ATI RN Medical Surgical Proctored Exam
ATI RN Medical Surgical
Proctored Exam With Correct
Answers For Grade A+
Endoscopy (EGD) positioning - CORRECT ANSWER -left side lying
Before an Endoscopy (EGD): - CORRECT ANSWER --NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - CORRECT ANSWER --restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - CORRECT ANSWER -flap furthest
from body, side flaps, then closest
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 ANSWER -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 ANSWER -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
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,ATI RN Medical Surgical Proctored Exam
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 ANSWER
-B, C, D
TB is suspected, what precautionary actions to do? - CORRECT ANSWER --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 ANSWER --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 ANSWER -numb/tingling in the
hands & feet
What to watch for when on Rifampin: - CORRECT ANSWER --orange secretions
normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT ANSWER -vision changes
Client teaching for genital herpes: - CORRECT ANSWER --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 ANSWER --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
ANSWER --cheese
-soups
-bread
-cold cuts/cured meats
-pizza
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,ATI RN Medical Surgical Proctored Exam
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - CORRECT ANSWER -
ibuprofen
Ketorolac should not be used concurrently with... - CORRECT ANSWER -other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - CORRECT
ANSWER -non-opioid analgesics
To access an implanted port, you must use a... - CORRECT ANSWER -noncoring
(Huber) needle
When done accessing an implanted port... - CORRECT ANSWER -flush with 10 mL
0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - CORRECT ANSWER --decreases preload of
the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - CORRECT ANSWER --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
ANSWER --decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - CORRECT ANSWER -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
3|Page
, ATI RN Medical Surgical Proctored Exam
Which foods should the client on Warfarin avoid? - CORRECT ANSWER -dark leafy
green veggies
Client teaching for anticoagulant therapy: - CORRECT ANSWER --bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension: - CORRECT ANSWER --furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
Contraindications for Nadolol: - CORRECT ANSWER --asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
Treatment for diabetes insipidus: - CORRECT ANSWER --daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
Meds for DI, what to look out for/do: - CORRECT ANSWER --adjust based on urine
output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
Protein requirement of an adult: _____g of protein per kg - CORRECT ANSWER -0.8 g
4|Page
ATI RN Medical Surgical
Proctored Exam With Correct
Answers For Grade A+
Endoscopy (EGD) positioning - CORRECT ANSWER -left side lying
Before an Endoscopy (EGD): - CORRECT ANSWER --NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - CORRECT ANSWER --restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - CORRECT ANSWER -flap furthest
from body, side flaps, then closest
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 ANSWER -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 ANSWER -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
1|Page
,ATI RN Medical Surgical Proctored Exam
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 ANSWER
-B, C, D
TB is suspected, what precautionary actions to do? - CORRECT ANSWER --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 ANSWER --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 ANSWER -numb/tingling in the
hands & feet
What to watch for when on Rifampin: - CORRECT ANSWER --orange secretions
normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT ANSWER -vision changes
Client teaching for genital herpes: - CORRECT ANSWER --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 ANSWER --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
ANSWER --cheese
-soups
-bread
-cold cuts/cured meats
-pizza
2|Page
,ATI RN Medical Surgical Proctored Exam
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - CORRECT ANSWER -
ibuprofen
Ketorolac should not be used concurrently with... - CORRECT ANSWER -other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - CORRECT
ANSWER -non-opioid analgesics
To access an implanted port, you must use a... - CORRECT ANSWER -noncoring
(Huber) needle
When done accessing an implanted port... - CORRECT ANSWER -flush with 10 mL
0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - CORRECT ANSWER --decreases preload of
the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - CORRECT ANSWER --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
ANSWER --decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - CORRECT ANSWER -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
3|Page
, ATI RN Medical Surgical Proctored Exam
Which foods should the client on Warfarin avoid? - CORRECT ANSWER -dark leafy
green veggies
Client teaching for anticoagulant therapy: - CORRECT ANSWER --bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension: - CORRECT ANSWER --furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
Contraindications for Nadolol: - CORRECT ANSWER --asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
Treatment for diabetes insipidus: - CORRECT ANSWER --daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
Meds for DI, what to look out for/do: - CORRECT ANSWER --adjust based on urine
output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
Protein requirement of an adult: _____g of protein per kg - CORRECT ANSWER -0.8 g
4|Page
