ATI CAPSTONE MED SURG | 100 + NEW UPDATED EXAM PRACTICE QUESTIONS AND ANSWERS LATEST 2023 | 100 % PASS ATI CAPSTONE MED SURG 1. The nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect to see - CORRECT ANSWER pH below 7.35 2. 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 ANSWER HF 3. The 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 ANSWER 30mL 4. The 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 ANSWER administer sublingual nitroglycerin (treat chest pain to reduce cardiac tissue damage) 5. The 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 ANSWER synchronized cardioversion (tx for afib, SVT, and v tach with a pulse) 6. The nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following interventions should the nurse take? - CORRECT ANSWER 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) 7. The nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included? - CORRECT ANSWER reduce intake of foods high in potassium (potassium clearance is impaired in ESKD) 8. The 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 ANSWER monitor the client for hypoglycemia 9. The 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 ANSWER check urine specific gravity 10. The 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 ANSWER albuterol 3mL via nebulizer 11. The 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 ANSWER administer oxygen via face mask 12. The 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 ANSWER unrelieved pain, pallor, pulselessness, numbness, pins and needles sensation, swelling, tightness of the effected extremity 13. The 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
