ATI CAPSTONE MED SURG (VERSION 1 & VERSION 2) LATEST 2022-2023 EACH VERSION CONTAINS 120 QUESTIONS AND CORRECT ANSWERS | AGRADE

ATI CAPSTONE MED SURG (VERSION 1

& VERSION 2) LATEST 2022-2023 EACH

VERSION CONTAINS 120 QUESTIONS

AND CORRECT ANSWERS | AGRADE

VERSION 1

1. The nurse is reviewing the ABG results of a client who the provider suspects has

metabolic acidosis. what would the nurse expect to see

- CORRECT ANSWER pH below 7.35

2. a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3),

what should the nurse anticipate as the cause of these s/s

- CORRECT ANSWER HF

3. The nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses

every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer

per dose?

- CORRECT ANSWER 30mL

4. The nurse is caring for a pt in the ED who was just admitted with chest pain, possible

acute coronary syndrome. what should the nurse do first?

- CORRECT ANSWER administer sublingual nitroglycerin

(treat chest pain to reduce cardiac tissue damage)

5. The nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the

RRT is at the bedside. what electrical intervention should be used to correct this

dysrhythmia?

- CORRECT ANSWER synchronized cardioversion

(tx for afib, SVT, and v tach with a pulse)

6. The nurse is caring for an adult pt who is experiencing delayed wound healing, which of

the following interventions should the nurse take?

- CORRECT ANSWER monitor serum albumin levels and notify provider if below 3.5g/dL

(lack of protein increases the risk for a delay in wound healing and infection)

7. The nurse is teaching a client who has pre-dialysis ESKD about diet, what should be

included?

- CORRECT ANSWER reduce intake of foods high in potassium

(potassium clearance is impaired in ESKD)

8. The nurse is caring for a client who has T1DM, the nurse misread the client's morning

BG level as 210mg/dL, instead of 120mg/dL and administered the insulin dose

appropriate for a reading over 200mg/dL before the client's breakfast, what action is the

nurse's priority?

- CORRECT ANSWER monitor the client for hypoglycemia

9. The nurse is planning care for a pt who has a new diagnosis of DI, which of the following

interventions should the nurse include in the plan of care?

- CORRECT ANSWER check urine specific gravity

10. The nurse is caring for a pt admitted with wheezing and coughing due to an allergic

reaction to a newly prescribed medication, what medication should be administered first?

- CORRECT ANSWER albuterol 3mL via nebulizer

11. The nurse is caring for a female client in the ED who reports SOB and pain in the lung

area, she states that she started taking BC pills 3 weeks ago and that she smokes, her

heart rate is 110/min, RR 40/min, and BP 140/80, her ABGs are pH 7.50, PaCO2 29,

PaO2 60, HCO3 20, SaO2 86%, what is the priority of nursing interventions

- CORRECT ANSWER administer oxygen via face mask

12. The nurse is caring for a pt following repair of a fracture, what finding should alert the

nurse that the pt is experiencing compartment syndrome?

- CORRECT ANSWER unrelieved pain, pallor, pulselessness, numbness, pins and needles

sensation, swelling, tightness of the effected extremity

13. The nurse is administering a tap water enema to a pt who is constipated, during the

administration of the enema, the client states he is having abdominal cramps, what

action should the nurse take to relieve the client's comfort - CORRECT ANSWER lower

the height of the solution container

a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the

nurse take?

- CORRECT ANSWER place the clients bedside table on the right side of the bed

14. The nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator

that this complication is developing?

- CORRECT ANSWER narrowing pulse pressure

15. The nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea,

what finding should the nurse expect

- CORRECT ANSWER weak, irregular pulse

16. The nurse is providing teaching for a client who has experienced an acute episode of

gastritis, what instruction should the nurse include in the teaching?

- CORRECT ANSWER avoid drinking alcohol

17. The nurse at an outpt surgery center is providing discharge teaching to a pt an his

spouse following surgical removal of a cataract, what should the nurse include?

- CORRECT ANSWER the client should wear dark glasses while outdoors

18. The nurse is assessing a pt who has a puncture wound on his foot, what is a

manifestation of acute osteomylitis?

- CORRECT ANSWER localized erythema

19. The nurse is monitoring a pt who had a cerebral aneurysm rupture, what finding should

the nurse identify as a manifestation of increased intracranial pressure

- CORRECT ANSWER irritability

20. when caring for a pt with a chest tube the nurse notes continuous bubbling in the chest

tube water seal chamber, what does this indicate