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ATI CAPSTONE MEDICAL SURGICAL
PROCTORED NEWEST 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse on a med surg unit is caring for a group of clients. The
nurse should notify the rapid response team for which of the
following clients?
A. Client who has an ulceration of the right heel whose blood
glucose is 300
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral
area following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent
pedal pulse - ANSWER- B
A nurse is caring for a client who has ingested a toxic agent.
Which of the following actions should the nurse plan to take?
(Select all that apply)
A. Induce vomiting
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B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids - ANSWER- B, C, E
A nurse in the emergency department is caring for a client who
fell through the ice on a pond and is unresponsive and breathing
slowly. Which of the following actions should the nurse take?
(Select all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids - ANSWER- A, C, D, E
A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and
slumped to the ground." Which of the following techniques
should the nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
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C. Hyperextension of the head
D. Flexion of the head - ANSWER- A
A nurse is reviewing the common emergency management
protocol for clients who have asystole. Which of the following
actions should the nurse plan to take during this cardiac
emergency?
A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
D. Elevate the client's lower extremities - ANSWER- C
A nurse is caring for a client who is postprocedural following
LP and reports throbbing headache when sitting upright. Which
of the following actions should the nurse take? (Select all that
apply)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
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E. Instruct the client to perform deep breathing exercises and
coughing exercises - ANSWER- B, C, D
A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for
ICP monitoring. The nurse should monitor the client for which
of the following complications related to the ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension - ANSWER- B
A nurse is assessing a client for changes in the level of
consciousness using the GCS. The client opens his eyes when
spoken to, speaks incoherently, and moves his extremities when
pain is applied. Which of the following GCS scores should the
nurse document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8 - ANSWER- B
ATI CAPSTONE MEDICAL SURGICAL
PROCTORED NEWEST 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse on a med surg unit is caring for a group of clients. The
nurse should notify the rapid response team for which of the
following clients?
A. Client who has an ulceration of the right heel whose blood
glucose is 300
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral
area following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent
pedal pulse - ANSWER- B
A nurse is caring for a client who has ingested a toxic agent.
Which of the following actions should the nurse plan to take?
(Select all that apply)
A. Induce vomiting
,2|Page
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids - ANSWER- B, C, E
A nurse in the emergency department is caring for a client who
fell through the ice on a pond and is unresponsive and breathing
slowly. Which of the following actions should the nurse take?
(Select all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids - ANSWER- A, C, D, E
A nurse in the ED is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and
slumped to the ground." Which of the following techniques
should the nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
,3|Page
C. Hyperextension of the head
D. Flexion of the head - ANSWER- A
A nurse is reviewing the common emergency management
protocol for clients who have asystole. Which of the following
actions should the nurse plan to take during this cardiac
emergency?
A. Perform defibrillation
B. Prepare for transcutaneous pacing
C. Administer IV epinephrine
D. Elevate the client's lower extremities - ANSWER- C
A nurse is caring for a client who is postprocedural following
LP and reports throbbing headache when sitting upright. Which
of the following actions should the nurse take? (Select all that
apply)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
, 4|Page
E. Instruct the client to perform deep breathing exercises and
coughing exercises - ANSWER- B, C, D
A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for
ICP monitoring. The nurse should monitor the client for which
of the following complications related to the ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension - ANSWER- B
A nurse is assessing a client for changes in the level of
consciousness using the GCS. The client opens his eyes when
spoken to, speaks incoherently, and moves his extremities when
pain is applied. Which of the following GCS scores should the
nurse document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8 - ANSWER- B
