ATI MED SURG CAPSTONE QUIZ REVIEW
1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to
normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0 - (ANSWER)3
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate - (ANSWER)A
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH
and keeps pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium - (ANSWER)B
,ATI MED SURG CAPSTONE QUIZ REVIEW
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should the
nurse take first (Click on the "Exhibit" button for additional information about the client. There are three
tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron. - (ANSWER)
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough pain.
Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone Rationale:ATI pg. 27 - (ANSWER)A
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor.
Which of the following should the nurse analyze to determine whether the client is experiencing a
myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment - (ANSWER)D
Rationale: ST elevation indicates MI. ST depression indicates ischemia
, ATI MED SURG CAPSTONE QUIZ REVIEW
nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
B) Apply OTC moisturizer to the radiation site
C) Cover the radiation site loosely with a gauze wrap before dressing
D) Use a soft washcloth to clean the area around the radiation - (ANSWER)A
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has
bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate
administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide - (ANSWER)D
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg - (ANSWER)B
1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to
normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0 - (ANSWER)3
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate - (ANSWER)A
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH
and keeps pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium - (ANSWER)B
,ATI MED SURG CAPSTONE QUIZ REVIEW
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should the
nurse take first (Click on the "Exhibit" button for additional information about the client. There are three
tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron. - (ANSWER)
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough pain.
Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone Rationale:ATI pg. 27 - (ANSWER)A
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor.
Which of the following should the nurse analyze to determine whether the client is experiencing a
myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment - (ANSWER)D
Rationale: ST elevation indicates MI. ST depression indicates ischemia
, ATI MED SURG CAPSTONE QUIZ REVIEW
nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
B) Apply OTC moisturizer to the radiation site
C) Cover the radiation site loosely with a gauze wrap before dressing
D) Use a soft washcloth to clean the area around the radiation - (ANSWER)A
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has
bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate
administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide - (ANSWER)D
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg - (ANSWER)B
