ATI Capstone Med Surg | Questions and Answers
| LATEST VERSION 2025/2026
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a
"migraine coming on", the nurse should expect the pt to report what manifestation - SOLUTION -
visual disturbance
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as
the disease progresses, what would she include? - SOLUTION -double vision
a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter
reading appears, the nurse should instruct the pt to take which of the following actions - SOLUTION -
take prescribed relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are
experiencing the crisis - SOLUTION -hypotension
(aldosterone deficit)
a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume
oral intake, what item should the nurse offer the pt - SOLUTION -gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement
indicates understanding of the teaching? - SOLUTION -i will remove my metal jewelry before coming
in
a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to
the pt following the procedure - SOLUTION -lie on your right side
a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower
esophageal sphincter (LES) pressure, what choice by the pt indicates understanding - SOLUTION -
cheddar cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving heparin
via continuous IV infusion for the past 5 days, what lab values should the nurse identify as an
indication that the pt has developed HIT - SOLUTION -platelets 90,000
a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should
the nurse include in the teaching - SOLUTION -apply dry heat to your abdomen when needed
a nurse is obtaining the health history of a young adult male client, what information should indicate
to the nurse that the pt is at high risk for developing testicular cancer - SOLUTION -undescended
right testis
, a nurse is instructing a pt's caregiver on how to position the client before administering tube
feedings in the home, which demonstrates understanding? - SOLUTION -i will sit him up in bed
a triage nurse finds a school-age child lying in the road following a school bus crash with multiple
causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful
stimuli, what action should the nurse take - SOLUTION -place an emergent category on the child's
upper body and yell for help
a nurse is caring for a client who has renal failure, what ABG result would the nurse expect -
SOLUTION -ph 7.25
HCO3 20
PaCO2 35
a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority - SOLUTION -
provide assistance with ambulation
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be
experiencing neurogenic shock - SOLUTION -heart rate 52/min
a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority
action for the nurse to take - SOLUTION -strictly monitor intake and output
a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal,
what action is priority - SOLUTION -monitoring BP
a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the
following factors places the pt at risk for gout - SOLUTION -diuretic use
a nurse is caring for a pt who has a cervical spinal cord injury, what interventions should the nurse
include in the plan of care to prevent autonomic dysreflexia - SOLUTION -monitor bowel movement
regularity
a nurse is caring for an adult client who asks about vaccinations against communicable diseases, the
nurse should inform the client that which of the following vaccines are available - SOLUTION -Hep A,
Hep B, Pneumococcal
a nurse is providing discharge instructions to a pt following a cataract surgery, the nurse should
advise the pt that he can perform what activities - SOLUTION -cooking
light house work
(avoid bending at the waist, or anything that can increase IOP)
a nurse is teaching a pt who has angina pectoris about nitroglycerin sublingual tablets, what
statements should indicate to the nurse that the pt understands the teaching - SOLUTION -i will keep
the tablets in the original container
a nurse is discussing risk factors for hep A with a newly licensed nurse, what client would the nurse
identify as an increased risk for hep A - SOLUTION -a client who has recently done missionary work in
a developing country
| LATEST VERSION 2025/2026
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a
"migraine coming on", the nurse should expect the pt to report what manifestation - SOLUTION -
visual disturbance
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as
the disease progresses, what would she include? - SOLUTION -double vision
a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter
reading appears, the nurse should instruct the pt to take which of the following actions - SOLUTION -
take prescribed relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are
experiencing the crisis - SOLUTION -hypotension
(aldosterone deficit)
a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume
oral intake, what item should the nurse offer the pt - SOLUTION -gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement
indicates understanding of the teaching? - SOLUTION -i will remove my metal jewelry before coming
in
a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to
the pt following the procedure - SOLUTION -lie on your right side
a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower
esophageal sphincter (LES) pressure, what choice by the pt indicates understanding - SOLUTION -
cheddar cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving heparin
via continuous IV infusion for the past 5 days, what lab values should the nurse identify as an
indication that the pt has developed HIT - SOLUTION -platelets 90,000
a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should
the nurse include in the teaching - SOLUTION -apply dry heat to your abdomen when needed
a nurse is obtaining the health history of a young adult male client, what information should indicate
to the nurse that the pt is at high risk for developing testicular cancer - SOLUTION -undescended
right testis
, a nurse is instructing a pt's caregiver on how to position the client before administering tube
feedings in the home, which demonstrates understanding? - SOLUTION -i will sit him up in bed
a triage nurse finds a school-age child lying in the road following a school bus crash with multiple
causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful
stimuli, what action should the nurse take - SOLUTION -place an emergent category on the child's
upper body and yell for help
a nurse is caring for a client who has renal failure, what ABG result would the nurse expect -
SOLUTION -ph 7.25
HCO3 20
PaCO2 35
a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority - SOLUTION -
provide assistance with ambulation
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be
experiencing neurogenic shock - SOLUTION -heart rate 52/min
a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority
action for the nurse to take - SOLUTION -strictly monitor intake and output
a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal,
what action is priority - SOLUTION -monitoring BP
a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the
following factors places the pt at risk for gout - SOLUTION -diuretic use
a nurse is caring for a pt who has a cervical spinal cord injury, what interventions should the nurse
include in the plan of care to prevent autonomic dysreflexia - SOLUTION -monitor bowel movement
regularity
a nurse is caring for an adult client who asks about vaccinations against communicable diseases, the
nurse should inform the client that which of the following vaccines are available - SOLUTION -Hep A,
Hep B, Pneumococcal
a nurse is providing discharge instructions to a pt following a cataract surgery, the nurse should
advise the pt that he can perform what activities - SOLUTION -cooking
light house work
(avoid bending at the waist, or anything that can increase IOP)
a nurse is teaching a pt who has angina pectoris about nitroglycerin sublingual tablets, what
statements should indicate to the nurse that the pt understands the teaching - SOLUTION -i will keep
the tablets in the original container
a nurse is discussing risk factors for hep A with a newly licensed nurse, what client would the nurse
identify as an increased risk for hep A - SOLUTION -a client who has recently done missionary work in
a developing country
