ATI RN ADULT MEDICAL-SURGICAL PROCTORED EXAM |
ACTUAL QUESTIONS, ANSWERS WITH VERIFIED SOLUTIONS
GRADE A+.
Meningitis care plan: - ANSWER- isolate as soon as it is suspected
-droplet precautions
-fever reduction methods
-provide quiet environment
-minimize exposure to bright light
-bed at 30 degrees
-seizure precautions
-antipyretics
-emesis basin at bedside
Mild allergic transfusion reaction s/s: - ANSWER- itching
-urticaria
-flushing
give benadryl
Most immediate risk to the client following a kidney biopsy: - ANSWERS-
hemorrhage
Nonpharm interventions for total knee replacement postop client complaining of
pain but refusing pain meds: - ANSWERS-cold or ice therapy
Nursing actions for aspiration pneumonia r/t enteral feedings: - ANSWER- stop the
feeding
-turn the client to his side
-suction the airway
,-admin O2 if indicated
-auscultate breath sounds for increased congestion
-notify provider & get chest xray
Nursing actions for diarrhea r/t enteral feedings: - ANSWER- slow the rate &
contact provider
-contact dietitian
-provide skin care & protection
Nursing actions to prevent overfeeding r/t enteral feedings: - ANSWER- check
residual Q 4-6 hr
-withhold as prescribed then resume
Ongoing monitoring of a client with Cushing's disease includes: - ANSWER-
monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
Paracentesis actions: - ANSWER- informed consent
-labs (BUN, creat, albumin, protein, glucose)
-void or urinary cath
-high fowlers
-review baseline vitals & abd girth
-admin sedation as prescribed
-admin IV bolus fluids or albumin prior to & after
Paracentesis client teaching: - ANSWERS-supine void prior to procedure
Physical movements slow down significantly, affecting walking more. Which stage
of Parkinson's? - ANSWERS-Stage 3
, Planning care for a client receiving enoxaparin for PE: - ANSWER- bleeding
precautions
-assess for contraindications: recent trauma, active bleeding, peptic ulcer disease,
hx of stroke)
-monitor for side effects (bleeding, thrombocytopenia, etc)
Planning to admin thrombolytic therapy to a client who had a stroke... - ANSWERS-
admin within 4.5 hours of onset of initial symptoms
positive kernig's sign - ANSWERS-test dealing with the extension of the neck
Post hip arthroplasty positioning: - ANSWERS-supine w/head of bed slightly
elevated & affected leg in a neutral position
place pillow or abduction device between the legs when turning to the unaffected
side
client should not be turned to affected side
Post hip arthroplasty: - ANSWER- monitor for s/s of DVT and PE
-antiembolitic stockings or compression devices while in bed
-encourage: plantar flexion, dorsiflexion, & circumduction exercises
-encourage early ambulation
-client's Hgb & Hct may drop 24-48 hrs post surgery
Post knee arthroplasty: - ANSWER- no pillows under knee
-to prevent heel ulcers: place small pillow/blanket under ankle area
-ice/cold therapy to help w/swelling
-compression bandage & suction
-CPM may be applied after surgery
ACTUAL QUESTIONS, ANSWERS WITH VERIFIED SOLUTIONS
GRADE A+.
Meningitis care plan: - ANSWER- isolate as soon as it is suspected
-droplet precautions
-fever reduction methods
-provide quiet environment
-minimize exposure to bright light
-bed at 30 degrees
-seizure precautions
-antipyretics
-emesis basin at bedside
Mild allergic transfusion reaction s/s: - ANSWER- itching
-urticaria
-flushing
give benadryl
Most immediate risk to the client following a kidney biopsy: - ANSWERS-
hemorrhage
Nonpharm interventions for total knee replacement postop client complaining of
pain but refusing pain meds: - ANSWERS-cold or ice therapy
Nursing actions for aspiration pneumonia r/t enteral feedings: - ANSWER- stop the
feeding
-turn the client to his side
-suction the airway
,-admin O2 if indicated
-auscultate breath sounds for increased congestion
-notify provider & get chest xray
Nursing actions for diarrhea r/t enteral feedings: - ANSWER- slow the rate &
contact provider
-contact dietitian
-provide skin care & protection
Nursing actions to prevent overfeeding r/t enteral feedings: - ANSWER- check
residual Q 4-6 hr
-withhold as prescribed then resume
Ongoing monitoring of a client with Cushing's disease includes: - ANSWER-
monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
Paracentesis actions: - ANSWER- informed consent
-labs (BUN, creat, albumin, protein, glucose)
-void or urinary cath
-high fowlers
-review baseline vitals & abd girth
-admin sedation as prescribed
-admin IV bolus fluids or albumin prior to & after
Paracentesis client teaching: - ANSWERS-supine void prior to procedure
Physical movements slow down significantly, affecting walking more. Which stage
of Parkinson's? - ANSWERS-Stage 3
, Planning care for a client receiving enoxaparin for PE: - ANSWER- bleeding
precautions
-assess for contraindications: recent trauma, active bleeding, peptic ulcer disease,
hx of stroke)
-monitor for side effects (bleeding, thrombocytopenia, etc)
Planning to admin thrombolytic therapy to a client who had a stroke... - ANSWERS-
admin within 4.5 hours of onset of initial symptoms
positive kernig's sign - ANSWERS-test dealing with the extension of the neck
Post hip arthroplasty positioning: - ANSWERS-supine w/head of bed slightly
elevated & affected leg in a neutral position
place pillow or abduction device between the legs when turning to the unaffected
side
client should not be turned to affected side
Post hip arthroplasty: - ANSWER- monitor for s/s of DVT and PE
-antiembolitic stockings or compression devices while in bed
-encourage: plantar flexion, dorsiflexion, & circumduction exercises
-encourage early ambulation
-client's Hgb & Hct may drop 24-48 hrs post surgery
Post knee arthroplasty: - ANSWER- no pillows under knee
-to prevent heel ulcers: place small pillow/blanket under ankle area
-ice/cold therapy to help w/swelling
-compression bandage & suction
-CPM may be applied after surgery
