ATI CAPSTONE MEDICAL SURGICAL NURSING
ACTUAL QUESTIONS AND ANSWERS
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Question 1
What are the primary components of the Primary Survey during an emergency?
A) Pain assessment, level of consciousness, vital signs, and Glasgow Coma Scale.
B) Airway/Cervical Spine, Breathing, Circulation, Disability, and Exposure.
C) Neurological assessment, musculoskeletal assessment, skin integrity, and psychosocial
assessment.
D) History taking, medication review, allergy check, and immunization status.
Correct Answer: B) Airway/Cervical Spine, Breathing, Circulation, Disability, and Exposure.
Rationale: The Primary Survey in an emergency is a rapid, systematic assessment to identify
and address life-threatening conditions. It follows the ABCDE mnemonic: Airway with cervical
spine protection, Breathing, Circulation, Disability (neurological status), and Exposure (to
identify other injuries and prevent hypothermia).
Question 2
Which of the following best describes the additional steps taken after the initial Primary Survey,
often referred to as FGH-I?
A) Fluid resuscitation, glucose monitoring, hydration, and infection control.
B) Full set of vitals/family, Give Comfort, Head to toe, and Inspect posterior Surfaces.
C) Fasting, general anesthesia, heart rate monitoring, and intravenous access.
D) Fracture immobilization, gastric decompression, hygiene, and intake/output monitoring.
Correct Answer: B) Full set of vitals/family, Give Comfort, Head to toe, and Inspect posterior
Surfaces.
Rationale: Following the primary survey, the FGH-I steps provide a more detailed assessment
and intervention. F stands for Full set of vitals and involving Family, G for Give Comfort
measures, H for a Head-to-toe assessment, and I for Inspecting posterior surfaces to identify
any hidden injuries.
, ESTUDYR
Question 3
What is the primary role of a Rapid Response Team (RRT) in a healthcare setting?
A) To provide routine patient care and medication administration.
B) To respond to emergency calls when a client shows signs of rapid decline, aiming for early
recognition and intervention.
C) To conduct patient satisfaction surveys and gather feedback on hospital services.
D) To manage hospital admissions and discharges efficiently.
Correct Answer: B) To respond to emergency calls when a client shows signs of rapid decline,
aiming for early recognition and intervention.
Rationale: A Rapid Response Team (RRT) is a multidisciplinary team of critical care experts
designed to intervene early when a patient’s condition deteriorates, preventing cardiac arrest
or other severe adverse events. They provide immediate, on-site assessment and treatment.
Question 4
Which of the following is the most common cause of sudden cessation of cardiac function,
leading to cardiac arrest?
A) Bradycardia
B) Ventricular fibrillation or ventricular asystole
C) Atrial flutter
D) Sinus tachycardia
Correct Answer: B) Ventricular fibrillation or ventricular asystole.
Rationale: Cardiac arrest is the abrupt loss of heart function, breathing, and consciousness. The
most common underlying causes are ventricular fibrillation (VFib), a chaotic electrical activity in
the ventricles, or ventricular asystole, a complete absence of electrical activity, both of which
prevent the heart from pumping blood effectively.
Question 5
A patient presents with loss of consciousness, pulselessness, and no breathing, with an ECG
showing chaotic electrical activity in the ventricles. This condition is most consistent with:
A) Pulseless Ventricular Tachycardia
B) Ventricular Asystole
C) Ventricular Fibrillation