ATI PROCTORED-MEDICAL SURGICAL
EXAM QUESTIONS AND ANSWERS
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - Answer-
stridor
Why is stridor bad? - Answer-it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? -
Answer-usually greater than 110- to compensate for the low bp
What is normal urine gravity? - Answer-1.000 - 1.030
What is the role of positive pressure? - Answer-to promote lung expansion and stabilize
chest
Would you recommend exercise for a pt who has been discharged with heart failure? -
Answer-yes
How often should exercise be in heart failure pt? - Answer-regular routine
Should you consume milk with iron supplements? - Answer-no- can cause gastric
disturbance.
Would you take iron with antacids? - Answer-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - Answer-no-
increase iron rich foods
What is a common side effect with iron pills? - Answer-constipation
What would you tell them to eat with taking iron pills? - Answer-high fiber
When does pain worsen with compartement syndrome? - Answer-when passive moving
occurs.
What does warmth under cast indicate? - Answer-infection
Should pt decrease complex carbs for atherosceleoris? - Answer-no, increase them
What carb should a client with atherosceloris decrease? - Answer-simple sugars
Is MRSA airborne or contact? - Answer-contact
,What does phenyotoin do to hepatic enzymes (for seizures meds)? - Answer-it
decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - Answer-magnesium containg
antacids
Why wouldn't you take magnesium containing anatacids with cipro? - Answer-calcium
can decrease absorption of med
What is a common side effect of rifampin? - Answer-color of urine-
Can you take ciproflaxcin with alcohol? - Answer-yes
After a parathryoidectomy what would be the priority for the nurse? - Answer-to put
trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - Answer-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - Answer-give dosage same
time every day
Is restlessness common in hyperthyroidism? - Answer-yes
What would be urgent for hyperthyroidism? - Answer-high BP
If a pt has a weird heart sound what would be first thing you do? - Answer-listen to it
again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - Answer-if creatine levels are too high
What is normal creatine? - Answer-.6-1.2
What is one of the first vital signs of a hemorrhage? - Answer-increase heart rate
What med would you give for a febrile reaction? - Answer-tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - Answer-1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - Answer-less than
25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? -
Answer-if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - Answer-It can worsen
hypercarbemia.
, What is someones HGB look like with leukemia (increase or decreased)? - Answer-
decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? -
Answer-back pain
What is max amount of flexion for total hip replacement? - Answer-no more than 90
degrees
Why would you place a pillow between a pt legs for hip athroplasy? - Answer-so the
hips don't get dislocated
What is a holter monitor used for? - Answer-detecting irregular heart rate and rhythms
What is the role of a pacemaker? - Answer-regulate the heart rate
What is a echocardiogram used for? - Answer-detecting valve dysfunction
What do PPI do for gastric ulcers? - Answer-it suppresses gastric acid production
What does high fowler's position accomplish? - Answer-increases lung expansion and
improves ventilation
What med would you d/c to before going in for allergy testing? - Answer-prednisone
If a pt were to state that their vision went blurry before a car accident, what would you
do first? - Answer-monitor neuro
What would be first thing to do if bowel is protruding from stomach? - Answer-call for
help
What kind of skin for hypothyroidism? - Answer-dry scaly
What does metformin do to glucose? - Answer-it decreases the amount of glucose
produced in liver
When should pt take metformin? - Answer-with or immediately following meals
If you have hair loss on lower legs what could be problem? - Answer-Peripheral arterial
disease (PAD)
When does pain happen with PAD? - Answer-with resting
How is pain relieved with PAD? - Answer-Dangling the feet
EXAM QUESTIONS AND ANSWERS
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - Answer-
stridor
Why is stridor bad? - Answer-it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? -
Answer-usually greater than 110- to compensate for the low bp
What is normal urine gravity? - Answer-1.000 - 1.030
What is the role of positive pressure? - Answer-to promote lung expansion and stabilize
chest
Would you recommend exercise for a pt who has been discharged with heart failure? -
Answer-yes
How often should exercise be in heart failure pt? - Answer-regular routine
Should you consume milk with iron supplements? - Answer-no- can cause gastric
disturbance.
Would you take iron with antacids? - Answer-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - Answer-no-
increase iron rich foods
What is a common side effect with iron pills? - Answer-constipation
What would you tell them to eat with taking iron pills? - Answer-high fiber
When does pain worsen with compartement syndrome? - Answer-when passive moving
occurs.
What does warmth under cast indicate? - Answer-infection
Should pt decrease complex carbs for atherosceleoris? - Answer-no, increase them
What carb should a client with atherosceloris decrease? - Answer-simple sugars
Is MRSA airborne or contact? - Answer-contact
,What does phenyotoin do to hepatic enzymes (for seizures meds)? - Answer-it
decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - Answer-magnesium containg
antacids
Why wouldn't you take magnesium containing anatacids with cipro? - Answer-calcium
can decrease absorption of med
What is a common side effect of rifampin? - Answer-color of urine-
Can you take ciproflaxcin with alcohol? - Answer-yes
After a parathryoidectomy what would be the priority for the nurse? - Answer-to put
trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - Answer-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - Answer-give dosage same
time every day
Is restlessness common in hyperthyroidism? - Answer-yes
What would be urgent for hyperthyroidism? - Answer-high BP
If a pt has a weird heart sound what would be first thing you do? - Answer-listen to it
again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - Answer-if creatine levels are too high
What is normal creatine? - Answer-.6-1.2
What is one of the first vital signs of a hemorrhage? - Answer-increase heart rate
What med would you give for a febrile reaction? - Answer-tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - Answer-1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - Answer-less than
25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? -
Answer-if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - Answer-It can worsen
hypercarbemia.
, What is someones HGB look like with leukemia (increase or decreased)? - Answer-
decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? -
Answer-back pain
What is max amount of flexion for total hip replacement? - Answer-no more than 90
degrees
Why would you place a pillow between a pt legs for hip athroplasy? - Answer-so the
hips don't get dislocated
What is a holter monitor used for? - Answer-detecting irregular heart rate and rhythms
What is the role of a pacemaker? - Answer-regulate the heart rate
What is a echocardiogram used for? - Answer-detecting valve dysfunction
What do PPI do for gastric ulcers? - Answer-it suppresses gastric acid production
What does high fowler's position accomplish? - Answer-increases lung expansion and
improves ventilation
What med would you d/c to before going in for allergy testing? - Answer-prednisone
If a pt were to state that their vision went blurry before a car accident, what would you
do first? - Answer-monitor neuro
What would be first thing to do if bowel is protruding from stomach? - Answer-call for
help
What kind of skin for hypothyroidism? - Answer-dry scaly
What does metformin do to glucose? - Answer-it decreases the amount of glucose
produced in liver
When should pt take metformin? - Answer-with or immediately following meals
If you have hair loss on lower legs what could be problem? - Answer-Peripheral arterial
disease (PAD)
When does pain happen with PAD? - Answer-with resting
How is pain relieved with PAD? - Answer-Dangling the feet
