ne
tz
sh
ne
ATI Capstone Med Surg test questions and verified
la
answers – A+ graded
tz
sh
Sp
a nurse is reviewing the ABG results of a client who the provider suspects
ne
has metabolic acidosis. what would the nurse expect to see Correct ans
la
- pH below 7.35
tz
sh
Sp
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart
ne
sound (S3), what should the nurse anticipate as the cause of these s/s
la
Correct ans - HF
tz
sh
Sp
a nurse is administering potassium chloride elixer 40mEq divided into 2
ne
equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL should
la
the nurse administer per dose? Correct ans - 30mL
tz
sh
Sp
a nurse is caring for a pt in the ED who was just admitted with chest pain,
ne
possible acute coronary syndrome. what should the nurse do first?
la
Correct ans - administer sublingual nitroglycerin
tz
sh
Sp
(treat chest pain to reduce cardiac tissue damage)
ne
la
a nurse is caring for pt who is experiencing ventricular tachycardia with a
tz
pulse, the RRT is at the bedside. what electrical intervention should be used
sh
Sp
to correct this dysrhythmia? Correct ans - synchronized cardioversion
ne
la
(tx for afib, SVT, and v tach with a pulse)
tz
sh
Sp
a nurse is caring for an adult pt who is experiencing delayed wound healing,
ne
which of the following interventions should the nurse take? Correct ans
la
- monitor serum albumin levels and notify provider if below 3.5g/dL
tz
sh
Sp
(lack of protein increases the risk for a delay in wound healing and infection)
ne
la
a nurse is teaching a client who has pre-dialysis ESKD about diet, what
tz
should be included? Correct ans - reduce intake of foods high in
sh
Sp
potassium
ne
la
(potassium clearance is impaired in ESKD)
tz
sh
Sp
a nurse is caring for a client who has T1DM, the nurse misread the client's
ne
morning BG level as 210mg/dL, instead of 120mg/dL and administered the
la
insulin dose appropriate for a reading over 200mg/dL before the client's
tz
breakfast, what action is the nurse's priority? Correct ans - monitor
sh
Sp
the client for hypoglycemia
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
a nurse is planning care for a pt who has a new diagnosis of DI, which of the
la
following interventions should the nurse include in the plan of care?
tz
Correct ans - check urine specific gravity
sh
Sp
ne
a nurse is caring for a pt admitted with wheezing and coughing due to an
la
allergic reaction to a newly prescribed medication, what medication should
tz
be administered first? Correct ans - albuterol 3mL via nebulizer
sh
Sp
ne
a nurse is caring for a female client in the ED who reports SOB and pain in
the lung area, she states that she started taking BC pills 3 weeks ago and
la
tz
that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her
sh
Sp
ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the
ne
priority of nursing interventions Correct ans - administer oxygen via
face mask
la
tz
sh
a nurse is caring for a pt following repair of a fracture, what finding should
Sp
ne
alert the nurse that the pt is experiencing compartment syndrome?
Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins and
la
tz
needles sensation, swelling, tightness of the effected extremity
sh
Sp
ne
a nurse is administering a tap water enema to a pt who is constipated,
during the administration of the enema, the client states he is having
la
abdominal cramps, what action should the nurse take to relieve the client's
tz
sh
comfort Correct ans - lower the height of the solution container
Sp
ne
a pt is diagnosed with left homonymous hemianopsia following a stroke,
la
what action should the nurse take? Correct ans - place the clients
tz
bedside table on the right side of the bed
sh
Sp
ne
a nurse is caring for a pt who is at risk for shock, what finding is the earliest
la
indicator that this complication is developing? Correct ans - narrowing
tz
sh
pulse pressure
Sp
ne
a nurse is assessing a client who has hypokalemia as a result of n/v, and
la
diarrhea, what finding should the nurse expect Correct ans - weak,
tz
sh
irregular pulse
Sp
ne
a nurse is providing teaching for a client who has experienced an acute
la
episode of gastritis, what instruction should the nurse include in the
tz
sh
teaching? Correct ans - avoid drinking alcohol
Sp
ne
a nurse at an outpt surgery center is providing discharge teaching to a pt an
la
his spouse following surgical removal of a cataract, what should the nurse
tz
sh
include? Correct ans - the client should wear dark glasses while
Sp
outdoors
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
a nurse is assessing a pt who has a puncture wound on his foot, what is a
la
manifestation of acute osteomylitis? Correct ans - localized erythema
tz
sh
Sp
a nurse is monitoring a pt who had a cerebral aneurysm rupture, what
ne
finding should the nurse identify as a manifestation of increased intracranial
la
pressure Correct ans - irritability
tz
sh
Sp
when caring for a pt with a chest tube the nurse notes continuous bubbling
ne
in the chest tube water seal chamber, what does this indicate Correct
ans - an air leak
la
tz
sh
Sp
a nurse is an ED is caring for a client who had a seizure and became
ne
unresponsive after stating she had a sudden, severe headache, and
vomiting, the pts vital signs are as follows: BP 198/110, pulse of 82/min, RR
la
tz
of 24m/min, temp of 100.8F, what neuro disorders should the nurse suspect
sh
Correct ans - hemorrhagic stroke
Sp
ne
a nurse is caring for a pt who is 2hr postoperative following a TURP, what
la
tz
assessment should be an indication of a postoperative complication
sh
Correct ans - output of burgundy colored urine
Sp
ne
a nurse is caring for a pt who has HIV, what following lab values is the
la
nurse's priority Correct ans - CD4 T cell count 180 cells/mm3
tz
sh
Sp
ne
(severely immunocompromised and at high risk of infection)
la
a nurse is teaching a pt who has GERD about managing his illness, what
tz
recommendations should the nurse include in the teaching
sh
Correct ans
Sp
- avoid eating within 3 hours of bedtime
ne
la
a nurse is a provider's office is reviewing the laboratory results of a client
tz
sh
who takes furosemide for hypertension, the nurse notes that the potassium
Sp
level is 3.3, the nurse should monitor for the complication of Correct ans
ne
- cardiac dysrhythmias
la
tz
sh
a nurse is caring for a pt with who has hepatitis A, the pt asks the nurse how
Sp
he might have contracted virus, which of the following a question the nurse
ne
should ask the client? Correct ans - have you been to a third world
la
country in the past
tz
sh
Sp
a nurse is preparing a pt for a radiation treatment who is postop following a
ne
mastectomy, the nurse should inform the pt to expect what adverse effect
la
from the treatment? Correct ans - fatigue
tz
sh
Sp
a nurse is in a burn tx center is caring for a client who is admitted with
ne
severe burns to both lower extremities and is scheduled for an escharotomy,
la
sh
Sp
la
Sp
tz
sh
ne
ATI Capstone Med Surg test questions and verified
la
answers – A+ graded
tz
sh
Sp
a nurse is reviewing the ABG results of a client who the provider suspects
ne
has metabolic acidosis. what would the nurse expect to see Correct ans
la
- pH below 7.35
tz
sh
Sp
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart
ne
sound (S3), what should the nurse anticipate as the cause of these s/s
la
Correct ans - HF
tz
sh
Sp
a nurse is administering potassium chloride elixer 40mEq divided into 2
ne
equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL should
la
the nurse administer per dose? Correct ans - 30mL
tz
sh
Sp
a nurse is caring for a pt in the ED who was just admitted with chest pain,
ne
possible acute coronary syndrome. what should the nurse do first?
la
Correct ans - administer sublingual nitroglycerin
tz
sh
Sp
(treat chest pain to reduce cardiac tissue damage)
ne
la
a nurse is caring for pt who is experiencing ventricular tachycardia with a
tz
pulse, the RRT is at the bedside. what electrical intervention should be used
sh
Sp
to correct this dysrhythmia? Correct ans - synchronized cardioversion
ne
la
(tx for afib, SVT, and v tach with a pulse)
tz
sh
Sp
a nurse is caring for an adult pt who is experiencing delayed wound healing,
ne
which of the following interventions should the nurse take? Correct ans
la
- monitor serum albumin levels and notify provider if below 3.5g/dL
tz
sh
Sp
(lack of protein increases the risk for a delay in wound healing and infection)
ne
la
a nurse is teaching a client who has pre-dialysis ESKD about diet, what
tz
should be included? Correct ans - reduce intake of foods high in
sh
Sp
potassium
ne
la
(potassium clearance is impaired in ESKD)
tz
sh
Sp
a nurse is caring for a client who has T1DM, the nurse misread the client's
ne
morning BG level as 210mg/dL, instead of 120mg/dL and administered the
la
insulin dose appropriate for a reading over 200mg/dL before the client's
tz
breakfast, what action is the nurse's priority? Correct ans - monitor
sh
Sp
the client for hypoglycemia
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
a nurse is planning care for a pt who has a new diagnosis of DI, which of the
la
following interventions should the nurse include in the plan of care?
tz
Correct ans - check urine specific gravity
sh
Sp
ne
a nurse is caring for a pt admitted with wheezing and coughing due to an
la
allergic reaction to a newly prescribed medication, what medication should
tz
be administered first? Correct ans - albuterol 3mL via nebulizer
sh
Sp
ne
a nurse is caring for a female client in the ED who reports SOB and pain in
the lung area, she states that she started taking BC pills 3 weeks ago and
la
tz
that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her
sh
Sp
ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the
ne
priority of nursing interventions Correct ans - administer oxygen via
face mask
la
tz
sh
a nurse is caring for a pt following repair of a fracture, what finding should
Sp
ne
alert the nurse that the pt is experiencing compartment syndrome?
Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins and
la
tz
needles sensation, swelling, tightness of the effected extremity
sh
Sp
ne
a nurse is administering a tap water enema to a pt who is constipated,
during the administration of the enema, the client states he is having
la
abdominal cramps, what action should the nurse take to relieve the client's
tz
sh
comfort Correct ans - lower the height of the solution container
Sp
ne
a pt is diagnosed with left homonymous hemianopsia following a stroke,
la
what action should the nurse take? Correct ans - place the clients
tz
bedside table on the right side of the bed
sh
Sp
ne
a nurse is caring for a pt who is at risk for shock, what finding is the earliest
la
indicator that this complication is developing? Correct ans - narrowing
tz
sh
pulse pressure
Sp
ne
a nurse is assessing a client who has hypokalemia as a result of n/v, and
la
diarrhea, what finding should the nurse expect Correct ans - weak,
tz
sh
irregular pulse
Sp
ne
a nurse is providing teaching for a client who has experienced an acute
la
episode of gastritis, what instruction should the nurse include in the
tz
sh
teaching? Correct ans - avoid drinking alcohol
Sp
ne
a nurse at an outpt surgery center is providing discharge teaching to a pt an
la
his spouse following surgical removal of a cataract, what should the nurse
tz
sh
include? Correct ans - the client should wear dark glasses while
Sp
outdoors
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
a nurse is assessing a pt who has a puncture wound on his foot, what is a
la
manifestation of acute osteomylitis? Correct ans - localized erythema
tz
sh
Sp
a nurse is monitoring a pt who had a cerebral aneurysm rupture, what
ne
finding should the nurse identify as a manifestation of increased intracranial
la
pressure Correct ans - irritability
tz
sh
Sp
when caring for a pt with a chest tube the nurse notes continuous bubbling
ne
in the chest tube water seal chamber, what does this indicate Correct
ans - an air leak
la
tz
sh
Sp
a nurse is an ED is caring for a client who had a seizure and became
ne
unresponsive after stating she had a sudden, severe headache, and
vomiting, the pts vital signs are as follows: BP 198/110, pulse of 82/min, RR
la
tz
of 24m/min, temp of 100.8F, what neuro disorders should the nurse suspect
sh
Correct ans - hemorrhagic stroke
Sp
ne
a nurse is caring for a pt who is 2hr postoperative following a TURP, what
la
tz
assessment should be an indication of a postoperative complication
sh
Correct ans - output of burgundy colored urine
Sp
ne
a nurse is caring for a pt who has HIV, what following lab values is the
la
nurse's priority Correct ans - CD4 T cell count 180 cells/mm3
tz
sh
Sp
ne
(severely immunocompromised and at high risk of infection)
la
a nurse is teaching a pt who has GERD about managing his illness, what
tz
recommendations should the nurse include in the teaching
sh
Correct ans
Sp
- avoid eating within 3 hours of bedtime
ne
la
a nurse is a provider's office is reviewing the laboratory results of a client
tz
sh
who takes furosemide for hypertension, the nurse notes that the potassium
Sp
level is 3.3, the nurse should monitor for the complication of Correct ans
ne
- cardiac dysrhythmias
la
tz
sh
a nurse is caring for a pt with who has hepatitis A, the pt asks the nurse how
Sp
he might have contracted virus, which of the following a question the nurse
ne
should ask the client? Correct ans - have you been to a third world
la
country in the past
tz
sh
Sp
a nurse is preparing a pt for a radiation treatment who is postop following a
ne
mastectomy, the nurse should inform the pt to expect what adverse effect
la
from the treatment? Correct ans - fatigue
tz
sh
Sp
a nurse is in a burn tx center is caring for a client who is admitted with
ne
severe burns to both lower extremities and is scheduled for an escharotomy,
la
sh
Sp
la
Sp
