruct the client to report itching or shortness of breath
B) Check the client's medical record to verify the provider's prescription
The greatest risk to this client is injury from a transfusion reaction, so the first action is to check the
medical record to verify the providers order. This reduces the risk for client injury form receiving
incompatible packed RBCs
A nurse is providing discharge teaching to a client who is postoperative following glaucoma surgery.
Which of the following instructions should the nurse include to prevent increased intraocular pressure
A. "Avoid straining to have a bowel movement"
B. "Avoid lying on your right side"
C. "Avoid lifting objects that weigh more than 5 pounds"
D. "Avoid sleeping with your head elevated"
A
Consume a diet high in fiber and fluids to prevent constipation and straining to have a bowel
movement, which can increase intraocular pressure
A nurse is providing teaching about health promotion activities to an older adult client. Which of the
following recommendations should the nurse include in the teaching
1|Page
,A. "Maintain your dietary fat intake at 45% of your daily caloric intake"
B. "Obtain 15 minutes of sunlight exposure 3 times per week"
C. "Exercise for 30 minutes twice per week"
D. "Decrease your fiber intake to less than 20 grams per day"
B) "Obtain 15 minutes of sunlight exposure 3 times per week"
Instruct the client to obtain at least 10-15 min of exposure to sunlight 2-3 times per week to ensure
adequate vitamin D production
A nurse is caring for a client who has an above the knee amputation related to trauma and is
experiencing phantom limb pain. Which of the following medications should the nurse administer to
treat the client's pain?
A. Meloxicam
B. Cyclobenzaprine
C. Gabapentin
D. Lidocaine
C) Gabapentin
phantom limb pain is a type of neuropathic pain resulting from damage to peripheral and central
nervous system pathways. Gabapentin is an anticonvulsant medication that helps treat neuropathic
pain
A nurse is reviewing the laboratory findings for a client who has a urinary tract infection. Which of the
following laboratory findings should the nurse identify as an indication the client is in the initial stages of
systemic inflammatory response syndrome (SIRS)?
A. WBC count 14,000/mm
B. Platelets 110,000/ mm
C. Lactic acid 19 mg/dL
D. C reactive protein 2.8 mg/L
A. ) WBC count 14,000/mm
WBC count of 14,000 is above the expected range of 5,000-10,000. SIRS overwhelms the body's
defenses, resulting in a widespread inflammation. WBCs might increase initially, but depending on the
bone marrow's ability to produce neutrophils and WBCs, the WBC count can become extremely low
A nurse is caring for a client who is receiving brachytherapy. Which of the following actions should the
nurse take?
A. Limit visitation time to 2 hr per day, per visitor
B. Wear a dosimeter film badge when caring for the client
C. Open the door toe the client's room when visitors are present
D. Double bag bed linens and remove them daily from the client's room
2|Page
,B ) Wear a dosimeter film badge when caring for the client
the badge does not protect the nurse form the effects of radiation, it does record the amount of
individual exposure to the radiation
A nurse is panning care for a client who has been newly diagnosed with acute pancreatitis. Which of the
following interventions should the nurse include in the plan of care
A. Encourage liquid nutritional supplements
B. Administer opioid medications via a PCA
C. Assess for signs of hypercalcemia
D. Administer hypotonic IV fluids
B) Administer opioid medications via a PCA
pain mangement is important in the care of a client who has pancreatitis. Clients are most often
started on opioid medication via PCA in the early stages of pancreatitis to mange pain
A nurse is reviewing the current laboratory findings for a client who has a pulmonary embolism and is
receiving heparin therapy by continuous IV infusion. Which of the following prescriptions should the
nurse anticipate for an aPTT of 110 seconds
A. Increase the rate of the heparin infusion
B. Stop the heparin infusion
C. Administer vitamin K to the client
D. Administer atropine to the client
B) Stop the heparin infusion
Therapeutic range of aPTT for client on heparin is 1.5-2.5 times the normal value. A value greater than
2.5 times the expected reference range of 20-40 seconds is critical! If the aPTT is > 100 seconds,
anticipate a prescription to stop or decrease the heparin infusion rate
A nurse in the emergency department is caring for a client who has a traumatic brain injury (TBI). Which
of the following assessment findings should the nurse recognize as a late manifestation of increased
intracranial pressure (ICP) (select all that apply)
A. Tachypnea
B. Increased restlessness
C. Bradycardia
D. Asymmetric pupils
E. Widened pulse pressure
-Bradycardia
-Asymmetric pupils
-Widened pulse pressure
A nurse is caring for a client who has end stage liver disease and an active upper GI bleed. After inserting
an NG tube, which of the following findings should the nurse expect
3|Page
, A. Bright red drainage
B. Dark brown drainage
C. Off white drainage
D. Greenish yellow drainage
A. Bright red drainage
Red NG output indicates the client has an active upper GI bleed
A nurse is educating a group of clients about menopause. Which of the following information should the
nurse include
A. Limit exercise to 30 min, one to two times a week to reduce fatigue
B. Hormone therapy (HT) is no longer used because of the risk of cancer
C. Vaginal bleeding after 1 year without menses should be reported to the provider
D. The use of complementary therapies to treat hot flashes should be avoided
C) Vaginal bleeding after 1 year without menses should be reported to the provider
Immediately report to the provider about any vaginal bleeding that occurs 1 year after menses have
stopped. Vaginal bleeding after 1 year can indicate menopause has occurred, however, it can indicate
a malignant process and the provider should be notified.
A nurse is reviewing the medical record of a client who is to undergo a surgical procedure. Which of the
following findings indicates that the client is at risk for developing DVT
A. BMI 38.6
B. History of asthma
C. Use of glucosamine sulfate
D. Hypothyroidism
A. BMI 38.6
A BMI of 38.6 indicates the client is obese and is at a greater risk for developing DVT as a surgical
complication
A nurse is caring for a client who has neutropenia following cyclosporine therapy. Which of the following
actions should the nurse take?
A. Monitor the client's vital signs every 8 hr
B. Keep a designated blood pressure cuff in the client's room
C. Inspect the client's mucous membranes daily
D. Avoid the use of alcohol based hand sanitizers prior to client care
B. Keep a designated blood pressure cuff in the client's room
Designate equipment to keep in the client's room to limit exposing the equipment to micro-organisms
4|Page
PROCTORED VERSION 1 AND 2 2025 WITH
ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY GRADED
A+|BRAND NEW!!|LATEST UPDATE |GUARANTEED
PASS
VERSION 1
A nurse is preparing to transfuse 1 unit of packed RBC to a client. Which of the following actions should
the nurse take first
A. Verify the label on the blood product with 2 client identifiers
B. Check the client's medical record to verify the provider's prescription
C. Flush the blood tubing with 0.9% sodium chloride
D. Instruct the client to report itching or shortness of breath
B) Check the client's medical record to verify the provider's prescription
The greatest risk to this client is injury from a transfusion reaction, so the first action is to check the
medical record to verify the providers order. This reduces the risk for client injury form receiving
incompatible packed RBCs
A nurse is providing discharge teaching to a client who is postoperative following glaucoma surgery.
Which of the following instructions should the nurse include to prevent increased intraocular pressure
A. "Avoid straining to have a bowel movement"
B. "Avoid lying on your right side"
C. "Avoid lifting objects that weigh more than 5 pounds"
D. "Avoid sleeping with your head elevated"
A
Consume a diet high in fiber and fluids to prevent constipation and straining to have a bowel
movement, which can increase intraocular pressure
A nurse is providing teaching about health promotion activities to an older adult client. Which of the
following recommendations should the nurse include in the teaching
1|Page
,A. "Maintain your dietary fat intake at 45% of your daily caloric intake"
B. "Obtain 15 minutes of sunlight exposure 3 times per week"
C. "Exercise for 30 minutes twice per week"
D. "Decrease your fiber intake to less than 20 grams per day"
B) "Obtain 15 minutes of sunlight exposure 3 times per week"
Instruct the client to obtain at least 10-15 min of exposure to sunlight 2-3 times per week to ensure
adequate vitamin D production
A nurse is caring for a client who has an above the knee amputation related to trauma and is
experiencing phantom limb pain. Which of the following medications should the nurse administer to
treat the client's pain?
A. Meloxicam
B. Cyclobenzaprine
C. Gabapentin
D. Lidocaine
C) Gabapentin
phantom limb pain is a type of neuropathic pain resulting from damage to peripheral and central
nervous system pathways. Gabapentin is an anticonvulsant medication that helps treat neuropathic
pain
A nurse is reviewing the laboratory findings for a client who has a urinary tract infection. Which of the
following laboratory findings should the nurse identify as an indication the client is in the initial stages of
systemic inflammatory response syndrome (SIRS)?
A. WBC count 14,000/mm
B. Platelets 110,000/ mm
C. Lactic acid 19 mg/dL
D. C reactive protein 2.8 mg/L
A. ) WBC count 14,000/mm
WBC count of 14,000 is above the expected range of 5,000-10,000. SIRS overwhelms the body's
defenses, resulting in a widespread inflammation. WBCs might increase initially, but depending on the
bone marrow's ability to produce neutrophils and WBCs, the WBC count can become extremely low
A nurse is caring for a client who is receiving brachytherapy. Which of the following actions should the
nurse take?
A. Limit visitation time to 2 hr per day, per visitor
B. Wear a dosimeter film badge when caring for the client
C. Open the door toe the client's room when visitors are present
D. Double bag bed linens and remove them daily from the client's room
2|Page
,B ) Wear a dosimeter film badge when caring for the client
the badge does not protect the nurse form the effects of radiation, it does record the amount of
individual exposure to the radiation
A nurse is panning care for a client who has been newly diagnosed with acute pancreatitis. Which of the
following interventions should the nurse include in the plan of care
A. Encourage liquid nutritional supplements
B. Administer opioid medications via a PCA
C. Assess for signs of hypercalcemia
D. Administer hypotonic IV fluids
B) Administer opioid medications via a PCA
pain mangement is important in the care of a client who has pancreatitis. Clients are most often
started on opioid medication via PCA in the early stages of pancreatitis to mange pain
A nurse is reviewing the current laboratory findings for a client who has a pulmonary embolism and is
receiving heparin therapy by continuous IV infusion. Which of the following prescriptions should the
nurse anticipate for an aPTT of 110 seconds
A. Increase the rate of the heparin infusion
B. Stop the heparin infusion
C. Administer vitamin K to the client
D. Administer atropine to the client
B) Stop the heparin infusion
Therapeutic range of aPTT for client on heparin is 1.5-2.5 times the normal value. A value greater than
2.5 times the expected reference range of 20-40 seconds is critical! If the aPTT is > 100 seconds,
anticipate a prescription to stop or decrease the heparin infusion rate
A nurse in the emergency department is caring for a client who has a traumatic brain injury (TBI). Which
of the following assessment findings should the nurse recognize as a late manifestation of increased
intracranial pressure (ICP) (select all that apply)
A. Tachypnea
B. Increased restlessness
C. Bradycardia
D. Asymmetric pupils
E. Widened pulse pressure
-Bradycardia
-Asymmetric pupils
-Widened pulse pressure
A nurse is caring for a client who has end stage liver disease and an active upper GI bleed. After inserting
an NG tube, which of the following findings should the nurse expect
3|Page
, A. Bright red drainage
B. Dark brown drainage
C. Off white drainage
D. Greenish yellow drainage
A. Bright red drainage
Red NG output indicates the client has an active upper GI bleed
A nurse is educating a group of clients about menopause. Which of the following information should the
nurse include
A. Limit exercise to 30 min, one to two times a week to reduce fatigue
B. Hormone therapy (HT) is no longer used because of the risk of cancer
C. Vaginal bleeding after 1 year without menses should be reported to the provider
D. The use of complementary therapies to treat hot flashes should be avoided
C) Vaginal bleeding after 1 year without menses should be reported to the provider
Immediately report to the provider about any vaginal bleeding that occurs 1 year after menses have
stopped. Vaginal bleeding after 1 year can indicate menopause has occurred, however, it can indicate
a malignant process and the provider should be notified.
A nurse is reviewing the medical record of a client who is to undergo a surgical procedure. Which of the
following findings indicates that the client is at risk for developing DVT
A. BMI 38.6
B. History of asthma
C. Use of glucosamine sulfate
D. Hypothyroidism
A. BMI 38.6
A BMI of 38.6 indicates the client is obese and is at a greater risk for developing DVT as a surgical
complication
A nurse is caring for a client who has neutropenia following cyclosporine therapy. Which of the following
actions should the nurse take?
A. Monitor the client's vital signs every 8 hr
B. Keep a designated blood pressure cuff in the client's room
C. Inspect the client's mucous membranes daily
D. Avoid the use of alcohol based hand sanitizers prior to client care
B. Keep a designated blood pressure cuff in the client's room
Designate equipment to keep in the client's room to limit exposing the equipment to micro-organisms
4|Page
