ATI Capstone Med Surg 2025 End Term
Exam A+ Graded
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 - ✔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? - ✔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 -
✔take prescribed relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they
are experiencing the crisis - ✔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 - ✔gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement
indicates understanding of the teaching? - ✔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 - ✔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 -
✔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 - ✔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 - ✔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 - ✔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? - ✔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 - ✔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 -
✔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 - ✔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 - ✔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 - ✔strictly monitor intake and output
Exam A+ Graded
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 - ✔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? - ✔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 -
✔take prescribed relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they
are experiencing the crisis - ✔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 - ✔gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement
indicates understanding of the teaching? - ✔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 - ✔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 -
✔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 - ✔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 - ✔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 - ✔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? - ✔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 - ✔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 -
✔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 - ✔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 - ✔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 - ✔strictly monitor intake and output
