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ATI CAPSTONE MEDICAL SURGICAL PROCTORED NEWEST 2024 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS

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ATI CAPSTONE MEDICAL SURGICAL PROCTORED NEWEST 2024 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS

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  • May 31, 2024
  • 36
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • medical surgical
  • ati capstone medical surgical
  • ati capstone medical surgical proctored newest 202
  • ati capstone medical surgical

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  • ATI CAPSTONE MEDICAL SURGICAL
  • ATI CAPSTONE MEDICAL SURGICAL

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ATI CAPSTONE MEDICAL SURGICAL PROCTORED NEWEST
2024 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS

Question 1

A patient is admitted with acute pancreatitis. Which of the following laboratory
findings would the nurse expect to be elevated?

A. Serum amylase
B. Serum lipase
C. Serum bilirubin
D. All of the above

Answer: D. All of the above

Explanation:

In acute pancreatitis, there is an elevation in serum amylase and serum lipase due
to inflammation of the pancreas. Serum bilirubin can also be elevated if there is
bile duct obstruction.



Question 2

A 65-year-old patient with a history of chronic obstructive pulmonary disease
(COPD) is admitted with shortness of breath. Which of the following interventions
should the nurse perform first?

A. Administer oxygen via nasal cannula at 2 L/min
B. Encourage pursed-lip breathing
C. Elevate the head of the bed to 45 degrees
D. Assess the patient's respiratory status and lung sounds

Answer: D. Assess the patient's respiratory status and lung sounds

Explanation:

,Assessment is the first step in the nursing process. Before implementing any
interventions, the nurse should first assess the patient's respiratory status to
determine the severity of the condition and the appropriate interventions needed.



Question 3

A patient with chronic kidney disease (CKD) is scheduled for hemodialysis. Which
of the following dietary restrictions should the nurse reinforce?

A. High potassium diet
B. High phosphorus diet
C. Low protein diet
D. Low sodium diet

Answer: D. Low sodium diet

Explanation:

Patients with CKD are often advised to follow a low sodium diet to help control
blood pressure and reduce fluid retention. High potassium and phosphorus diets are
typically restricted, and while protein intake might be moderated, the primary
concern in this context is sodium.



Question 4

A patient is diagnosed with deep vein thrombosis (DVT). Which of the following
signs and symptoms should the nurse expect to find?

A. Pale, cold extremity
B. Swelling, warmth, and redness of the affected leg
C. Decreased pulse in the affected leg
D. Pain relieved by rest and elevation

Answer: B. Swelling, warmth, and redness of the affected leg

Explanation:

,DVT typically presents with swelling, warmth, and redness in the affected leg due
to inflammation and impaired venous return. Decreased pulses are not
characteristic of DVT.



Question 5

A patient with type 1 diabetes mellitus presents with diabetic ketoacidosis (DKA).
Which of the following is the priority nursing intervention?

A. Administer insulin subcutaneously
B. Monitor blood glucose levels every 4 hours
C. Initiate intravenous fluids with regular insulin
D. Provide the patient with oral glucose

Answer: C. Initiate intravenous fluids with regular insulin

Explanation:

The priority in managing DKA is to rehydrate the patient and correct
hyperglycemia and acidosis. This is typically done by initiating intravenous fluids
with regular insulin.



Question 6

A nurse is providing education to a patient with newly diagnosed hypertension.
Which of the following lifestyle changes should the nurse recommend?

A. Increase sodium intake
B. Decrease physical activity
C. Adopt a diet low in saturated fats and cholesterol
D. Limit potassium-rich foods

Answer: C. Adopt a diet low in saturated fats and cholesterol

Explanation:

A diet low in saturated fats and cholesterol is recommended for patients with
hypertension to help manage blood pressure and reduce the risk of cardiovascular

, disease. Sodium intake should be decreased, and physical activity should be
increased.



Question 7

A patient with a history of heart failure is admitted with worsening dyspnea and
fatigue. Which diagnostic test is most helpful in confirming the diagnosis of heart
failure exacerbation?

A. Chest X-ray
B. B-type natriuretic peptide (BNP) level
C. Electrocardiogram (ECG)
D. Arterial blood gases (ABGs)

Answer: B. B-type natriuretic peptide (BNP) level

Explanation:

BNP levels are elevated in heart failure and correlate with the severity of the
condition. This test is most helpful in confirming a diagnosis of heart failure
exacerbation.



Question 8

A patient is receiving chemotherapy for breast cancer. Which of the following is a
priority nursing action to prevent complications related to neutropenia?

A. Monitor platelet count
B. Administer antiemetics before chemotherapy
C. Implement infection control precautions
D. Encourage high-protein diet

Answer: C. Implement infection control precautions

Explanation:

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