ATI MEDSURG PROCTORED FINAL EXAM
2023 NGN CERTIFICATION REVIEW SET
2026 ANSWERS GUARANTEED PASS
⫸ What would you do for an ASTHMA emergency management of a
bee sting allergies? Answer: Epi Pen
⫸ Seizures and Epilepsy: Seizure precautions Answer: During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
⫸ Cancer treatment options: Protective Isolation Answer: If WBC drops
below 1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and place a mask on
him.
,- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict
ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
⫸ Infection control: Appropriate room assignment Answer: Standard
Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and
water )
3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause splashing
or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
,Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag
without touching the outside of the bag
⫸ TB: Priority action for a client in the emergency department Answer:
-Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing contamination
exists
⫸ Immunizations: Recommended vaccinations for older adult clients
Answer: Adults age 50 or older:
, - Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
⫸ Pulmonary Embolism: Risk factors for DVT Answer: - Long term
immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
⫸ Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection Answer: -
Urethral trauma
- Urinary retention
2023 NGN CERTIFICATION REVIEW SET
2026 ANSWERS GUARANTEED PASS
⫸ What would you do for an ASTHMA emergency management of a
bee sting allergies? Answer: Epi Pen
⫸ Seizures and Epilepsy: Seizure precautions Answer: During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
⫸ Cancer treatment options: Protective Isolation Answer: If WBC drops
below 1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and place a mask on
him.
,- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict
ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
⫸ Infection control: Appropriate room assignment Answer: Standard
Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and
water )
3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause splashing
or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
,Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag
without touching the outside of the bag
⫸ TB: Priority action for a client in the emergency department Answer:
-Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing contamination
exists
⫸ Immunizations: Recommended vaccinations for older adult clients
Answer: Adults age 50 or older:
, - Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
⫸ Pulmonary Embolism: Risk factors for DVT Answer: - Long term
immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
⫸ Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection Answer: -
Urethral trauma
- Urinary retention
