ATI RETAKE MED SURG QUESTIONS
AND ANSWERS
Axnursexisxplanningxcarexforxaxclientxwhoxisxreceivingxmechanicalxventilation.xWhichxmode
xofxventilationxincreasesxthexeffortxofxthexclient'sxrespiratoryxmuscles?
x(Selectxallxthatxapply)
A.xAssist-control
B.xSynchronizedxintermittentxmandatoryxventilation
C.xContinuousxpositivexairwayxpressure
D.xPressurexsupportxventilation
E.xIndependentxlungxventilationx-xans--
✔✔B.xSynchronizedxintermittentxmandatoryxventilaiton
C.xContinuousxpositivexairwayxpressure
D.xPressurexsupportxventilation
Axnursexisxcaringxforxaxclientxwhoxisxexperiencingxrespiratoryxdistress.xWhichxofxthexfollowi
ngxarexearlyxclinicalxmanifestationsxofxhypoxemia?x(Selectxallxthatxapply)
A.xConfusion
B.xPalexskin
C.xBradycardia
D.xHypotension
E.xElevatedxbloodxpressurex-xans--✔✔B.xPalexskin
E.xElevatedxbloodxpressure
Axnursexisxcaringxforxaxclientxthatxisxreceivingxmechanicalxventilation,xwhichxhasxbeenxplac
edxonxpressurexsupportxventilationx(PSV)xmode.xWhichxofxthexfollowingxstatementsxbyxthe
xnursexdemonstratesxanxunderstandingxofxPSV?
A.xItxkeepxthexalveolixopenxandxpreventsxatelectasis
B.xItxpermitsxspontaneousxventilationxtoxdecreasexthexworkxofxbreathing
C.xItxisxusedxwithxclientsxwhoxhavexdifficultyxweaningxfromxthexventilator
D.xItxdeliversxaxpresetxventilatoryxratexandxtidalxvolumextoxthexclientx-xans--
✔✔B.xPSVxmaintainsxaxpresetxamountxofxpressurexduringxspontaneousxventilationxtoxdec
reasexthexworkxofxbreathing
Axproviderxisxdischargingxaxclientxwhoxhasxaxprescriptionxforxhomexoxygenxtherapyxviaxna
salxcannula.xClientxandxfamilyxteachingxbyxthexnursexshouldxincludexwhichxofxthexfollowing
xinstructions?x-xans--✔✔1.xcheckxthexpositionxofxthexcannulaxfrequently
, 2.xreportxanyxnasalxorxdifficultyxbreathing
3.xpostxnoxsmokingxsignsxinxaxprominentxlocation
Axnursexisxpreparingxtoxaxperformxendotrachealxsuctioningxforxaxclient.xThexnursexshouldxf
ollowxwhichxguidelines?x-xans--✔✔1.xapplyxsuctionxwhilexwithdrawingxthexcatheter
2.xUsexaxnewxcatheterxforxeachxsuctioningxattempt
3.xApplyxsuctioningxforx10-15xseconds
Axnursexisxcaringxforxaxclientxwhoxhasxaxtracheostomy.xWhichxactionsxshouldxthexnursexta
kexwhenxprovidingxtracheostomyxcare?x-xans--
✔✔1.xApplyxthexoxygenxsourcexlooselyxifxthexSpO2xdecreasesxduringxthexprocedure
2.xusexsurgicalxasepsisxtoxremovexandxcleanxthexinnerxcannula
3.xCleanxthexouterxsurfacesxinxaxcircularxmotionxfromxthexstomaxsitexoutward
DiagnosticxandxTherapeuticxProceduresxforxFemalexReproductivexDisorders:xDischargexI
nstructionsxforxSyphilisx-xans--
✔✔disorder,xdiagnosis,xandxtreatment,xincludingxthexneedxtoxcomplyxwithxtreatmentxpres
cribedxmedications,xsuchxasxpenicillin,xandxthexintendedxcoursexofxtherapyxdependingxonx
thexstagexofxthexdiseasexpossiblexadversexeffectsxofxpenicillinxtherapy,xincludingxheadach
e,xfever,xchills,xsweating,xmalaise,xandxhypotensionxorxhypertensionx(Jarisch-
Herxheimerxreaction)needxtoxcompletexthexcoursexofxtherapyxevenxafterxsymptomsxsubsi
deximportancexofxinforming,xtesting,xandxtreatingxsexualxpartnersxneedxtoxrefrainxfromxsex
ualxactivityxuntilxtreatmentxisxcompletedxandxfollow-
upxVDRLxorxRPRxtestxresultsxarexnormalximportancexofxrepeatxserologyxtestingxatx3,x6,x9,x
andx12xmonthsxafterxtreatmentxandxagainxatx24xmonthsxifxthexdiseasexlastsxlongerxthanx1x
yearxpossiblexneedxforxretreatmentxifxclinicalxsignsxpersistxorxrecur,xaxfourfoldxrisexinxtitersx
occurs,xorxinitiallyxhighxtitersxfailxtoxdecreasexfourfoldxbyx6xmonthsxrisksxtoxthexfetusxifxthex
patientxisxcontemplatingxpregnancyxandxthexneedxforxallxpregnantxpatientsxtoxbexscreened
xatxthexfirstxprenatalxvisitxinformationxforxthexpatientxandxsexualxpartnersxaboutxhumanxim
munodeficiencyxvirusxinfectionximportancexofxsaferxsexxpractices,xincludingxthexusexofxco
ndoms.
Asxneeded,xobtainxaxphysicalxorxoccupationalxtherapyxconsultation.xReferxthexpatientxforxc
ontactxtracing.xReferxthexpatientxtoxaxspecialistxifxcongenitalxsyphilisxisxsuspected.xConsult
xaxsocialxworkerxtoxdeterminexhomexcarexneeds.
Teachingxafterxcervicalxbiopsyx-xans--✔✔Noxtamponsxandxavoidxheavyxliftingxforx2xweeks
Confirmxsyphilisxdiagnosisx-xans--✔✔FTA-AxBS
TeachingxpriorxtoxaxPapx-xans--✔✔Somexbleedingxmayxoccurxafterxprocedure
Stroke:xCaringxforxaxClientxwhoxhasxLeft-SidedxHemiplegiax(Ch.x15)x-xans--✔✔-
Strokexofxthexrightxcerebralxhemispherexwhichxisxresponsiblexforxvisualxandxspatialxaware
ness-alteredxperceptionsxofxdeficits-
AND ANSWERS
Axnursexisxplanningxcarexforxaxclientxwhoxisxreceivingxmechanicalxventilation.xWhichxmode
xofxventilationxincreasesxthexeffortxofxthexclient'sxrespiratoryxmuscles?
x(Selectxallxthatxapply)
A.xAssist-control
B.xSynchronizedxintermittentxmandatoryxventilation
C.xContinuousxpositivexairwayxpressure
D.xPressurexsupportxventilation
E.xIndependentxlungxventilationx-xans--
✔✔B.xSynchronizedxintermittentxmandatoryxventilaiton
C.xContinuousxpositivexairwayxpressure
D.xPressurexsupportxventilation
Axnursexisxcaringxforxaxclientxwhoxisxexperiencingxrespiratoryxdistress.xWhichxofxthexfollowi
ngxarexearlyxclinicalxmanifestationsxofxhypoxemia?x(Selectxallxthatxapply)
A.xConfusion
B.xPalexskin
C.xBradycardia
D.xHypotension
E.xElevatedxbloodxpressurex-xans--✔✔B.xPalexskin
E.xElevatedxbloodxpressure
Axnursexisxcaringxforxaxclientxthatxisxreceivingxmechanicalxventilation,xwhichxhasxbeenxplac
edxonxpressurexsupportxventilationx(PSV)xmode.xWhichxofxthexfollowingxstatementsxbyxthe
xnursexdemonstratesxanxunderstandingxofxPSV?
A.xItxkeepxthexalveolixopenxandxpreventsxatelectasis
B.xItxpermitsxspontaneousxventilationxtoxdecreasexthexworkxofxbreathing
C.xItxisxusedxwithxclientsxwhoxhavexdifficultyxweaningxfromxthexventilator
D.xItxdeliversxaxpresetxventilatoryxratexandxtidalxvolumextoxthexclientx-xans--
✔✔B.xPSVxmaintainsxaxpresetxamountxofxpressurexduringxspontaneousxventilationxtoxdec
reasexthexworkxofxbreathing
Axproviderxisxdischargingxaxclientxwhoxhasxaxprescriptionxforxhomexoxygenxtherapyxviaxna
salxcannula.xClientxandxfamilyxteachingxbyxthexnursexshouldxincludexwhichxofxthexfollowing
xinstructions?x-xans--✔✔1.xcheckxthexpositionxofxthexcannulaxfrequently
, 2.xreportxanyxnasalxorxdifficultyxbreathing
3.xpostxnoxsmokingxsignsxinxaxprominentxlocation
Axnursexisxpreparingxtoxaxperformxendotrachealxsuctioningxforxaxclient.xThexnursexshouldxf
ollowxwhichxguidelines?x-xans--✔✔1.xapplyxsuctionxwhilexwithdrawingxthexcatheter
2.xUsexaxnewxcatheterxforxeachxsuctioningxattempt
3.xApplyxsuctioningxforx10-15xseconds
Axnursexisxcaringxforxaxclientxwhoxhasxaxtracheostomy.xWhichxactionsxshouldxthexnursexta
kexwhenxprovidingxtracheostomyxcare?x-xans--
✔✔1.xApplyxthexoxygenxsourcexlooselyxifxthexSpO2xdecreasesxduringxthexprocedure
2.xusexsurgicalxasepsisxtoxremovexandxcleanxthexinnerxcannula
3.xCleanxthexouterxsurfacesxinxaxcircularxmotionxfromxthexstomaxsitexoutward
DiagnosticxandxTherapeuticxProceduresxforxFemalexReproductivexDisorders:xDischargexI
nstructionsxforxSyphilisx-xans--
✔✔disorder,xdiagnosis,xandxtreatment,xincludingxthexneedxtoxcomplyxwithxtreatmentxpres
cribedxmedications,xsuchxasxpenicillin,xandxthexintendedxcoursexofxtherapyxdependingxonx
thexstagexofxthexdiseasexpossiblexadversexeffectsxofxpenicillinxtherapy,xincludingxheadach
e,xfever,xchills,xsweating,xmalaise,xandxhypotensionxorxhypertensionx(Jarisch-
Herxheimerxreaction)needxtoxcompletexthexcoursexofxtherapyxevenxafterxsymptomsxsubsi
deximportancexofxinforming,xtesting,xandxtreatingxsexualxpartnersxneedxtoxrefrainxfromxsex
ualxactivityxuntilxtreatmentxisxcompletedxandxfollow-
upxVDRLxorxRPRxtestxresultsxarexnormalximportancexofxrepeatxserologyxtestingxatx3,x6,x9,x
andx12xmonthsxafterxtreatmentxandxagainxatx24xmonthsxifxthexdiseasexlastsxlongerxthanx1x
yearxpossiblexneedxforxretreatmentxifxclinicalxsignsxpersistxorxrecur,xaxfourfoldxrisexinxtitersx
occurs,xorxinitiallyxhighxtitersxfailxtoxdecreasexfourfoldxbyx6xmonthsxrisksxtoxthexfetusxifxthex
patientxisxcontemplatingxpregnancyxandxthexneedxforxallxpregnantxpatientsxtoxbexscreened
xatxthexfirstxprenatalxvisitxinformationxforxthexpatientxandxsexualxpartnersxaboutxhumanxim
munodeficiencyxvirusxinfectionximportancexofxsaferxsexxpractices,xincludingxthexusexofxco
ndoms.
Asxneeded,xobtainxaxphysicalxorxoccupationalxtherapyxconsultation.xReferxthexpatientxforxc
ontactxtracing.xReferxthexpatientxtoxaxspecialistxifxcongenitalxsyphilisxisxsuspected.xConsult
xaxsocialxworkerxtoxdeterminexhomexcarexneeds.
Teachingxafterxcervicalxbiopsyx-xans--✔✔Noxtamponsxandxavoidxheavyxliftingxforx2xweeks
Confirmxsyphilisxdiagnosisx-xans--✔✔FTA-AxBS
TeachingxpriorxtoxaxPapx-xans--✔✔Somexbleedingxmayxoccurxafterxprocedure
Stroke:xCaringxforxaxClientxwhoxhasxLeft-SidedxHemiplegiax(Ch.x15)x-xans--✔✔-
Strokexofxthexrightxcerebralxhemispherexwhichxisxresponsiblexforxvisualxandxspatialxaware
ness-alteredxperceptionsxofxdeficits-
