ATI Capstone Med Surg Exam Bank. Questions and Answers. Latest Updated Version for 2026 - 2026

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 elixir 40 mEq 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) 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? 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?

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? 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?

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?

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?

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 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?

unrelieved pain, pallor, pulselessness, numbness, pins and needles sensation, swelling, tightness of the effected extremity

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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 lower the height of the solution container a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the nurse take?

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?

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

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?

avoid drinking alcohol