ATI CAPSTONE MED SURG EXAM Q&A | COMPLETE REVIEW |

ATI CAPSTONE MED SURG QUESTIONS WITH
CORRECT ANSWERS

1. The nurse is reviewing the ABG results of a client who the provider
suspects has metabolic acidosis. what would the nurse expect to see
- CORRECT ANSWER pH below 7.35


2. a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart
sound (S3), what should the nurse anticipate as the cause of these s/s
- CORRECT ANSWER HF


3. The nurse is administering potassium chloride elixer 40mEq divided into 2
equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL
should the nurse administer per dose?
- CORRECT ANSWER 30mL


4. The nurse is caring for a pt in the ED who was just admitted with chest
pain, possible acute coronary syndrome. what should the nurse do first?
- CORRECT ANSWER administer sublingual nitroglycerin


(treat chest pain to reduce cardiac tissue damage)


5. The nurse is caring for pt who is experiencing ventricular tachycardia with
a pulse, the RRT is at the bedside. what electrical intervention should be
used to correct this dysrhythmia?
- CORRECT ANSWER synchronized cardioversion


(tx for afib, SVT, and v tach with a pulse)


6. The nurse is caring for an adult pt who is experiencing delayed wound
healing, which of the following interventions should the nurse take?
- CORRECT ANSWER monitor serum albumin levels and notify provider if below
3.5g/dL


(lack of protein increases the risk for a delay in wound healing and infection)

, 7. The nurse is teaching a client who has pre-dialysis ESKD about diet, what
should be included?
- CORRECT ANSWER reduce intake of foods high in potassium


(potassium clearance is impaired in ESKD)


8. The nurse is caring for a client who has T1DM, the nurse misread the client's
morning BG level as 210mg/dL, instead of 120mg/dL and administered the
insulin dose appropriate for a reading over 200mg/dL before the client's
breakfast, what action is the nurse's priority?
- CORRECT ANSWER monitor the client for hypoglycemia


9. The nurse is planning care for a pt who has a new diagnosis of DI, which of
the following interventions should the nurse include in the plan of care?
- CORRECT ANSWER check urine specific gravity


10. The nurse is caring for a pt admitted with wheezing and coughing due to an
allergic reaction to a newly prescribed medication, what medication should
be administered first?
- CORRECT ANSWER albuterol 3mL via nebulizer


11. The 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 that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80,
her ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is
the priority of nursing interventions
- CORRECT ANSWER administer oxygen via face mask


12. The nurse is caring for a pt following repair of a fracture, what finding
should alert the nurse that the pt is experiencing compartment
syndrome?
- CORRECT ANSWER unrelieved pain, pallor, pulselessness, numbness, pins and
needles sensation, swelling, tightness of the effected extremity


13. The 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
abdominal cramps, what

, action should the nurse take to relieve the client's comfort - CORRECT
ANSWER lower the height of the solution container


a pt is diagnosed with left homonymous hemianopsia following a stroke, what
action should the nurse take?
- CORRECT ANSWER place the clients bedside table on the right side of the bed


14. The nurse is caring for a pt who is at risk for shock, what finding is the
earliest indicator that this complication is developing?
- CORRECT ANSWER narrowing pulse pressure


15. The nurse is assessing a client who has hypokalemia as a result of n/v,
and diarrhea, what finding should the nurse expect
- CORRECT ANSWER weak, irregular pulse


16. The nurse is providing teaching for a client who has experienced an acute
episode of gastritis, what instruction should the nurse include in the
teaching?
- CORRECT ANSWER avoid drinking alcohol


17. The nurse at an outpt surgery center is providing discharge teaching to
a pt an his spouse following surgical removal of a cataract, what should
the nurse include?
- CORRECT ANSWER the client should wear dark glasses while outdoors


18. The nurse is assessing a pt who has a puncture wound on his foot,
what is a manifestation of acute osteomylitis?
- CORRECT ANSWER localized erythema


19. The nurse is monitoring a pt who had a cerebral aneurysm rupture, what
finding should the nurse identify as a manifestation of increased intracranial
pressure
- CORRECT ANSWER irritability


20. when caring for a pt with a chest tube the nurse notes continuous bubbling
in the chest tube water seal chamber, what does this indicate