ATI ADULT MEDICAL PROCTOR STUDY GUIDE 2023 WITH 90 QUESTIONS
AND VERIFIED ANSWERS FOR GRADE A+ LATEST UPDATE 2024
1. Seizures and Epilepsy: Seizure precautions: During a seizure: Position
client on the floor and provide a patent airway, turn client to side and loosen
restrictive clothing
2. Cancer treatment options: Protective Isolation (999): If WBC drops below
1,000, place the client in a private room and initiate neutropenic precautions. -
Have client remain in his room unless be needs to leave for a diagnostic
procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change water in equipment
daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
3. Infection control: Appropriate room assignment: Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or
spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
,ATI ADULT MEDICAL PROCTOR STUDY GUIDE 2023 WITH 90 QUESTIONS
AND VERIFIED ANSWERS FOR GRADE A+ LATEST UPDATE 2024
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag without
touching the outside of the bag
4. TB: Priority action for a client in the emergency department (249): -Wear
an
N95 or HEPA respirator
-Place client in negative airflow room and implement airborne precautions
-use barrier protection when the risk of hand or clothing contamination exists
5. Immunizations: Recommended vaccinations for older adult clients (943):
Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
6. Pulmonary Embolism: Risk factors for DVT (258): -Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
-Advanced age
7. Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection (743): -Urethral
trauma -Urinary retention
- Bleeding
- Infection
8. Stroke: Caring for a client who has left sided hemiplegia (155): - Observe
extremities for injury
, ATI ADULT MEDICAL PROCTOR STUDY GUIDE 2023 WITH 90 QUESTIONS
AND VERIFIED ANSWERS FOR GRADE A+ LATEST UPDATE 2024
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected foot
- Instruct client to dress the affected side first
9. Fractures and immobilization devices: Prevent complications (787): -Assess
neurovascular status of the affected body part for every hour for 24 hours and Q4
hours after that
- Maintain body alignment
- avoid lifting or removing weights
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
10. Pain Management: use of non pharmacological methods of pain relief: -
Cutaneous (skin) stimulation- TENS, heat, cold, therapeutic touch and massage
- Distraction (deep breathing, ambulation, visitors, TV and music)
- Relaxation (meditation, yoga and progressive muscle relaxation
-Imagery (focus on pleasant thoughts)
- Elevation of extremities to promote venous return
11. Acute Kidney injury and chronic kidney disease: Evaluating teaching
about nutrition: -Restrict dietary intake of potassium, phosphate and magnesium
during oliguric phase
-K and Na is regulated according to stage of kidney injury
- high protein diet to replace the high rate of protein breakdown due to the stress
from the illness. Possible TPN
12. Heart failure and pulmonary edema: Dietary teaching about sodium
restriction: Maintain fluid and sodium restriction
Increase dietary intake of potassium
13. Pulmonary Embolism: Planning care for a client who is receiving
enoxaparin: -Assess for contraindications (active bleeding, peptic ulcer disease,
history of stroke, recent trauma)
-Monitor bleeding times (PT, aPTT and INR)
-Monitor for side effects such as thrombocytopenia, anemia and hemmorhage
14. Rheumatoid Arthritis: Reviewing Laboratory Values: -Positive Anti- cyclic
citrullinated peptide
AND VERIFIED ANSWERS FOR GRADE A+ LATEST UPDATE 2024
1. Seizures and Epilepsy: Seizure precautions: During a seizure: Position
client on the floor and provide a patent airway, turn client to side and loosen
restrictive clothing
2. Cancer treatment options: Protective Isolation (999): If WBC drops below
1,000, place the client in a private room and initiate neutropenic precautions. -
Have client remain in his room unless be needs to leave for a diagnostic
procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change water in equipment
daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
3. Infection control: Appropriate room assignment: Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or
spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
,ATI ADULT MEDICAL PROCTOR STUDY GUIDE 2023 WITH 90 QUESTIONS
AND VERIFIED ANSWERS FOR GRADE A+ LATEST UPDATE 2024
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag without
touching the outside of the bag
4. TB: Priority action for a client in the emergency department (249): -Wear
an
N95 or HEPA respirator
-Place client in negative airflow room and implement airborne precautions
-use barrier protection when the risk of hand or clothing contamination exists
5. Immunizations: Recommended vaccinations for older adult clients (943):
Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
6. Pulmonary Embolism: Risk factors for DVT (258): -Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
-Advanced age
7. Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection (743): -Urethral
trauma -Urinary retention
- Bleeding
- Infection
8. Stroke: Caring for a client who has left sided hemiplegia (155): - Observe
extremities for injury
, ATI ADULT MEDICAL PROCTOR STUDY GUIDE 2023 WITH 90 QUESTIONS
AND VERIFIED ANSWERS FOR GRADE A+ LATEST UPDATE 2024
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected foot
- Instruct client to dress the affected side first
9. Fractures and immobilization devices: Prevent complications (787): -Assess
neurovascular status of the affected body part for every hour for 24 hours and Q4
hours after that
- Maintain body alignment
- avoid lifting or removing weights
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
10. Pain Management: use of non pharmacological methods of pain relief: -
Cutaneous (skin) stimulation- TENS, heat, cold, therapeutic touch and massage
- Distraction (deep breathing, ambulation, visitors, TV and music)
- Relaxation (meditation, yoga and progressive muscle relaxation
-Imagery (focus on pleasant thoughts)
- Elevation of extremities to promote venous return
11. Acute Kidney injury and chronic kidney disease: Evaluating teaching
about nutrition: -Restrict dietary intake of potassium, phosphate and magnesium
during oliguric phase
-K and Na is regulated according to stage of kidney injury
- high protein diet to replace the high rate of protein breakdown due to the stress
from the illness. Possible TPN
12. Heart failure and pulmonary edema: Dietary teaching about sodium
restriction: Maintain fluid and sodium restriction
Increase dietary intake of potassium
13. Pulmonary Embolism: Planning care for a client who is receiving
enoxaparin: -Assess for contraindications (active bleeding, peptic ulcer disease,
history of stroke, recent trauma)
-Monitor bleeding times (PT, aPTT and INR)
-Monitor for side effects such as thrombocytopenia, anemia and hemmorhage
14. Rheumatoid Arthritis: Reviewing Laboratory Values: -Positive Anti- cyclic
citrullinated peptide
