3/19/25, 6:11 Med Surg ATI Capstone Flashcards |
AM
MED SURG ATI CAPSTONE EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (43)
A nurse on a med surg unit is caring for B
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
A nurse is caring for a client who has B, C, E
ingested a toxic agent. Which of the
following actions should the nurse plan to
take? (Select all that apply)
A. Induce vomiting
B.Instill activated charcoal
C. Perform a gastric lavage with aspiration
D.Administer syrup of ipecac
E. Infuse IV fluids
A nurse in the emergency department is A, C, D, E
caring for a client who fell through the ice
1/17
,3/19/25, 6:11 Med Surg ATI Capstone Flashcards |
AM
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
A nurse in the ED is assessing a client A
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
C. Hyperextension of the head
D.Flexion of the head
A nurse is reviewing the common C
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
A nurse is caring for a client who is B, C, D
postprocedural following LP and
reports throbbing headache when sitting
2/17
, 3/19/25, 6:11 Med Surg ATI Capstone Flashcards |
AM
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
A nurse is caring for a client who B
C. Administer an opioid medication
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
A nurse is assessing a client for changes in B
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
A nurse is developing a plan of care for a A, B, D, E
client who is scheduled for cerebral
angiography with contrast dye. Which of
the following statements by the client
should the nurse report to the provider?
(Select all that apply)
3/17
AM
MED SURG ATI CAPSTONE EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (43)
A nurse on a med surg unit is caring for B
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
A nurse is caring for a client who has B, C, E
ingested a toxic agent. Which of the
following actions should the nurse plan to
take? (Select all that apply)
A. Induce vomiting
B.Instill activated charcoal
C. Perform a gastric lavage with aspiration
D.Administer syrup of ipecac
E. Infuse IV fluids
A nurse in the emergency department is A, C, D, E
caring for a client who fell through the ice
1/17
,3/19/25, 6:11 Med Surg ATI Capstone Flashcards |
AM
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
A nurse in the ED is assessing a client A
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
C. Hyperextension of the head
D.Flexion of the head
A nurse is reviewing the common C
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
A nurse is caring for a client who is B, C, D
postprocedural following LP and
reports throbbing headache when sitting
2/17
, 3/19/25, 6:11 Med Surg ATI Capstone Flashcards |
AM
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
A nurse is caring for a client who B
C. Administer an opioid medication
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
A nurse is assessing a client for changes in B
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
A nurse is developing a plan of care for a A, B, D, E
client who is scheduled for cerebral
angiography with contrast dye. Which of
the following statements by the client
should the nurse report to the provider?
(Select all that apply)
3/17
