ATI Capstone Med Surg Questions and
Answers with Verified Solutions
A nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis.
what would the nurse expect to see ✔✔pH below 7.35
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 ✔✔HF
a 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? ✔✔30mL
a 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? ✔✔administer sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a 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? ✔✔synchronized
cardioversion
(tx for afib, SVT, and v tach with a pulse)
,a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following
interventions should the nurse take? ✔✔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)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included?
✔✔reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a 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? ✔✔monitor the client
for hypoglycemia
a 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? ✔✔check urine specific gravity
a 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? ✔✔albuterol 3mL
via nebulizer
, a 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 ✔✔administer oxygen via face mask
a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the
pt is experiencing compartment syndrome? ✔✔unrelieved pain, pallor, pulselessness, numbness,
pins and needles sensation, swelling, tightness of the effected extremity
a 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 ✔✔lower the height of the solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the
nurse take? ✔✔place the clients bedside table on the right side of the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this
complication is developing? ✔✔narrowing pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding
should the nurse expect ✔✔weak, irregular pulse
Answers with Verified Solutions
A nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis.
what would the nurse expect to see ✔✔pH below 7.35
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 ✔✔HF
a 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? ✔✔30mL
a 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? ✔✔administer sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a 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? ✔✔synchronized
cardioversion
(tx for afib, SVT, and v tach with a pulse)
,a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following
interventions should the nurse take? ✔✔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)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included?
✔✔reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a 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? ✔✔monitor the client
for hypoglycemia
a 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? ✔✔check urine specific gravity
a 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? ✔✔albuterol 3mL
via nebulizer
, a 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 ✔✔administer oxygen via face mask
a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the
pt is experiencing compartment syndrome? ✔✔unrelieved pain, pallor, pulselessness, numbness,
pins and needles sensation, swelling, tightness of the effected extremity
a 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 ✔✔lower the height of the solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the
nurse take? ✔✔place the clients bedside table on the right side of the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this
complication is developing? ✔✔narrowing pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding
should the nurse expect ✔✔weak, irregular pulse
