ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
AND 2 LATEST 2024 ACTUAL EXAM 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
ASSESSMENT1
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. Which of the following
actions should the nurse take
A. Warm the dialysate in the microwave
B. Weigh the client before and after each dialysis treatment
C. Place the drainage bag at the level of the client's dialysis catheter
D. Wear clean gloves when providing peritoneal catheter care - answer-B. Weigh the client before and
after each dialysis treatment
This determines the amount of fluid removed
A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which of the following actions
should the nurse take to prepare the client for the procedure
A. Advise the client that a chest xray will be necessary following the procedure
B. Inform the client that the procedure requires general anesthesia
C. Place the client in a supine position
D. Instruct the client to take deep breaths during the procedure - answer-A. Advise the client that a
chest xray will be necessary following the procedure
chest X ray verifies that a pneumothorax or a mediastinal shift has not occurred
,A nurse is caring for a client who has developed a pulmonary embolus (PE). Which of the following
assessment findings should the nurse expect
A. bradycardia
B. lethargy
C. sharp chest pain
D. petechiae over lower extremities - answer-C. sharp chest pain
,A nurse on an ICU is caring for a client who has developed ventricular fibrillation. Which of the following
actions is the nurses priority
A. Defibrillate the client
B. Apply oxygen for the client
C. Provide chest compressions for the client
D. Administer epinephrine to the client - answer-A. Defibrillate the client
Vfib is a lethal rhythm, ventricles are quivering and has no cardiac output and must be defibrillated! If
Vfib continues after one shock, then deliver CPR and airway management
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following
actions should the nurse include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - answer-A
Use electronic tablet computer, programmable speech generating device, alphabet board, pencil and
paper, etc
B, keep head of bed higher than 30 degrees to prevent aspiration and ventilator associated pneumonia.
Turn the client q 2hr to prevent complications related to immobility
C, assess the need to suction q 2-4 hr, but not perform routine suctioning. Base the need for suctioning
on assessments, not a schedule. Unnecessary suctioning can cause bronco spasms and injury tracheal
mucosa
D, oral hygiene should be performed q 2 hr to decrease the risk of ventilator associated pneumonia
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration. Which of the
following laboratory results indicates effectiveness of the treatment
, A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62% - answer-C
Within the expected range of 1.005-1.030
AND 2 LATEST 2024 ACTUAL EXAM 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
ASSESSMENT1
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. Which of the following
actions should the nurse take
A. Warm the dialysate in the microwave
B. Weigh the client before and after each dialysis treatment
C. Place the drainage bag at the level of the client's dialysis catheter
D. Wear clean gloves when providing peritoneal catheter care - answer-B. Weigh the client before and
after each dialysis treatment
This determines the amount of fluid removed
A nurse is caring for a client who is scheduled to undergo a thoracentesis. Which of the following actions
should the nurse take to prepare the client for the procedure
A. Advise the client that a chest xray will be necessary following the procedure
B. Inform the client that the procedure requires general anesthesia
C. Place the client in a supine position
D. Instruct the client to take deep breaths during the procedure - answer-A. Advise the client that a
chest xray will be necessary following the procedure
chest X ray verifies that a pneumothorax or a mediastinal shift has not occurred
,A nurse is caring for a client who has developed a pulmonary embolus (PE). Which of the following
assessment findings should the nurse expect
A. bradycardia
B. lethargy
C. sharp chest pain
D. petechiae over lower extremities - answer-C. sharp chest pain
,A nurse on an ICU is caring for a client who has developed ventricular fibrillation. Which of the following
actions is the nurses priority
A. Defibrillate the client
B. Apply oxygen for the client
C. Provide chest compressions for the client
D. Administer epinephrine to the client - answer-A. Defibrillate the client
Vfib is a lethal rhythm, ventricles are quivering and has no cardiac output and must be defibrillated! If
Vfib continues after one shock, then deliver CPR and airway management
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following
actions should the nurse include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - answer-A
Use electronic tablet computer, programmable speech generating device, alphabet board, pencil and
paper, etc
B, keep head of bed higher than 30 degrees to prevent aspiration and ventilator associated pneumonia.
Turn the client q 2hr to prevent complications related to immobility
C, assess the need to suction q 2-4 hr, but not perform routine suctioning. Base the need for suctioning
on assessments, not a schedule. Unnecessary suctioning can cause bronco spasms and injury tracheal
mucosa
D, oral hygiene should be performed q 2 hr to decrease the risk of ventilator associated pneumonia
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration. Which of the
following laboratory results indicates effectiveness of the treatment
, A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62% - answer-C
Within the expected range of 1.005-1.030
