ATI RN Medical Surgical Version) Proctored
Exam with NGN 70+2026
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - correct answers-D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - correct answers-C, D, E
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - correct answers-B, C, D
,Endoscopy (EGD) positioning - correct answers-left side lying
Before an Endoscopy (EGD): - correct answers--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - correct answers--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - correct answers-flap furthest from body, side flaps,
then closest
TB is suspected, what precautionary actions to do? - correct answers--negative airflow room,
airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - correct answers--family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - correct answers-numb/tingling in the hands & feet
What to watch for when on Rifampin: - correct answers--orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - correct answers-vision changes
Client teaching for genital herpes: - correct answers--can be transmitted with or w/out blisters
,-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: - correct answers--
thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: - correct answers--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - correct answers-ibuprofen
Ketorolac should not be used concurrently with... - correct answers-other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - correct answers-non-opioid
analgesics
To access an implanted port, you must use a... - correct answers-noncoring (Huber) needle
, When done accessing an implanted port... - correct answers-flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - correct answers--decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - correct answers--vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - correct answers--decreased
potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - correct answers-1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
Which foods should the client on Warfarin avoid? - correct answers-dark leafy green veggies
Exam with NGN 70+2026
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - correct answers-D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - correct answers-C, D, E
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - correct answers-B, C, D
,Endoscopy (EGD) positioning - correct answers-left side lying
Before an Endoscopy (EGD): - correct answers--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - correct answers--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - correct answers-flap furthest from body, side flaps,
then closest
TB is suspected, what precautionary actions to do? - correct answers--negative airflow room,
airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - correct answers--family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - correct answers-numb/tingling in the hands & feet
What to watch for when on Rifampin: - correct answers--orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - correct answers-vision changes
Client teaching for genital herpes: - correct answers--can be transmitted with or w/out blisters
,-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: - correct answers--
thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: - correct answers--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - correct answers-ibuprofen
Ketorolac should not be used concurrently with... - correct answers-other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - correct answers-non-opioid
analgesics
To access an implanted port, you must use a... - correct answers-noncoring (Huber) needle
, When done accessing an implanted port... - correct answers-flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - correct answers--decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - correct answers--vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - correct answers--decreased
potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - correct answers-1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
Which foods should the client on Warfarin avoid? - correct answers-dark leafy green veggies
