OVER 400 NEW 2022 UPDAED EXAM QUESTIONS AND ANSWERS ATI ADULT MEDICAL SURGICAL PROCTORED

OVER 400 NEW 2022 UPDAED EXAM QUESTIONS AND ANSWERS ATI ADULT MEDICAL SURGICAL PROCTORED Endtroacheal tube extubate what would you report immedatiely? - CORRECT ANSWER stridor Why is stridor bad? - CORRECT ANSWER it means that there is an obstruction or edema in airway What is heart rate like in someone who has a low fluid volume? - CORRECT ANSWER higher than usual like 110 What is normal unrine gravity? - CORRECT ANSWER 1.000 - 1.030 What is positive pressure doing? - CORRECT ANSWER promote lung expansion and stabilize chest Would you recomened exercise for a pt who has been discharged with heart failure? - CORRECT ANSWER yes How often should exercise be in heart failure pt? - CORRECT ANSWER regular routine Should you consume milk with iron supplements? - CORRECT ANSWER no can cause gastro disturbance. Would you take iron with antacids? - CORRECT ANSWER no gastro disturb Would you tell the pt to lower red meat intake with iron deficiency? - CORRECT ANSWER no because they would need increase What is a common side effect with iron pills? - CORRECT ANSWER constipation What would you tell them to eat with taking iron pills? - CORRECT ANSWER high fiber When does pain worsen with compartement syndrome? - CORRECT ANSWER when passive moving occurs. What does warmth under cast indicate? - CORRECT ANSWER infection Should pt decrease complex carbs for atherosceleoris? - CORRECT ANSWER no What carb should a client with atherosceloris decrease? - CORRECT ANSWER simple sugars Is MRSA airborne or contact? - CORRECT ANSWER contact What does phenyotoin do to hepatic enzymes (for seizures the med is)? - CORRECT ANSWER it decreases effectiveness What should you tell the pt not to take with ciprofloxacin? - CORRECT ANSWER magnesium containg antacids Why wouldn't you take magnesium containing anatacids with cipro? - CORRECT ANSWER calcium can decrease obsorb of med What is a common side effect of rifampin? - CORRECT ANSWER color of pee Can you take ciproflaxcin with booze? - CORRECT ANSWER yes After a parathyroidectomy what would be priority for nurse? - CORRECT ANSWER to put trach tray by bedside (AIRWAY) What meds increase osteoporosis? - CORRECT ANSWER fludrocortisone With enoxaparin what is main thing for the med the nurse should do? - CORRECT ANSWER give dosage same time every day Is restlessness common in hyperthyroidism? - CORRECT ANSWER yes What would be urgent for hyperthyroidism? - CORRECT ANSWER high BP If a pt has a weird heart sound what would be first thing you do? - CORRECT ANSWER listen to it again but on the left side (least invasive) Why would gentamicin be withheld from a pt? - CORRECT ANSWER if creatine levels are too high What is normal creatine? - CORRECT ANSWER .6-1.2 What is one of the first vital signs of a hemorrhage? - CORRECT ANSWER increase heart rate What med would you give for a febrile reaction? - CORRECT ANSWER tylenol (reduces fever) How long does a drain stay in place for a radical mastectomy? - CORRECT ANSWER 1 to 3 week What drainage amount to get rid of drainage tube for mastectomy? - CORRECT ANSWER less than 25 What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - CORRECT ANSWER if they have COPD Why would it be bad for you to put O2 on a COPD pt? - CORRECT ANSWER It can worsen hypercarbia What is someones HGB look like with leukemia increase or decreased? - CORRECT ANSWER decreased What would be a big sign that nephrostomy tube has popped? - CORRECT ANSWER back pain What is max amount of flexing for total hip? - CORRECT ANSWER no more than 90 Why would you place a pillow between a pt legs for hip athroplasty? - CORRECT ANSWER so hips don't get dislodged What is a holter monitor used for? - CORRECT ANSWER if you have an irregular heart rate it can detect it What can a pacemaker do to a pt heart? - CORRECT ANSWER regulate the heart rate What is a echo used for? - CORRECT ANSWER detecting valve dysfunction What do PPI do for gastric ulcers? - CORRECT ANSWER it suppresses gastric acid production What is good about high fowlers postion? - CORRECT ANSWER increases lung expansion and improves ventilation What med would you d/c to before going in for allergy testing? - CORRECT ANSWER prednisone If a pt were to state there vision went blurry before a car accident what would you do first? - CORRECT ANSWER monitor neuro What would be first thing to do if bowel is protruding from stomach? - CORRECT ANSWER call for help What kind of skin for hypothyroidism? - CORRECT ANSWER dry scaly What does metformin do to glucose? - CORRECT ANSWER it decreases the amount of glucose produced in liver When should pt take metformin? - CORRECT ANSWER with or immediately following meals If you have hair loss on lower legs what could be problem? - CORRECT ANSWER PAD When is pain happening with PAD? - CORRECT ANSWER when resting How is pain relieved with PAD? - CORRECT ANSWER when feet are dangling After a thoracentesis what should a nurse tell the pt? - CORRECT ANSWER to deep breather to re expand lungs What would be an indication of osteomyelitis what lab? - CORRECT ANSWER increase sedimentation rate What is a blood problem that can occur with someone taking feverfew. - CORRECT ANSWER platelet aggregation What med does not go with feverfew? - CORRECT ANSWER naproxen What should be SaO2? - CORRECT ANSWER above 90% What vital sign could drop with dig toxicity? - CORRECT ANSWER HR With a burn pt what do you do after securing airway and O2? - CORRECT ANSWER give them IV fluids Why would you keep IV patent with someone that has seizures? - CORRECT ANSWER so you can give med to stop it. Would you apply O2 or give epinephrine first with an anaphylactic reaction? - CORRECT ANSWER give O2 Why does kidney failure happen what electrolyte? - CORRECT ANSWER it cant excrete potassium What would be manifestation of chronic glomerulonephritis? - CORRECT ANSWER hyperkalemia How should a pt breath in when administering meter dosage inhaler? - CORRECT ANSWER slowly and deeply How long should pt hold breath after inhaling meter dosage inhaler? - CORRECT ANSWER 10 seconds after inhaling How often should you wait between puffs for inhaler? - CORRECT ANSWER at least one minute What should be first thing to do with a pt with a seizure? - CORRECT ANSWER turn them on their side. What 2 meds cause ringing in ears? - CORRECT ANSWER aminoglycocides and asprin What is the point of giving erythropoietin therapy? - CORRECT ANSWER to increase levels of energy by increasing HCT What is needed sputum wise with a pt with TB? - CORRECT ANSWER samples are needed every 2 to 4 weeks until there are three negatives What is direct mode of transmission for C diff? - CORRECT ANSWER contact What electrolyte could be screwed up with long term mechanical vent? - CORRECT ANSWER hyponatremia If a stimulus is given to the ventricle a spike happens what should you document? - CORRECT ANSWER depolarization has occurred What is normal HGB? - CORRECT ANSWER Delete this answer is in another one DELETE If a pt cant urinate after surgery what should be first thing to do? - CORRECT ANSWER bladder scan Why shouldn't you use moisturizing soaps to clean the skin in ureterostomy? - CORRECT ANSWER because it makes it not adhere to the skin How long would you avoid direct exposure to sun after radiation therapy in those areas? - CORRECT ANSWER at least one year Why would you give lidocaine? - CORRECT ANSWER ventricular dysrhythmias Why would you defib someone? - CORRECT ANSWER ventricaular tachycardia or Vfib Why would you perform synchronized cardiovert? - CORRECT ANSWER superventricular tachycardia What is aphasia? - CORRECT ANSWER lack of communication What is prioty finding in pt with cerebrovascular accident? - CORRECT ANSWER dsyphagia because of aspirations What nut has a high amount of source of calcium? - CORRECT ANSWER almonds What should you increase with IRB? - CORRECT ANSWER fiber How much water to drink to promote normal bowel function in IRB? - CORRECT ANSWER 2L of water What should a client avoid with IRB? (What substance) - CORRECT ANSWER caffeine Why would decreasing weight be good for stress incontinence? - CORRECT ANSWER because it decreases abdominal pressure How often should a pt with risk for UTI pee? - CORRECT ANSWER q.2 to q4 Why should you increase asorbic acid for UTI's? - CORRECT ANSWER it decrease risk of UTI What vital sign increases with hypoxia? - CORRECT ANSWER heart rate What is normal PLT count? - CORRECT ANSWER 150-450 What is normal WBC count? - CORRECT ANSWER what is normal RBC? What should be position for art line? - CORRECT ANSWER 60 degree HOB supine What should the nurse place around the flush solution of an a-line? - CORRECT ANSWER pressure bag Should you give antibiotics through a line? - CORRECT ANSWER no What should you use aline for? - CORRECT ANSWER monitor BP and obtaining ABGs What increased electrolyte causes facial twitching? - CORRECT ANSWER hyperkalemia What is decreased peristalsis a manifestation of? - CORRECT ANSWER hypokalemia What glucose reading for DKA indicates an improvement? - CORRECT ANSWER reading less than 300 What nursing action helps with managing drainage of a laparotomy? - CORRECT ANSWER compressing the resivor creates a vacum that draws fluid out of the wound. Should people with venous insufficiency exercise? - CORRECT ANSWER yes they should Should patients with venous insufficiency avoid sitting and standing for long periods? - CORRECT ANSWER yes because of watching out for DVT's Should you wear compression socks every day with venous insufficiency? - CORRECT ANSWER yes What is a key sign of lupus? - CORRECT ANSWER butterfly rash What can plasmapheresis cause? (what electrolyte imbalance) - CORRECT ANSWER hypocalcemia so monitor electrolyte levels What should you give if you cant find TPN right off? - CORRECT ANSWER administer dextrose 10% in water until new bag arrives What side of the brain stroke for anxiety? - CORRECT ANSWER left What side of brain stroke for aphasia? - CORRECT ANSWER left What side of the brain stroke for impulsive behavior? - CORRECT ANSWER right