ATI MED SURG RN EXIT FINAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ Beta blockers (Propanolol). Answer: - monitor: sore throat, vision
changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis,
acute pancreatitis
- notify provider: night cough
⩥ Factors that affect wound healing. Answer: - dehydration (UO)
- infection
- BMI <18.5 or >25
- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
⩥ HIV/AIDS. Answer: - positive response to treatment monitored by
viral load
- risk for infection: do not drink fluids left out for longer than 60 min,
clean toothbrush in dishwasher weekly, avoid fresh produce, check temp
daily
- dx test: ELISA confirmed by western blot/IFA, viral load
,⩥ Fluid replacement. Answer: - monitor BUN
⩥ Cerebrovascular accident. Answer: - right sided: visual, spatial,
proprioception; poor impulse control/judgment; unilateral neglect
- left sided: language, math, analytical skills
⩥ Preventing UTIs. Answer: - wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
- cotton underwear
- urinate Q2-4h
⩥ Radiation therapy. Answer: - do not remove ink markings
- wash area gently with warm water and mild soap
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
, ⩥ Kidney transplants. Answer: - hemodialysis sometimes needed
following surgery because kidneys from deceased donors may not
function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
⩥ Hemodialysis. Answer: - expected: weight loss, decrease BP, increase
temp
- complications: hypocalcemia, bleeding, infection, hypovolemia,
anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
⩥ Inotropic medications. Answer: - dopamine, digoxin, dobutamine,
milirinone
- increase contractility and improve CO
- monitor HR (apical), hold if <60 min
⩥ Diabetes inspidus. Answer: - deficiency in ADH
- inability to concentrate urine, 1.001-1.005
- assessment: hypotension, weak peripheral pulses, polydipsia, polyuria
(4-30L/day), nocturia, dehydration
QUESTIONS WITH ANSWERS GRADED A+
⩥ Beta blockers (Propanolol). Answer: - monitor: sore throat, vision
changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis,
acute pancreatitis
- notify provider: night cough
⩥ Factors that affect wound healing. Answer: - dehydration (UO)
- infection
- BMI <18.5 or >25
- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
⩥ HIV/AIDS. Answer: - positive response to treatment monitored by
viral load
- risk for infection: do not drink fluids left out for longer than 60 min,
clean toothbrush in dishwasher weekly, avoid fresh produce, check temp
daily
- dx test: ELISA confirmed by western blot/IFA, viral load
,⩥ Fluid replacement. Answer: - monitor BUN
⩥ Cerebrovascular accident. Answer: - right sided: visual, spatial,
proprioception; poor impulse control/judgment; unilateral neglect
- left sided: language, math, analytical skills
⩥ Preventing UTIs. Answer: - wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
- cotton underwear
- urinate Q2-4h
⩥ Radiation therapy. Answer: - do not remove ink markings
- wash area gently with warm water and mild soap
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
, ⩥ Kidney transplants. Answer: - hemodialysis sometimes needed
following surgery because kidneys from deceased donors may not
function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
⩥ Hemodialysis. Answer: - expected: weight loss, decrease BP, increase
temp
- complications: hypocalcemia, bleeding, infection, hypovolemia,
anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
⩥ Inotropic medications. Answer: - dopamine, digoxin, dobutamine,
milirinone
- increase contractility and improve CO
- monitor HR (apical), hold if <60 min
⩥ Diabetes inspidus. Answer: - deficiency in ADH
- inability to concentrate urine, 1.001-1.005
- assessment: hypotension, weak peripheral pulses, polydipsia, polyuria
(4-30L/day), nocturia, dehydration
