ATI Med Surg Proctored Exam Practice Qs
ATI Capstone Adult Medical Surgical Assessment
2025
. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have
Alzheimer's disease. Which of the following information should the nurse include in the
teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost
Provide supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should initiate
interventions to keep the client safe, such as redirection, frequent monitoring, and
reorientation. The AP should encourage a client who has Alzheimer's disease to participate in
activities for as long as possible because socializing with others can provide the client with
comfort = D
A nurse is developing a plan of care for a client who will be placed in halo traction following
surgical repair of the cervical spine. Which of the following interventions should the nurse
include in the plan?
Monitor the client’s skin under the halo vest
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of
the following instructions should the nurse include?
Consume high-calorie foods
,4. A nurse is caring for a client who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease?
Airborne precautions
5. A nurse is preparing a client for a colonoscopy. Which of the following medications should
the nurse anticipate the provider to prescribe as an anesthetic for the procedure?
Propofol
6. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the
following should the nurse include as a risk factor for osteoporosis?
Early menopause
7. A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following findings should the nurse notify the provider?
The dressing was changed 7 days ago
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of the
following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate
26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with
crackles heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase
Breath sounds
9. A nurse is planning care for a group of postoperative clients. Which of the following
interventions should the nurse identify as the priority?
,Administer oxygen to a client who has an oxygen saturation of 91%
10. A nurse is providing discharge teaching to a client who has heart failure and a prescription
for furosemide 20 mg PO two times daily. Which of the following instructions should the nurse
include in the teaching?
Increase intake of high-potassium foods
A nurse is teaching a client who has hypertension about dietary modifications to help control
blood pressure. Which of the following food choices should the nurse recommend as the best
choice for the client to include in their diet?
3 oz of chicken breast
12. A home health nurse is providing teaching to the family of a client who has a seizure
disorder. Which of the following interventions should the nurse include in the teaching?
Position the client on their side during a seizure
13. A nurse is assessing a client who has meningitis. The nurse should identify which of the
following findings as a positive Kernig's sign?
After hip flexion, the client is unable to extend their leg completely without pain
14. A nurse is assessing a client who has a heart rate of 40/min. The client is diaphoretic and
has chest pain. Which of the following medications should the nurse plan to administer?
Atropine
, 15. A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following
findings should the nurse expect?
Sticky mucous membranes
16. A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about their altered appearance. Which of the following statements should the
nurse make?
“It could be helpful for you to attend a support group for people who have burn injuries.”
17. A nurse is teaching a client who has type 1 DM about hypoglycemia. Which of the following
statements by the client indicates an understanding of the teaching?
“I can drink 4 oz of soda if my blood sugar is low.”
18. A nurse is assessing a client who has a permanent spinal cord injury and is scheduled for
discharge. Which of the following client statements indicates that the client is coping
effectively?
“I would like to play wheelchair basketball. When I get stronger, I think I’ll look for a league.”
A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the
course of 30 min. After maintaining the client's airway & turning the client on their side, which
of the following medications should the nurse administer?
Diltiazem IV
20. A nurse is caring for a client who is at high risk for iron deficiency anemia. Which of the
following foods should the nurse instruct the client to increase in their diet?
Raisins
ATI Capstone Adult Medical Surgical Assessment
2025
. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have
Alzheimer's disease. Which of the following information should the nurse include in the
teaching?
Explain procedures in full detail to client before initiating care
Limit a client's activities to minimize emotional outbursts
Speak clearly and loudly to a client who is unable to form words or sentences
Provide supervision to prevent a client from becoming injured or lost
Provide supervision to prevent a client from becoming injured or lost
A client who has Alzheimer's disease can wander and become lost. The AP should initiate
interventions to keep the client safe, such as redirection, frequent monitoring, and
reorientation. The AP should encourage a client who has Alzheimer's disease to participate in
activities for as long as possible because socializing with others can provide the client with
comfort = D
A nurse is developing a plan of care for a client who will be placed in halo traction following
surgical repair of the cervical spine. Which of the following interventions should the nurse
include in the plan?
Monitor the client’s skin under the halo vest
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of
the following instructions should the nurse include?
Consume high-calorie foods
,4. A nurse is caring for a client who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease?
Airborne precautions
5. A nurse is preparing a client for a colonoscopy. Which of the following medications should
the nurse anticipate the provider to prescribe as an anesthetic for the procedure?
Propofol
6. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the
following should the nurse include as a risk factor for osteoporosis?
Early menopause
7. A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following findings should the nurse notify the provider?
The dressing was changed 7 days ago
8. A nurse is reviewing the medical record of a client who has unstable angina. Which of the
following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate
26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with
crackles heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase
Breath sounds
9. A nurse is planning care for a group of postoperative clients. Which of the following
interventions should the nurse identify as the priority?
,Administer oxygen to a client who has an oxygen saturation of 91%
10. A nurse is providing discharge teaching to a client who has heart failure and a prescription
for furosemide 20 mg PO two times daily. Which of the following instructions should the nurse
include in the teaching?
Increase intake of high-potassium foods
A nurse is teaching a client who has hypertension about dietary modifications to help control
blood pressure. Which of the following food choices should the nurse recommend as the best
choice for the client to include in their diet?
3 oz of chicken breast
12. A home health nurse is providing teaching to the family of a client who has a seizure
disorder. Which of the following interventions should the nurse include in the teaching?
Position the client on their side during a seizure
13. A nurse is assessing a client who has meningitis. The nurse should identify which of the
following findings as a positive Kernig's sign?
After hip flexion, the client is unable to extend their leg completely without pain
14. A nurse is assessing a client who has a heart rate of 40/min. The client is diaphoretic and
has chest pain. Which of the following medications should the nurse plan to administer?
Atropine
, 15. A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following
findings should the nurse expect?
Sticky mucous membranes
16. A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about their altered appearance. Which of the following statements should the
nurse make?
“It could be helpful for you to attend a support group for people who have burn injuries.”
17. A nurse is teaching a client who has type 1 DM about hypoglycemia. Which of the following
statements by the client indicates an understanding of the teaching?
“I can drink 4 oz of soda if my blood sugar is low.”
18. A nurse is assessing a client who has a permanent spinal cord injury and is scheduled for
discharge. Which of the following client statements indicates that the client is coping
effectively?
“I would like to play wheelchair basketball. When I get stronger, I think I’ll look for a league.”
A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the
course of 30 min. After maintaining the client's airway & turning the client on their side, which
of the following medications should the nurse administer?
Diltiazem IV
20. A nurse is caring for a client who is at high risk for iron deficiency anemia. Which of the
following foods should the nurse instruct the client to increase in their diet?
Raisins
