Page 1 of 15
ATI Capstone Med Surg CAPSTONE
PROJECT 1 QUESTIONS WITH CORRECT
ANSWERS
a nurse is caring for a pt who has acute pancreatitis, what intervention should
the nurse include in the client's plan of care
monitor BG levels
maintain NPO status until pain free
manage acute pain
a nurse is caring for a pt who has mild dehydration, the pt has a peripheral IV
and is prescribed 0.9% sodium chloride 1,000mL with 40 mEq potassium
chloride to infuse in 1 hour, what action should the nurse take first
verify the prescription with the provider
(risk for fluid overload and dysrhythmia from rapid potassium IV infusion)
a nurse is teaching a group of APs about caring for clients with Alzheimer's
disease, what info should the nurse include
provide supervision to prevent a pt from becoming injured or lost
a nurse is providing teaching to a pt who has acute leukemia and received
chemo 5 days ago, what instruction should the nurse include in the teaching
use an electric shaver
avoid crowds
monitor for bruising
a nurse is caring for a pt who is at high risk for iron deficiency anemia, what
foods should the nurse instruct the client to increase in her diet
raisins
a nurse is planning care for a pt who has Meniere's disease and is
experiencing episodes of vertigo, what intervention should the nurse include
in the plan
, Page 2 of 15
provide a low-sodium diet
(reduces fluid retention, reducing manifestations of the disease)
a nurse is providing discharge instructions to a pt who has a new AV fistula to
the right forearm for hemodialysis, what statement should the nurse include
keep the right arm elevated above the level of your heart
(prevents edema)
a nurse is providing discharge teaching to a pt who has multiple sclerosis,
what instruction should the nurse include in the teaching
it is important to develop a daily schedule that reduces fatigue and conserves energy
a nurse is providing discharge teaching to a pt who has heart failure and a
prescription for furosemide 20 mg PO two times a day, what instruction should
the nurse include in the teaching
increase the intake of high potassium foods
a nurse is providing discharge instructions to a pt who is to perform dressing
changes to an incision at home, what statements by the pt indicates an
understanding of the teaching
"I should wash my hands before both removing and applying the dressing"
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)
ATI Capstone Med Surg CAPSTONE
PROJECT 1 QUESTIONS WITH CORRECT
ANSWERS
a nurse is caring for a pt who has acute pancreatitis, what intervention should
the nurse include in the client's plan of care
monitor BG levels
maintain NPO status until pain free
manage acute pain
a nurse is caring for a pt who has mild dehydration, the pt has a peripheral IV
and is prescribed 0.9% sodium chloride 1,000mL with 40 mEq potassium
chloride to infuse in 1 hour, what action should the nurse take first
verify the prescription with the provider
(risk for fluid overload and dysrhythmia from rapid potassium IV infusion)
a nurse is teaching a group of APs about caring for clients with Alzheimer's
disease, what info should the nurse include
provide supervision to prevent a pt from becoming injured or lost
a nurse is providing teaching to a pt who has acute leukemia and received
chemo 5 days ago, what instruction should the nurse include in the teaching
use an electric shaver
avoid crowds
monitor for bruising
a nurse is caring for a pt who is at high risk for iron deficiency anemia, what
foods should the nurse instruct the client to increase in her diet
raisins
a nurse is planning care for a pt who has Meniere's disease and is
experiencing episodes of vertigo, what intervention should the nurse include
in the plan
, Page 2 of 15
provide a low-sodium diet
(reduces fluid retention, reducing manifestations of the disease)
a nurse is providing discharge instructions to a pt who has a new AV fistula to
the right forearm for hemodialysis, what statement should the nurse include
keep the right arm elevated above the level of your heart
(prevents edema)
a nurse is providing discharge teaching to a pt who has multiple sclerosis,
what instruction should the nurse include in the teaching
it is important to develop a daily schedule that reduces fatigue and conserves energy
a nurse is providing discharge teaching to a pt who has heart failure and a
prescription for furosemide 20 mg PO two times a day, what instruction should
the nurse include in the teaching
increase the intake of high potassium foods
a nurse is providing discharge instructions to a pt who is to perform dressing
changes to an incision at home, what statements by the pt indicates an
understanding of the teaching
"I should wash my hands before both removing and applying the dressing"
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)
