ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1 & 2 ALL
100 QUESTIONS AND CORRECT FULLY EXPLAINED
SOLUTIONS AND RATIONALES| THE NEWEST 2024 EDITION!!
Capstones1ATIs1NCLEXs1Medicals1Surgicals1Assessments11
As1nurses1iss1teachings1as1clients1hows1tos1administers1as1medications1usings1ans1inhale
rs1withs1as1spacer.s1Whichs1ofs1thes1followings1instructionss1shoulds1thes1nurses1inclu
de
A. "Waits1ats1leasts15s1minutess1betweens1puffss1froms1thes1sames1inhaler"
B. "Breathes1ins1rapidlys1whens1inhalings1thes1medication"
C. "Cleans1thes1plastics1inhalers1caps1weeklys1withs1colds1water"
D. "Shakes1thes1inhalers1vigorouslys1priors1tos1use"s1-s1ANSWER-
Ds1.)s1"Shakes1thes1inhalers1vigorouslys1priors1tos1use"
Thoroughlys1shakes1thes1inhalers1tos1disperses1thes1medications1becauses1thes1medicat
ions1ins1thes1inhalers1cans1separates1easily
As1nurses1iss1plannings1cares1fors1as1clients1whos1iss1receivings1mechanicals1ventilatio
n.s1Whichs1ofs1thes1followings1actionss1shoulds1thes1nurses1includes1ins1thes1plan
A. Provides1thes1clients1withs1as1meanss1ofs1communication
B. Maintains1thes1heads1ofs1thes1client'ss1beds1ins1as1flats1position
C. Suctions1thes1client'ss1endotracheals1tubes1everys14s1hr
D. Performs1orals1hygienes1fors1thes1clients1everys18s1hrs1-s1ANSWER-
A.)s1Provides1thes1clients1withs1as1meanss1ofs1communication
Uses1electronics1tablets1computer,s1programmables1speechs1generatings1device,s1alpha
bets1board,s1pencils1ands1paper,s1etc
As1nurses1iss1carings1fors1as1clients1whos1iss1receivings1IVs1fluids1replacements1therap
ys1fors1dehydration.s1Whichs1ofs1thes1followings1laboratorys1resultss1indicatess1effecti
venesss1ofs1thes1treatment
,A. Sodiums1165s1mEq/L
B. Potassiums15.2s1mEq/L
C. Urines1specifics1gravitys11.020
D. Hcts162%s1-s1ANSWER-
Cs1Urines1specifics1gravitys11.020s1Withins1thes1expecteds
1ranges1ofs11.005-1.030
As1nurses1iss1monitorings1thes1laboratorys1findingss1fors1as1clients1whos1iss1postoperati
ves1followings1as1totals1hips1arthroplastys16s1hrs1ago.s1Whichs1ofs1thes1followings1value
ss1indicatess1thats1thes1clients1hass1ans1increaseds1risks1fors1bleeding
A. PTs111.5s1seconds
B. aPTTs135s1seconds
C. Plateletss180,000
D. RBCs14.0s1millions1-s1ANSWER-
Cs1Plateletss180,000s1platelets1ranges1iss1150,000-
400,000
As1nurses1iss1admittings1as1clients1whos1hass1as1cervicals1spinals1cords1injurys1followin
gs1as1motors1vehicles1crash.s1Whichs1ofs1thes1followings1interventionss1iss1thes1nurse'ss1
prioritys1whiles1carings1fors1thiss1client
A. Changes1thes1client'ss1positions1everys12s1hours
B. Pads1pressures1pointss1ats1thes1edgess1ofs1thes1client'ss1cervicals1collar
C. Palpates1thes1client'ss1abdomens1fors1bladders1distention
D. Assists1thes1clients1withs1quads1coughings1-s1ANSWER-
Ds1Assists1thes1clients1withs1quads1coughing
Thes1greatests1risks1tos1as1clients1whos1hass1as1cervicals1spinals1cords1injurys1iss1ans1ob
structeds1airway;s1thes1prioritys1iss1tos1ensures1thes1clients1cans1clears1theirs1airway.s1A
pplys1abdominals1pressures1ass1thes1clients1coughss1(quads1coughing)
As1nurses1iss1carings1fors1as1clients1whos1iss1receivings1as1bloods1transfusion.s1Whichs
1ofs1thes1followings1findingss1indicatess1thats1thes1clients1iss1experiencings1transfusion
-associateds1circulatorys1overload
A. Nasuea
,B. Hypothermia
C. Dyspnea
D. Bradycardias1-s1ANSWER-Cs1Dyspnea
Dyspneas1iss1ans1indications1ofs1possibles1transfusions1associateds1circulatorys1overlo
ad,s1leadings1tos1hypertension,s1boundings1pulses,s1ands1confusion.s1Dyspneas1cans1a
lsos1indicates1transfusions1relateds1acutes1lungs1injurys1tos1ans1anaphylactics1response,
s1whichs1alsos1causess1wheezing,s1chests1tightness,s1cyanosis,s1ands1lows1BP
As1nurses1iss1assessings1as1clients1whos1hass1lungs1cancers1ands1iss1undergoings1r
adiations1therapys1tos1thes1chest.s1Whichs1ofs1thes1followings1indicatess1ans1adve
rses1effects1ofs1thes1therapy
A. Hairs1losss1ons1thes1scalp
B. Sweatings1ats1thes1treatments1site
C. Altereds1tastes1sensations
D. Intolerances1tos1colds1-s1ANSWER-
Cs1Altereds1tastes1sensationss1Altereds1tastes1iss1as1results1ofs1thes1re
leases1ofs1metabolitess1bys1deads1cells
As1nurses1iss1preparings1tos1administers1as1units1ofs1packeds1RBCss1tos1as1clients1whos1
hass1anemia.s1Whichs1ofs1thes1followings1actionss1shoulds1thes1nurses1plans1tos1takes1(s
elects1alls1thats1apply)
A. Obtains1pre-transfusions1temperature
B. Primes1thes1IVs1tubings1withs1lactateds1Ringer's
C. Instructs1ans1assistives1personnels1tos1monitors1thes1clients1durings1thes1transfusion
D. Verifys1thes1client'ss1bloods1types1withs1as1seconds1nurse
E. Uses1as120s1gauges1IVs1needles1fors1venouss1accesss1-s1ANSWER-
A,s1D,s1Es1A,s1completes1assessments1priors1tos1transfusion
D,s1verifys1identification,s1bloods1compatibility,s1ands1expirations1ofs1products1withs1se
conds1nurse
E,s1thes1nurses1shoulds1uses1as1larges1bores1needles1tos1transfuses1thes1PRBCss1tos1redu
ces1thes1risks1ofs1cells1hemolysiss1ands1obstructions1ofs1flow
, As1nurses1iss1reviewings1thes1laboratorys1findingss1fors1as1clients1whos1iss1dehydrated.s
1Whichs1ofs1thes1followings1BUNs1levelss1shoulds1thes1nurses1expect
A. 3.6s1mg/dl
B. 8s1mg/dL
C. 18.7s1mg/dL
D. 26s1mg/dLs1-s1ANSWER-Ds126s1mg/dL
Normals1ranges1iss110-
20,s1ands1elevateds1levelss1indicatess1renals1disease,s1dehydration,s1shock,s1excessives
1proteins1ins1thes1diet,s1sepsis,s1glucocorticoids1use,s1GIs1bleeding,s1ors1others1conditi
onss1ins1whichs1bloods1iss1reabsorbeds1froms1injureds1tissues
As1nurses1iss1reviewings1ECGs1stripss1fors1severals1clients.s1Whichs1ofs1thes1followings1i
magess1shoulds1thes1nurses1identifys1ass1atrials1fibrillation
(cannots1inserts1pictures,s1reads1description)
A. multiples1irregulars1ands1variables1wavess1ats1thes1baselines1ands1irregulars1
Rs1tos1Rs1intervals
B. as1rates1ofs1140-180/min
C. as1tachycardias1withs1nos1identifiables1Ps1waves1ands1iss1determineds1tos1or
iginates1somewheres1others1thans1thes1ventricles.s1Rates1betweens1100-
280/min
D. as1Ps1waves1fors1everys1QRS,s1rates1iss160-100/mins1-s1ANSWER-
A.)s1multiples1irregulars1ands1variables1wavess1ats1thes1baselines1ands1irregulars1Rs1t
os1Rs1intervals
As1nurses1iss1preparings1tos1admits1as1clients1whos1hass1as1news1tracheostomys1froms1t
hes1operatings1room.s1Whichs1ofs1thes1followings1itemss1iss1thes1prioritys1fors1thes1nurs
es1tos1haves1availables1ins1thes1client'ss1rooms1upons1admission
A. Obturator
100 QUESTIONS AND CORRECT FULLY EXPLAINED
SOLUTIONS AND RATIONALES| THE NEWEST 2024 EDITION!!
Capstones1ATIs1NCLEXs1Medicals1Surgicals1Assessments11
As1nurses1iss1teachings1as1clients1hows1tos1administers1as1medications1usings1ans1inhale
rs1withs1as1spacer.s1Whichs1ofs1thes1followings1instructionss1shoulds1thes1nurses1inclu
de
A. "Waits1ats1leasts15s1minutess1betweens1puffss1froms1thes1sames1inhaler"
B. "Breathes1ins1rapidlys1whens1inhalings1thes1medication"
C. "Cleans1thes1plastics1inhalers1caps1weeklys1withs1colds1water"
D. "Shakes1thes1inhalers1vigorouslys1priors1tos1use"s1-s1ANSWER-
Ds1.)s1"Shakes1thes1inhalers1vigorouslys1priors1tos1use"
Thoroughlys1shakes1thes1inhalers1tos1disperses1thes1medications1becauses1thes1medicat
ions1ins1thes1inhalers1cans1separates1easily
As1nurses1iss1plannings1cares1fors1as1clients1whos1iss1receivings1mechanicals1ventilatio
n.s1Whichs1ofs1thes1followings1actionss1shoulds1thes1nurses1includes1ins1thes1plan
A. Provides1thes1clients1withs1as1meanss1ofs1communication
B. Maintains1thes1heads1ofs1thes1client'ss1beds1ins1as1flats1position
C. Suctions1thes1client'ss1endotracheals1tubes1everys14s1hr
D. Performs1orals1hygienes1fors1thes1clients1everys18s1hrs1-s1ANSWER-
A.)s1Provides1thes1clients1withs1as1meanss1ofs1communication
Uses1electronics1tablets1computer,s1programmables1speechs1generatings1device,s1alpha
bets1board,s1pencils1ands1paper,s1etc
As1nurses1iss1carings1fors1as1clients1whos1iss1receivings1IVs1fluids1replacements1therap
ys1fors1dehydration.s1Whichs1ofs1thes1followings1laboratorys1resultss1indicatess1effecti
venesss1ofs1thes1treatment
,A. Sodiums1165s1mEq/L
B. Potassiums15.2s1mEq/L
C. Urines1specifics1gravitys11.020
D. Hcts162%s1-s1ANSWER-
Cs1Urines1specifics1gravitys11.020s1Withins1thes1expecteds
1ranges1ofs11.005-1.030
As1nurses1iss1monitorings1thes1laboratorys1findingss1fors1as1clients1whos1iss1postoperati
ves1followings1as1totals1hips1arthroplastys16s1hrs1ago.s1Whichs1ofs1thes1followings1value
ss1indicatess1thats1thes1clients1hass1ans1increaseds1risks1fors1bleeding
A. PTs111.5s1seconds
B. aPTTs135s1seconds
C. Plateletss180,000
D. RBCs14.0s1millions1-s1ANSWER-
Cs1Plateletss180,000s1platelets1ranges1iss1150,000-
400,000
As1nurses1iss1admittings1as1clients1whos1hass1as1cervicals1spinals1cords1injurys1followin
gs1as1motors1vehicles1crash.s1Whichs1ofs1thes1followings1interventionss1iss1thes1nurse'ss1
prioritys1whiles1carings1fors1thiss1client
A. Changes1thes1client'ss1positions1everys12s1hours
B. Pads1pressures1pointss1ats1thes1edgess1ofs1thes1client'ss1cervicals1collar
C. Palpates1thes1client'ss1abdomens1fors1bladders1distention
D. Assists1thes1clients1withs1quads1coughings1-s1ANSWER-
Ds1Assists1thes1clients1withs1quads1coughing
Thes1greatests1risks1tos1as1clients1whos1hass1as1cervicals1spinals1cords1injurys1iss1ans1ob
structeds1airway;s1thes1prioritys1iss1tos1ensures1thes1clients1cans1clears1theirs1airway.s1A
pplys1abdominals1pressures1ass1thes1clients1coughss1(quads1coughing)
As1nurses1iss1carings1fors1as1clients1whos1iss1receivings1as1bloods1transfusion.s1Whichs
1ofs1thes1followings1findingss1indicatess1thats1thes1clients1iss1experiencings1transfusion
-associateds1circulatorys1overload
A. Nasuea
,B. Hypothermia
C. Dyspnea
D. Bradycardias1-s1ANSWER-Cs1Dyspnea
Dyspneas1iss1ans1indications1ofs1possibles1transfusions1associateds1circulatorys1overlo
ad,s1leadings1tos1hypertension,s1boundings1pulses,s1ands1confusion.s1Dyspneas1cans1a
lsos1indicates1transfusions1relateds1acutes1lungs1injurys1tos1ans1anaphylactics1response,
s1whichs1alsos1causess1wheezing,s1chests1tightness,s1cyanosis,s1ands1lows1BP
As1nurses1iss1assessings1as1clients1whos1hass1lungs1cancers1ands1iss1undergoings1r
adiations1therapys1tos1thes1chest.s1Whichs1ofs1thes1followings1indicatess1ans1adve
rses1effects1ofs1thes1therapy
A. Hairs1losss1ons1thes1scalp
B. Sweatings1ats1thes1treatments1site
C. Altereds1tastes1sensations
D. Intolerances1tos1colds1-s1ANSWER-
Cs1Altereds1tastes1sensationss1Altereds1tastes1iss1as1results1ofs1thes1re
leases1ofs1metabolitess1bys1deads1cells
As1nurses1iss1preparings1tos1administers1as1units1ofs1packeds1RBCss1tos1as1clients1whos1
hass1anemia.s1Whichs1ofs1thes1followings1actionss1shoulds1thes1nurses1plans1tos1takes1(s
elects1alls1thats1apply)
A. Obtains1pre-transfusions1temperature
B. Primes1thes1IVs1tubings1withs1lactateds1Ringer's
C. Instructs1ans1assistives1personnels1tos1monitors1thes1clients1durings1thes1transfusion
D. Verifys1thes1client'ss1bloods1types1withs1as1seconds1nurse
E. Uses1as120s1gauges1IVs1needles1fors1venouss1accesss1-s1ANSWER-
A,s1D,s1Es1A,s1completes1assessments1priors1tos1transfusion
D,s1verifys1identification,s1bloods1compatibility,s1ands1expirations1ofs1products1withs1se
conds1nurse
E,s1thes1nurses1shoulds1uses1as1larges1bores1needles1tos1transfuses1thes1PRBCss1tos1redu
ces1thes1risks1ofs1cells1hemolysiss1ands1obstructions1ofs1flow
, As1nurses1iss1reviewings1thes1laboratorys1findingss1fors1as1clients1whos1iss1dehydrated.s
1Whichs1ofs1thes1followings1BUNs1levelss1shoulds1thes1nurses1expect
A. 3.6s1mg/dl
B. 8s1mg/dL
C. 18.7s1mg/dL
D. 26s1mg/dLs1-s1ANSWER-Ds126s1mg/dL
Normals1ranges1iss110-
20,s1ands1elevateds1levelss1indicatess1renals1disease,s1dehydration,s1shock,s1excessives
1proteins1ins1thes1diet,s1sepsis,s1glucocorticoids1use,s1GIs1bleeding,s1ors1others1conditi
onss1ins1whichs1bloods1iss1reabsorbeds1froms1injureds1tissues
As1nurses1iss1reviewings1ECGs1stripss1fors1severals1clients.s1Whichs1ofs1thes1followings1i
magess1shoulds1thes1nurses1identifys1ass1atrials1fibrillation
(cannots1inserts1pictures,s1reads1description)
A. multiples1irregulars1ands1variables1wavess1ats1thes1baselines1ands1irregulars1
Rs1tos1Rs1intervals
B. as1rates1ofs1140-180/min
C. as1tachycardias1withs1nos1identifiables1Ps1waves1ands1iss1determineds1tos1or
iginates1somewheres1others1thans1thes1ventricles.s1Rates1betweens1100-
280/min
D. as1Ps1waves1fors1everys1QRS,s1rates1iss160-100/mins1-s1ANSWER-
A.)s1multiples1irregulars1ands1variables1wavess1ats1thes1baselines1ands1irregulars1Rs1t
os1Rs1intervals
As1nurses1iss1preparings1tos1admits1as1clients1whos1hass1as1news1tracheostomys1froms1t
hes1operatings1room.s1Whichs1ofs1thes1followings1itemss1iss1thes1prioritys1fors1thes1nurs
es1tos1haves1availables1ins1thes1client'ss1rooms1upons1admission
A. Obturator
