ATI CAPSTONE MEDICAL-SURGICAL
ASSESSMENT NCLEX EXAM
All Questions and Verified Solutions | 2026/2027
April 2026
______________________________________________________________________
INSTRUCTIONS
100 Questions, Multiple Choice
Select the Best Answer for Each Question
Correct answers are highlighted in cyan with rationale provided
Time Limit: Refer to your institutional guidelines
______________________________________________________________________
Table of Contents
1
, TABLE OF CONTENTS
CARDIOVASCULAR DISORDERS ..................................................................................... 4
RESPIRATORY DISORDERS ............................................................................................ 11
NEUROLOGICAL DISORDERS ........................................................................................ 18
ENDOCRINE DISORDERS ................................................................................................. 25
GASTROINTESTINAL DISORDERS ................................................................................ 31
RENAL & URINARY DISORDERS ................................................................................... 36
MUSCULOSKELETAL DISORDERS ............................................................................... 41
FLUID, ELECTROLYTE & ACID-BASE IMBALANCES ............................................. 45
PERIOPERATIVE NURSING ............................................................................................. 47
PAIN MANAGEMENT ......................................................................................................... 48
ONCOLOGIC NURSING ..................................................................................................... 50
MULTISYSTEM DISORDERS & PRIORITY SETTING ............................................... 51
(Right-click and select 'Update Field' to refresh page numbers)
1. Cardiovascular Disorders ...... Q1 - Q15
2. Respiratory Disorders ...... Q16 - Q30
3. Neurological Disorders ...... Q31 - Q45
4. Endocrine Disorders ...... Q46 - Q57
5. Gastrointestinal Disorders ...... Q58 - Q67
6. Renal & Urinary Disorders ...... Q68 - Q77
7. Musculoskeletal Disorders ...... Q78 - Q85
8. Fluid, Electrolyte & Acid-Base Imbalances ...... Q86 - Q90
9. Perioperative Nursing ...... Q91 - Q93
10. Pain Management ...... Q94 - Q95
11. Oncologic Nursing ...... Q96 - Q98
12. Multisystem Disorders & Priority Setting ...... Q99 - Q100
2
,ANSWER KEY
Content Section s
3
, CARDIOVASCULAR DISORDERS
Questions 1 - 15
1. A nurse is caring for a client with hypertension who is prescribed lisinopril. Which
of the following statements by the client indicates an understanding of the teaching?
A) I will increase my potassium intake by eating more bananas and oranges.
B) I should report any swelling of my lips or tongue to my provider
immediately.
C) I will take this medication at bedtime to prevent dizziness.
D) I should avoid eating foods high in sodium while taking this medication.
Correct Answer: B) I should report any swelling of my lips or tongue to my provider
immediately.
Rationale: Lisinopril is an ACE inhibitor that can cause angioedema, a potentially life-
threatening adverse effect characterized by swelling of the lips, tongue, and throat. The client
should report these symptoms immediately. While increasing potassium intake is generally not
recommended with ACE inhibitors due to hyperkalemia risk (making option A incorrect),
avoiding sodium (option D) is good general advice for hypertension but not specific to
lisinopril teaching. Option C is incorrect because lisinopril should be taken at the same time
daily but not necessarily at bedtime. Angioedema is the priority safety concern that requires
immediate reporting.
2. A nurse is assessing a client who has heart failure and is receiving furosemide.
Which of the following findings should the nurse report to the provider immediately?
A) Blood pressure 110/70 mm Hg
B) Serum potassium 3.0 mEq/L
C) Apical pulse 72/min
D) Urinary output 100 mL/hr
Correct Answer: B) Serum potassium 3.0 mEq/L
Rationale: A serum potassium of 3.0 mEq/L is below the normal range of 3.5-5.0 mEq/L and
indicates hypokalemia. Furosemide is a loop diuretic that causes potassium loss, and
hypokalemia increases the risk of cardiac dysrhythmias, which can be life-threatening in a
4
ASSESSMENT NCLEX EXAM
All Questions and Verified Solutions | 2026/2027
April 2026
______________________________________________________________________
INSTRUCTIONS
100 Questions, Multiple Choice
Select the Best Answer for Each Question
Correct answers are highlighted in cyan with rationale provided
Time Limit: Refer to your institutional guidelines
______________________________________________________________________
Table of Contents
1
, TABLE OF CONTENTS
CARDIOVASCULAR DISORDERS ..................................................................................... 4
RESPIRATORY DISORDERS ............................................................................................ 11
NEUROLOGICAL DISORDERS ........................................................................................ 18
ENDOCRINE DISORDERS ................................................................................................. 25
GASTROINTESTINAL DISORDERS ................................................................................ 31
RENAL & URINARY DISORDERS ................................................................................... 36
MUSCULOSKELETAL DISORDERS ............................................................................... 41
FLUID, ELECTROLYTE & ACID-BASE IMBALANCES ............................................. 45
PERIOPERATIVE NURSING ............................................................................................. 47
PAIN MANAGEMENT ......................................................................................................... 48
ONCOLOGIC NURSING ..................................................................................................... 50
MULTISYSTEM DISORDERS & PRIORITY SETTING ............................................... 51
(Right-click and select 'Update Field' to refresh page numbers)
1. Cardiovascular Disorders ...... Q1 - Q15
2. Respiratory Disorders ...... Q16 - Q30
3. Neurological Disorders ...... Q31 - Q45
4. Endocrine Disorders ...... Q46 - Q57
5. Gastrointestinal Disorders ...... Q58 - Q67
6. Renal & Urinary Disorders ...... Q68 - Q77
7. Musculoskeletal Disorders ...... Q78 - Q85
8. Fluid, Electrolyte & Acid-Base Imbalances ...... Q86 - Q90
9. Perioperative Nursing ...... Q91 - Q93
10. Pain Management ...... Q94 - Q95
11. Oncologic Nursing ...... Q96 - Q98
12. Multisystem Disorders & Priority Setting ...... Q99 - Q100
2
,ANSWER KEY
Content Section s
3
, CARDIOVASCULAR DISORDERS
Questions 1 - 15
1. A nurse is caring for a client with hypertension who is prescribed lisinopril. Which
of the following statements by the client indicates an understanding of the teaching?
A) I will increase my potassium intake by eating more bananas and oranges.
B) I should report any swelling of my lips or tongue to my provider
immediately.
C) I will take this medication at bedtime to prevent dizziness.
D) I should avoid eating foods high in sodium while taking this medication.
Correct Answer: B) I should report any swelling of my lips or tongue to my provider
immediately.
Rationale: Lisinopril is an ACE inhibitor that can cause angioedema, a potentially life-
threatening adverse effect characterized by swelling of the lips, tongue, and throat. The client
should report these symptoms immediately. While increasing potassium intake is generally not
recommended with ACE inhibitors due to hyperkalemia risk (making option A incorrect),
avoiding sodium (option D) is good general advice for hypertension but not specific to
lisinopril teaching. Option C is incorrect because lisinopril should be taken at the same time
daily but not necessarily at bedtime. Angioedema is the priority safety concern that requires
immediate reporting.
2. A nurse is assessing a client who has heart failure and is receiving furosemide.
Which of the following findings should the nurse report to the provider immediately?
A) Blood pressure 110/70 mm Hg
B) Serum potassium 3.0 mEq/L
C) Apical pulse 72/min
D) Urinary output 100 mL/hr
Correct Answer: B) Serum potassium 3.0 mEq/L
Rationale: A serum potassium of 3.0 mEq/L is below the normal range of 3.5-5.0 mEq/L and
indicates hypokalemia. Furosemide is a loop diuretic that causes potassium loss, and
hypokalemia increases the risk of cardiac dysrhythmias, which can be life-threatening in a
4
