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ATI CAPSTONE MEDICAL SURGICAL
PROCTORED VERSION 1 AND 2 NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND
NEW!!
A nurse is teaching a client how to administer a medication using
an inhaler with a spacer. Which of the following instructions
should the nurse include
A. "Wait at least 5 minutes between puffs from the same inhaler"
B. "Breathe in rapidly when inhaling the medication"
C. "Clean the plastic inhaler cap weekly with cold water"
D. "Shake the inhaler vigorously prior to use" - CORRECT ANSWER
✔✔D .) "Shake the inhaler vigorously prior to use"
Thoroughly shake the inhaler to disperse the medication because
the medication in the inhaler can separate easily
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
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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 - CORRECT
ANSWER ✔✔A.) Provide the client with a means of
communication
Use electronic tablet computer, programmable speech generating
device, alphabet board, pencil and paper, etc
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% - CORRECT ANSWER ✔✔C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of
the following values indicates that the client has an increased risk
for bleeding
A. PT 11.5 seconds
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B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million - CORRECT ANSWER ✔✔C Platelets 80,000
platelet range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury
following a motor vehicle crash. Which of the following
interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing - CORRECT ANSWER ✔✔D
Assist the client with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is
an obstructed airway; the priority is to ensure the client can clear
their airway. Apply abdominal pressure as the client coughs (quad
coughing)
A nurse is caring for a client who is receiving a blood transfusion.
Which of the following findings indicates that the client is
experiencing transfusion-associated circulatory overload
A. Nasuea
B. Hypothermia
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C. Dyspnea
D. Bradycardia - CORRECT ANSWER ✔✔C Dyspnea
Dyspnea is an indication of possible transfusion associated
circulatory overload, leading to hypertension, bounding pulses,
and confusion. Dyspnea can also indicate transfusion related acute
lung injury to an anaphylactic response, which also causes
wheezing, chest tightness, cyanosis, and low BP
A nurse is assessing a client who has lung cancer and is
undergoing radiation therapy to the chest. Which of the following
indicates an adverse effect of the therapy
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - CORRECT ANSWER ✔✔C Altered taste
sensations
Altered taste is a result of the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client
who has anemia. Which of the following actions should the nurse
plan to take (select all that apply)
A. Obtain pre-transfusion temperature
B. Prime the IV tubing with lactated Ringer's
ATI CAPSTONE MEDICAL SURGICAL
PROCTORED VERSION 1 AND 2 NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND
NEW!!
A nurse is teaching a client how to administer a medication using
an inhaler with a spacer. Which of the following instructions
should the nurse include
A. "Wait at least 5 minutes between puffs from the same inhaler"
B. "Breathe in rapidly when inhaling the medication"
C. "Clean the plastic inhaler cap weekly with cold water"
D. "Shake the inhaler vigorously prior to use" - CORRECT ANSWER
✔✔D .) "Shake the inhaler vigorously prior to use"
Thoroughly shake the inhaler to disperse the medication because
the medication in the inhaler can separate easily
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
,2|Page
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 - CORRECT
ANSWER ✔✔A.) Provide the client with a means of
communication
Use electronic tablet computer, programmable speech generating
device, alphabet board, pencil and paper, etc
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% - CORRECT ANSWER ✔✔C Urine specific gravity 1.020
Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of
the following values indicates that the client has an increased risk
for bleeding
A. PT 11.5 seconds
,3|Page
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million - CORRECT ANSWER ✔✔C Platelets 80,000
platelet range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury
following a motor vehicle crash. Which of the following
interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing - CORRECT ANSWER ✔✔D
Assist the client with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is
an obstructed airway; the priority is to ensure the client can clear
their airway. Apply abdominal pressure as the client coughs (quad
coughing)
A nurse is caring for a client who is receiving a blood transfusion.
Which of the following findings indicates that the client is
experiencing transfusion-associated circulatory overload
A. Nasuea
B. Hypothermia
, 4|Page
C. Dyspnea
D. Bradycardia - CORRECT ANSWER ✔✔C Dyspnea
Dyspnea is an indication of possible transfusion associated
circulatory overload, leading to hypertension, bounding pulses,
and confusion. Dyspnea can also indicate transfusion related acute
lung injury to an anaphylactic response, which also causes
wheezing, chest tightness, cyanosis, and low BP
A nurse is assessing a client who has lung cancer and is
undergoing radiation therapy to the chest. Which of the following
indicates an adverse effect of the therapy
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - CORRECT ANSWER ✔✔C Altered taste
sensations
Altered taste is a result of the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client
who has anemia. Which of the following actions should the nurse
plan to take (select all that apply)
A. Obtain pre-transfusion temperature
B. Prime the IV tubing with lactated Ringer's
