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ATI Capstone Medical Surgical Assessment 1 & 2 2026 – Nursing Program – Critical Care, Pharmacology & Adult Health – 50 Questions

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This document contains 50 ATI-style exam questions with verified answers for the ATI Capstone Medical Surgical Assessment 1 & 2 (2026 edition). The content comprehensively covers adult medical-surgical nursing topics including respiratory management (mechanical ventilation, tracheostomy care, pneumothorax, flail chest), cardiovascular disorders (myocardial infarction, ventricular fibrillation, heart failure, DVT risk, heparin therapy), neurological conditions (TBI, increased intracranial pressure, spinal cord injury, seizures, Alzheimer’s disease), renal disorders (CKD, nephrotic syndrome, glomerulonephritis), endocrine imbalances (SIADH, hypercalcemia, hypoglycemia), and gastrointestinal disorders (pancreatitis, GERD, appendicitis, GI bleeding). The assessment emphasizes clinical judgment, prioritization using the ABC approach, interpretation of laboratory values (troponin, platelets, CD4 count, sodium levels, aPTT, ABGs), blood transfusion protocols, postoperative complication recognition (CSF leak, hemorrhage, fluid overload), infection control precautions (airborne precautions for TB, neutropenic precautions), medication management (furosemide, gabapentin, atropine, epinephrine, propofol, carbidopa/levodopa), and emergency interventions such as defibrillation and cardioversion. It also includes patient education, discharge teaching, nutrition therapy, and safety measures for chronic conditions such as COPD, heart failure, and diabetes mellitus. Structured in a question-and-answer format that mirrors ATI testing standards, this resource is ideal for final-semester nursing students preparing for ATI Capstone assessments, comprehensive predictor exams, and NCLEX-RN preparation. The content aligns closely with major nursing textbooks such as Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems, particularly in areas of adult health management, critical care concepts, pharmacological interventions, and evidence-based nursing practice. This document is especially relevant for ADN and BSN nursing students enrolled in Adult Health Nursing, Medical-Surgical Nursing I & II, Capstone or Senior Synthesis courses, and ATI remediation programs. It is also valuable for nursing graduates preparing for licensure examinations and competency-based clinical evaluations. Keywords: ATI Capstone 2026, medical surgical assessment 1 and 2, adult health nursing exam, ATI Med Surg questions, nursing prioritization ABC approach, ABG interpretation, increased intracranial pressure management, blood transfusion protocol, mechanical ventilation nursing care, ventricular fibrillation intervention, heart failure discharge teaching, SIADH management, pancreatitis nursing care, neutropenic precautions, postoperative complications nursing, NCLEX RN preparation, critical care nursing concepts

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Capstone ATI Medical Surgical
Assessment 1 & 2 2026 Exam
Questions and Answers | A+
Score Assured



A nurse is teaching a client how to administer a medication using an inhaler

with a spacer. Which of the following instructions should the nurse include




A. "Wait at least 5 minutes between puffs from the same inhaler"

,B. "Breathe in rapidly when inhaling the medication"

C. "Clean the plastic inhaler cap weekly with cold water"


D. "Shake the inhaler vigorously prior to use" - 🧠 ANSWER ✔✔D .) "Shake

the inhaler vigorously prior to use"

Thoroughly shake the inhaler to disperse the medication because the

medication in the inhaler can separate easily

A nurse is planning care for a client who is receiving mechanical ventilation.

Which of the following actions should the nurse include in the plan




A. Provide the client with a means of communication

B. Maintain the head of the client's bed in a flat position

C. Suction the client's endotracheal tube every 4 hr


D. Perform oral hygiene for the client every 8 hr - 🧠 ANSWER ✔✔A.)

Provide the client with a means of communication




Use electronic tablet computer, programmable speech generating device,

alphabet board, pencil and paper, etc

,A nurse is caring for a client who is receiving IV fluid replacement therapy

for dehydration. Which of the following laboratory results indicates

effectiveness of the treatment




A. Sodium 165 mEq/L

B. Potassium 5.2 mEq/L

C. Urine specific gravity 1.020


D. Hct 62% - 🧠 ANSWER ✔✔C Urine specific gravity 1.020


Within the expected range of 1.005-1.030

A nurse is monitoring the laboratory findings for a client who is

postoperative following a total hip arthroplasty 6 hr ago. Which of the

following values indicates that the client has an increased risk for bleeding




A. PT 11.5 seconds

B. aPTT 35 seconds

C. Platelets 80,000


D. RBC 4.0 million - 🧠 ANSWER ✔✔C Platelets 80,000

COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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3

, platelet range is 150,000-400,000

A nurse is admitting a client who has a cervical spinal cord injury following

a motor vehicle crash. Which of the following interventions is the nurse's

priority while caring for this client




A. Change the client's position every 2 hours

B. Pad pressure points at the edges of the client's cervical collar

C. Palpate the client's abdomen for bladder distention


D. Assist the client with quad coughing - 🧠 ANSWER ✔✔D Assist the client

with quad coughing

The greatest risk to a client who has a cervical spinal cord injury is an

obstructed airway; the priority is to ensure the client can clear their airway.

Apply abdominal pressure as the client coughs (quad coughing)

A nurse is caring for a client who is receiving a blood transfusion. Which of

the following findings indicates that the client is experiencing transfusion-

associated circulatory overload

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