ATI CAPSTONE MED SURG (VERSION 1& 2) LATEST
2023 ACTUAL QUESTIONS WITH VERIFIED
SOLUTIONS/A+ GRADE
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
