ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse is reviewing the laboratory findings for a client who is dehydrated.
Which of the following BUN levels should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7 mg/dL
D. 26 mg/dL - ANSWER-D 26 mg/dL
Normal range is 10-20, and elevated levels indicates renal disease,
dehydration, shock, excessive protein in the diet, sepsis, glucocorticoid
use, GI bleeding, or other conditions in which blood is reabsorbed from
injured tissues
A nurse is reviewing ECG strips for several clients. Which of the following
images should the nurse identify as atrial fibrillation
(cannot insert pictures, read description)
A. multiple irregular and variable waves at the baseline and irregular R to R
intervals
B. a rate of 140-180/min
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
C. a tachycardia with no identifiable P wave and is determined to originate
somewhere other than the ventricles. Rate between 100-280/min
D. a P wave for every QRS, rate is 60-100/min - ANSWER-A.) multiple
irregular and variable waves at the baseline and irregular R to R intervals
A nurse is preparing to admit a client who has a new tracheostomy from the
operating room. Which of the following items is the priority for the nurse to
have available in the client's room upon admission
A. Obturator
B. Hydrogen peroxide
C. Sterile gloves
D. Inner cannula - ANSWER-A.) Obturator
The obturator can be inserted in the stoma in the even of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed.
For the first 72 hr following the insertion of a trach, dislodgement or
decannulation is considered an emergency
A nurse is caring for a client who had a below the knee amputation due to a
traumatic injury 2 days ago. Which of the following statements should the
nurse use to assess how the client is coping with this change in their body
image
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A. "Tell me how the changes to your leg make you feel"
B. "What potential changes do you think you'll need to make when doing
your job"
C. "Let's discuss how you can adjust once you have a prosthesis"
D. "What are some possible issues that you foresee when completing self-
management tasks" - ANSWER-A .) "Tell me how the changes to your leg
make you feel"
A nurse in an endoscopy clinic is providing teaching to a client who is to
undergo a colonoscopy for colon cancer screening. Which of the following
information should the nurse provide
A. "You should have nothing to eat or drink for 3 hours prior to the
procedure"
B. "You should drink the bowel preparation slowly to prevent nausea"
C. "You will have no discomfort following the procedure"
D. "You will need someone to drive you home after your procedure" -
ANSWER-D.) "You will need someone to drive you home after your
procedure"
Do not drive for 12-18 hours following the procedure, because during a
colonoscopy, the pt receives moderate sedation
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse is monitoring a client who is receiving moderate sedation with
midazolam. Which of the following findings requires immediate intervention
by the nurse
A. Oxygen saturation 90%
B. No response to verbal stimuli
C. Occasional premature ventricular contractions (PVCs)
D. Nausea - ANSWER-B) No response to verbal stimuli
using urgent vs non-urgent approach, this is the priority. During moderate
sedation, the pt should be able to provide a response to questions and
commands. No response to verbal stimuli can indicate a loss or
consciousness or oversedation
A nurse is reviewing the laboratory findings for a client who has heart
failure and is taking furosemide. The nurse should identify which of the
following findings as an adverse effect of the medication
A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia - ANSWER-C. Potassium 3.2 mEq/L
Loop diuretics remove excessive extracellular fluid through the kidneys,
causing an increased excretion of potassium. Monitor for dysrhythmias
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse is reviewing the laboratory findings for a client who is dehydrated.
Which of the following BUN levels should the nurse expect
A. 3.6 mg/dl
B. 8 mg/dL
C. 18.7 mg/dL
D. 26 mg/dL - ANSWER-D 26 mg/dL
Normal range is 10-20, and elevated levels indicates renal disease,
dehydration, shock, excessive protein in the diet, sepsis, glucocorticoid
use, GI bleeding, or other conditions in which blood is reabsorbed from
injured tissues
A nurse is reviewing ECG strips for several clients. Which of the following
images should the nurse identify as atrial fibrillation
(cannot insert pictures, read description)
A. multiple irregular and variable waves at the baseline and irregular R to R
intervals
B. a rate of 140-180/min
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
C. a tachycardia with no identifiable P wave and is determined to originate
somewhere other than the ventricles. Rate between 100-280/min
D. a P wave for every QRS, rate is 60-100/min - ANSWER-A.) multiple
irregular and variable waves at the baseline and irregular R to R intervals
A nurse is preparing to admit a client who has a new tracheostomy from the
operating room. Which of the following items is the priority for the nurse to
have available in the client's room upon admission
A. Obturator
B. Hydrogen peroxide
C. Sterile gloves
D. Inner cannula - ANSWER-A.) Obturator
The obturator can be inserted in the stoma in the even of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed.
For the first 72 hr following the insertion of a trach, dislodgement or
decannulation is considered an emergency
A nurse is caring for a client who had a below the knee amputation due to a
traumatic injury 2 days ago. Which of the following statements should the
nurse use to assess how the client is coping with this change in their body
image
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A. "Tell me how the changes to your leg make you feel"
B. "What potential changes do you think you'll need to make when doing
your job"
C. "Let's discuss how you can adjust once you have a prosthesis"
D. "What are some possible issues that you foresee when completing self-
management tasks" - ANSWER-A .) "Tell me how the changes to your leg
make you feel"
A nurse in an endoscopy clinic is providing teaching to a client who is to
undergo a colonoscopy for colon cancer screening. Which of the following
information should the nurse provide
A. "You should have nothing to eat or drink for 3 hours prior to the
procedure"
B. "You should drink the bowel preparation slowly to prevent nausea"
C. "You will have no discomfort following the procedure"
D. "You will need someone to drive you home after your procedure" -
ANSWER-D.) "You will need someone to drive you home after your
procedure"
Do not drive for 12-18 hours following the procedure, because during a
colonoscopy, the pt receives moderate sedation
, ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1
LATEST 2024 TEST BANK ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse is monitoring a client who is receiving moderate sedation with
midazolam. Which of the following findings requires immediate intervention
by the nurse
A. Oxygen saturation 90%
B. No response to verbal stimuli
C. Occasional premature ventricular contractions (PVCs)
D. Nausea - ANSWER-B) No response to verbal stimuli
using urgent vs non-urgent approach, this is the priority. During moderate
sedation, the pt should be able to provide a response to questions and
commands. No response to verbal stimuli can indicate a loss or
consciousness or oversedation
A nurse is reviewing the laboratory findings for a client who has heart
failure and is taking furosemide. The nurse should identify which of the
following findings as an adverse effect of the medication
A. Sodium 142 mEq/L
B. Metabolic acidosis
C. Potassium 3.2 mEq/L
D. Hypoglycemia - ANSWER-C. Potassium 3.2 mEq/L
Loop diuretics remove excessive extracellular fluid through the kidneys,
causing an increased excretion of potassium. Monitor for dysrhythmias
