ADULT MEDICAL-SURGICAL ATI
PROCTORED EXAM QUESTIONS WITH
CORRECT ANSWERS
Aspects of Health and Wellness - Answer-Physical, Emotional, Social, Intellectual,
Spiritual, Occupational, Environmental
Illness-Wellness Continuum - Answer-A Data Collection Tool Used to Measure the
Level of Wellness to Premature Death
Illness - Answer-The Impairment of a Client's Physical , Social, Emotional, Spiritual,
Developmental, or Intellectual Functioning
Health & Wellness (Interventions) - Answer-Recommend Strengthening Coping
Abilities, Identify & Encourage Use of Support Systems, Identify & Find Ways to Reduce
Obstacles, Assist with Development of Health Education to Improve Health Awareness.
Emergency Nursing Principles - Answer-ABCDE Principle
A- Airway/Cervical Spine - Answer-Airway Should be Opened with the Head-Tilt/Chin-
Lift Maneuver, Do Not Perform On Clients With a Cervical Spine Injury
B- Breathing - Answer-Once a Patent Airway is Achieved, the Nurse Should Check for
the Presence & Effectiveness of Breathing
C- Circulation - Answer-Nurses Should Check Heart Rate, Blood Pressure, Peripheral
Pulses, Capillary Refill for Adequate Perfusion
Interventions for Restoring Effective Circulation - Answer-Perform CPR, Check for
External Bleeding, Hemorrhage Control, Assist with Infusion Isotonic IV Fluids
Interventions to Alleviate Shock - Answer-Administer Oxygen, Apply Pressure to
Obvious Bleeding, Elevate Lower Extremities, Provide IV Fluids, Remain with Client
Provide Reassurance & Support for Anxiety
D- Disability - Answer-A Quick Check to Determine the Client's Level of Consciousness
(AVPU, Glasgow Coma Scale)
AVPU - Answer-Alert, Voice (Responsiveness to), Pain (Responsiveness to),
Unresponsiveness
,E- Exposure - Answer-Nurse Removes Client's Clothing to Collect Physical Findings,
Always Remove When There are Injuries Related to Chemical & Thermal Burns,
Preserve Items of Evidence , Hypothermia is a Huge Concern
Preventing Hypothermia - Answer-Remove Wet Clothing from the Client, Cover the
Client with Warm Blankets, Increase Temperature of the Room, Use a Heat Lamp to
Provide Additional Warmth, Assist with Infusion of Warmed IV Fluids
Heat Exhaustion (Manifestations) - Answer-Causes Tachycardia & Excessive
Diaphoresis Leading to Dehydration, Receive Treatment for Dehydration & Low Sodium
Heat Stroke (Manifestations) - Answer-Elevated Temperature, Lack of Perspiration,
Increased Heart Rate, Alterations in Mental Status, Abnormal Blood Potassium or
Sodium Levels
Preventing Hyperthermia - Answer-Wear Lightweight Loose Fitting Clothing, Avoid
Excessive Sun Exposure, Stay Indoors with Fans & AC, Limit Consumption of Alcohol &
Caffeine, Take a Cool Shower or Bath
Frostbite (Interventions) - Answer-Clients Require Rewarming, Bathing Affected Areas
in Warm Bath (104-108), Administer Tetanus Toxoid IM Vaccine to Prevent
Complication Related to Growth of Tetanus in Wounds
Poisoning (Interventions) - Answer-Provide Measures for Respiratory Support, Monitor
Compromised Circulation, Restore Fluids, Monitor Blood Pressure, Administer
Diazepam for Seizures
Poisoning - Answer-Poisoning is Exposure to a Toxic Agent, Considered a Medical
Emergency & Requires Rapid Management Therapy
Types of Cardiac Emergencies - Answer-Cardiac Arrest, Ventricular Fibrillation (VF),
Pulseless Ventricular Tachycardia (VT), Ventricular Asystole, Pulseless Electrical
Activity (PEA), Sudden Cardiac Death
Emergency Nurse Certifications - Answer-BLS, ACLS, Pediatric Advanced Life Support
Cerebral Angiography - Answer-Provides Visualization of the Cerebral Blood Vessels
Cerebral Angiography (Indications) - Answer-Used to Check the Blood Flow to & Within
the Brain, Identify Aneurysms, & Define the Vascularity of Tumors
Cerebral Angiography (Client Education) - Answer-Void Immediately Prior to the
Procedure, Common to Experience a Metallic Taste & Feel a Sensation of Warmth
Behind the Eyes & Over the Face, Jaw, Tongue, Lips
,Cerebral Angiography (Complications) - Answer-Risk for Bleeding & Hematoma
Formation
Cerebral Computed Tomography Scan - Answer-Provides Cross-Sectional Images of
the Cranial Cavity. A Contrast Medium can be used to Enhance the Images
Cerebral Computed Tomography Scan (Indications) - Answer-CT Scanning can be used
to Identify Tumors & Infarctions, Detect Abnormalities, Monitor Response to Treatment,
and Guide Needles Used for Biopsies
Electroencephalography - Answer-A Noninvasive Procedure that Checks the Electrical
Activity of the Brain and is used to Determine Abnormalities in Brain Wave Patterns
Electroencephalography (Indications) - Answer-Most Commonly Performed to Identify &
Determine Seizure Activity, But Also used to Detect Sleeping Disorders
Electroencephalography (Client Education) - Answer-Wash Hair to Eliminate all Gels,
Oils, and Sprays; Avoid Taking any Stimulant or Sedative Medication 24-48 Hours Prior
to the Procedure, May be Asked to Hyperventilate for 3-4 Minutes
Glasgow Coma Scale - Answer-This Data Collection Tool Concentrates on Neurologic
Function and is Useful to Determine the Level of Consciousness and Monitor Response
to Treatment
Glasgow Coma Scale (Indications) - Answer-Helpful in Determining Changes in the
LOC for Clients Who Have Head Injuries, Space-Occupying Lesions or Cerebral
Infarctions and Encephaltitis
Intracranial Pressure Monitoring - Answer-Device Inserted into the Cranial Cavity that
Records Pressure and is Connected to a Monitor that Shows a Picture of the Pressure
Waveforms
Intracranial Pressure Monitoring (Indications) - Answer-Useful for Early Identification
and Treatment of Increased Intracranial Pressure
Intracranial Pressure Monitoring (Manifestations) - Answer-Severe Headache,
Deteriorating LOC, Restlessness, Irritability, Dilated or Pinpoint Pupils, Slowness to
React, Alteration in Breathing Pattern, Abnormal Posturing
Lumbar Puncture (Spinal Tap) - Answer-Procedure During Which a Small Amount of
CSF is Withdrawn from the Spinal Canal then Analyze to Determine its Constituents
Lumbar Puncture (Indications) - Answer-Used to Detect the Presence of Some
Diseases, Infections, and Malignancies. Used to Reduce CSF Pressure, Instill a
Contrast Medium or Air for Diagnostic Tests, or Administer Medication or Chemotherapy
Directly to Spinal Fluid
, Magnetic Resonance Imaging Scan - Answer-Provides Cross-Sectional Images of the
Cranial Activity
Magnetic Resonance Imaging Scan (Indications) - Answer-Used to Detect
Abnormalities, Monitor Response to Treatment, and Guide Needles used for Biopsies
PET & SPECT Scans - Answer-Nuclear Medicine Procedures that Produce Three-
Dimensional Images of the Head
PET & SPECT Scans (Indications) - Answer-Captures Regional Metabolic Processes,
Which is Most Useful in Determining Tumor Activity and/or Response to Treatment
Radiography (X-Ray) - Answer-Uses Electromagnetic Radiation to Capture Images of
the Internal Structures of an Individual
Radiography (Indications) - Answer-Examinations of the Skull and Spine can Reveal
Fractures, Curvatures, Bone Erosion, and Dislocation, and Possible Soft Tissue
Calcification, All of Which can Damage the Nervous System
Types of Pain - Answer-Acute, Chronic, Nociceptive, Neuropathic`
Focused Pain Data Collection - Answer-Location, Quality, Measures (Intensity,
Strength, Severity), Timing, Setting, Associated Manifestations, Aggravating Factors
Nonpharmacological Pain Management - Answer-Mind-Body Practices, Cognitive
Approaches, Natural Products,
Pharmacological Interventions - Answer-Non-Opioid Analgesics, Opioid Analgesics,
Adjuvant Analgesics, Patient-Controlled Analgesics, Spinal-Cord Stimulators (Epidural)
Complications of Pain Management - Answer-Severe Anxiety, Depression, Sedation,
Respiratory Distress, and Coma
Meningitis - Answer-Inflammation of the Meninges
Meningitis (Expected Findings) - Answer-Excruciating, Constant Headache, Stiff Neck,
Photophobia, Fever & Chills, Altered LOC, Positive Kerning's Sign, Seizures, Positive
Brudzinski's Sign
Meningitis (Nursing Care) - Answer-Maintain Isolation Precautions, Implement Fever-
Reduction Measures, Decrease Environmental Stimuli, Monitor for ICP
Meningitis (Medication) - Answer-Ceftriaxone with Vancomycin, Phenytoin,
Acetaminophen, Ibuprofen, Ciprofloxacin, Rifampin
PROCTORED EXAM QUESTIONS WITH
CORRECT ANSWERS
Aspects of Health and Wellness - Answer-Physical, Emotional, Social, Intellectual,
Spiritual, Occupational, Environmental
Illness-Wellness Continuum - Answer-A Data Collection Tool Used to Measure the
Level of Wellness to Premature Death
Illness - Answer-The Impairment of a Client's Physical , Social, Emotional, Spiritual,
Developmental, or Intellectual Functioning
Health & Wellness (Interventions) - Answer-Recommend Strengthening Coping
Abilities, Identify & Encourage Use of Support Systems, Identify & Find Ways to Reduce
Obstacles, Assist with Development of Health Education to Improve Health Awareness.
Emergency Nursing Principles - Answer-ABCDE Principle
A- Airway/Cervical Spine - Answer-Airway Should be Opened with the Head-Tilt/Chin-
Lift Maneuver, Do Not Perform On Clients With a Cervical Spine Injury
B- Breathing - Answer-Once a Patent Airway is Achieved, the Nurse Should Check for
the Presence & Effectiveness of Breathing
C- Circulation - Answer-Nurses Should Check Heart Rate, Blood Pressure, Peripheral
Pulses, Capillary Refill for Adequate Perfusion
Interventions for Restoring Effective Circulation - Answer-Perform CPR, Check for
External Bleeding, Hemorrhage Control, Assist with Infusion Isotonic IV Fluids
Interventions to Alleviate Shock - Answer-Administer Oxygen, Apply Pressure to
Obvious Bleeding, Elevate Lower Extremities, Provide IV Fluids, Remain with Client
Provide Reassurance & Support for Anxiety
D- Disability - Answer-A Quick Check to Determine the Client's Level of Consciousness
(AVPU, Glasgow Coma Scale)
AVPU - Answer-Alert, Voice (Responsiveness to), Pain (Responsiveness to),
Unresponsiveness
,E- Exposure - Answer-Nurse Removes Client's Clothing to Collect Physical Findings,
Always Remove When There are Injuries Related to Chemical & Thermal Burns,
Preserve Items of Evidence , Hypothermia is a Huge Concern
Preventing Hypothermia - Answer-Remove Wet Clothing from the Client, Cover the
Client with Warm Blankets, Increase Temperature of the Room, Use a Heat Lamp to
Provide Additional Warmth, Assist with Infusion of Warmed IV Fluids
Heat Exhaustion (Manifestations) - Answer-Causes Tachycardia & Excessive
Diaphoresis Leading to Dehydration, Receive Treatment for Dehydration & Low Sodium
Heat Stroke (Manifestations) - Answer-Elevated Temperature, Lack of Perspiration,
Increased Heart Rate, Alterations in Mental Status, Abnormal Blood Potassium or
Sodium Levels
Preventing Hyperthermia - Answer-Wear Lightweight Loose Fitting Clothing, Avoid
Excessive Sun Exposure, Stay Indoors with Fans & AC, Limit Consumption of Alcohol &
Caffeine, Take a Cool Shower or Bath
Frostbite (Interventions) - Answer-Clients Require Rewarming, Bathing Affected Areas
in Warm Bath (104-108), Administer Tetanus Toxoid IM Vaccine to Prevent
Complication Related to Growth of Tetanus in Wounds
Poisoning (Interventions) - Answer-Provide Measures for Respiratory Support, Monitor
Compromised Circulation, Restore Fluids, Monitor Blood Pressure, Administer
Diazepam for Seizures
Poisoning - Answer-Poisoning is Exposure to a Toxic Agent, Considered a Medical
Emergency & Requires Rapid Management Therapy
Types of Cardiac Emergencies - Answer-Cardiac Arrest, Ventricular Fibrillation (VF),
Pulseless Ventricular Tachycardia (VT), Ventricular Asystole, Pulseless Electrical
Activity (PEA), Sudden Cardiac Death
Emergency Nurse Certifications - Answer-BLS, ACLS, Pediatric Advanced Life Support
Cerebral Angiography - Answer-Provides Visualization of the Cerebral Blood Vessels
Cerebral Angiography (Indications) - Answer-Used to Check the Blood Flow to & Within
the Brain, Identify Aneurysms, & Define the Vascularity of Tumors
Cerebral Angiography (Client Education) - Answer-Void Immediately Prior to the
Procedure, Common to Experience a Metallic Taste & Feel a Sensation of Warmth
Behind the Eyes & Over the Face, Jaw, Tongue, Lips
,Cerebral Angiography (Complications) - Answer-Risk for Bleeding & Hematoma
Formation
Cerebral Computed Tomography Scan - Answer-Provides Cross-Sectional Images of
the Cranial Cavity. A Contrast Medium can be used to Enhance the Images
Cerebral Computed Tomography Scan (Indications) - Answer-CT Scanning can be used
to Identify Tumors & Infarctions, Detect Abnormalities, Monitor Response to Treatment,
and Guide Needles Used for Biopsies
Electroencephalography - Answer-A Noninvasive Procedure that Checks the Electrical
Activity of the Brain and is used to Determine Abnormalities in Brain Wave Patterns
Electroencephalography (Indications) - Answer-Most Commonly Performed to Identify &
Determine Seizure Activity, But Also used to Detect Sleeping Disorders
Electroencephalography (Client Education) - Answer-Wash Hair to Eliminate all Gels,
Oils, and Sprays; Avoid Taking any Stimulant or Sedative Medication 24-48 Hours Prior
to the Procedure, May be Asked to Hyperventilate for 3-4 Minutes
Glasgow Coma Scale - Answer-This Data Collection Tool Concentrates on Neurologic
Function and is Useful to Determine the Level of Consciousness and Monitor Response
to Treatment
Glasgow Coma Scale (Indications) - Answer-Helpful in Determining Changes in the
LOC for Clients Who Have Head Injuries, Space-Occupying Lesions or Cerebral
Infarctions and Encephaltitis
Intracranial Pressure Monitoring - Answer-Device Inserted into the Cranial Cavity that
Records Pressure and is Connected to a Monitor that Shows a Picture of the Pressure
Waveforms
Intracranial Pressure Monitoring (Indications) - Answer-Useful for Early Identification
and Treatment of Increased Intracranial Pressure
Intracranial Pressure Monitoring (Manifestations) - Answer-Severe Headache,
Deteriorating LOC, Restlessness, Irritability, Dilated or Pinpoint Pupils, Slowness to
React, Alteration in Breathing Pattern, Abnormal Posturing
Lumbar Puncture (Spinal Tap) - Answer-Procedure During Which a Small Amount of
CSF is Withdrawn from the Spinal Canal then Analyze to Determine its Constituents
Lumbar Puncture (Indications) - Answer-Used to Detect the Presence of Some
Diseases, Infections, and Malignancies. Used to Reduce CSF Pressure, Instill a
Contrast Medium or Air for Diagnostic Tests, or Administer Medication or Chemotherapy
Directly to Spinal Fluid
, Magnetic Resonance Imaging Scan - Answer-Provides Cross-Sectional Images of the
Cranial Activity
Magnetic Resonance Imaging Scan (Indications) - Answer-Used to Detect
Abnormalities, Monitor Response to Treatment, and Guide Needles used for Biopsies
PET & SPECT Scans - Answer-Nuclear Medicine Procedures that Produce Three-
Dimensional Images of the Head
PET & SPECT Scans (Indications) - Answer-Captures Regional Metabolic Processes,
Which is Most Useful in Determining Tumor Activity and/or Response to Treatment
Radiography (X-Ray) - Answer-Uses Electromagnetic Radiation to Capture Images of
the Internal Structures of an Individual
Radiography (Indications) - Answer-Examinations of the Skull and Spine can Reveal
Fractures, Curvatures, Bone Erosion, and Dislocation, and Possible Soft Tissue
Calcification, All of Which can Damage the Nervous System
Types of Pain - Answer-Acute, Chronic, Nociceptive, Neuropathic`
Focused Pain Data Collection - Answer-Location, Quality, Measures (Intensity,
Strength, Severity), Timing, Setting, Associated Manifestations, Aggravating Factors
Nonpharmacological Pain Management - Answer-Mind-Body Practices, Cognitive
Approaches, Natural Products,
Pharmacological Interventions - Answer-Non-Opioid Analgesics, Opioid Analgesics,
Adjuvant Analgesics, Patient-Controlled Analgesics, Spinal-Cord Stimulators (Epidural)
Complications of Pain Management - Answer-Severe Anxiety, Depression, Sedation,
Respiratory Distress, and Coma
Meningitis - Answer-Inflammation of the Meninges
Meningitis (Expected Findings) - Answer-Excruciating, Constant Headache, Stiff Neck,
Photophobia, Fever & Chills, Altered LOC, Positive Kerning's Sign, Seizures, Positive
Brudzinski's Sign
Meningitis (Nursing Care) - Answer-Maintain Isolation Precautions, Implement Fever-
Reduction Measures, Decrease Environmental Stimuli, Monitor for ICP
Meningitis (Medication) - Answer-Ceftriaxone with Vancomycin, Phenytoin,
Acetaminophen, Ibuprofen, Ciprofloxacin, Rifampin
