ATI Capstone Med Surg Test |With Verified Questions
And Answers|2025 Edition
a nurse is reviewing the ABG results of a client who the provider suspects
has metabolic acidosis. what would the nurse expect to see Correct ans
- 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
Correct ans - 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? Correct ans - 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?
Correct ans - administer sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a
pulse, the RRT is at the bedside. what electrical intervention should be used
to correct this dysrhythmia? Correct ans - synchronized cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing,
which of the following interventions should the nurse take? Correct ans
- monitor serum albumin levels and notify provider if below 3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what
should be included? Correct ans - reduce intake of foods high in
potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client's
morning BG level as 210mg/dL, instead of 120mg/dL and administered the
insulin dose appropriate for a reading over 200mg/dL before the client's
breakfast, what action is the nurse's priority? Correct ans - monitor
the client for hypoglycemia
, a nurse is planning care for a pt who has a new diagnosis of DI, which of the
following interventions should the nurse include in the plan of care?
Correct ans - check urine specific gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an
allergic reaction to a newly prescribed medication, what medication should
be administered first? Correct ans - albuterol 3mL via nebulizer
a nurse is caring for a female client in the ED who reports SOB and pain in
the lung area, she states that she started taking BC pills 3 weeks ago and
that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her
ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the
priority of nursing interventions Correct ans - administer oxygen via
face mask
a nurse is caring for a pt following repair of a fracture, what finding should
alert the nurse that the pt is experiencing compartment syndrome?
Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins and
needles sensation, swelling, tightness of the effected extremity
a nurse is administering a tap water enema to a pt who is constipated,
during the administration of the enema, the client states he is having
abdominal cramps, what action should the nurse take to relieve the client's
comfort Correct ans - lower the height of the solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke,
what action should the nurse take? Correct ans - place the clients
bedside table on the right side of the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest
indicator that this complication is developing? Correct ans - narrowing
pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and
diarrhea, what finding should the nurse expect Correct ans - weak,
irregular pulse
a nurse is providing teaching for a client who has experienced an acute
episode of gastritis, what instruction should the nurse include in the
teaching? Correct ans - avoid drinking alcohol
a nurse at an outpt surgery center is providing discharge teaching to a pt an
his spouse following surgical removal of a cataract, what should the nurse
include? Correct ans - the client should wear dark glasses while
outdoors
And Answers|2025 Edition
a nurse is reviewing the ABG results of a client who the provider suspects
has metabolic acidosis. what would the nurse expect to see Correct ans
- 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
Correct ans - 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? Correct ans - 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?
Correct ans - administer sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a
pulse, the RRT is at the bedside. what electrical intervention should be used
to correct this dysrhythmia? Correct ans - synchronized cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing,
which of the following interventions should the nurse take? Correct ans
- monitor serum albumin levels and notify provider if below 3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what
should be included? Correct ans - reduce intake of foods high in
potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client's
morning BG level as 210mg/dL, instead of 120mg/dL and administered the
insulin dose appropriate for a reading over 200mg/dL before the client's
breakfast, what action is the nurse's priority? Correct ans - monitor
the client for hypoglycemia
, a nurse is planning care for a pt who has a new diagnosis of DI, which of the
following interventions should the nurse include in the plan of care?
Correct ans - check urine specific gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an
allergic reaction to a newly prescribed medication, what medication should
be administered first? Correct ans - albuterol 3mL via nebulizer
a nurse is caring for a female client in the ED who reports SOB and pain in
the lung area, she states that she started taking BC pills 3 weeks ago and
that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her
ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the
priority of nursing interventions Correct ans - administer oxygen via
face mask
a nurse is caring for a pt following repair of a fracture, what finding should
alert the nurse that the pt is experiencing compartment syndrome?
Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins and
needles sensation, swelling, tightness of the effected extremity
a nurse is administering a tap water enema to a pt who is constipated,
during the administration of the enema, the client states he is having
abdominal cramps, what action should the nurse take to relieve the client's
comfort Correct ans - lower the height of the solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke,
what action should the nurse take? Correct ans - place the clients
bedside table on the right side of the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest
indicator that this complication is developing? Correct ans - narrowing
pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and
diarrhea, what finding should the nurse expect Correct ans - weak,
irregular pulse
a nurse is providing teaching for a client who has experienced an acute
episode of gastritis, what instruction should the nurse include in the
teaching? Correct ans - avoid drinking alcohol
a nurse at an outpt surgery center is providing discharge teaching to a pt an
his spouse following surgical removal of a cataract, what should the nurse
include? Correct ans - the client should wear dark glasses while
outdoors
