ATI MEDICAL SURGICAL CMS PROCTORED EXAM 2024
In what order do you open the sterile
ATI MEDICAL package? - ------CORRECT ANSWER --
---flap furthest from body, side flaps,
SURGICAL CMS then closest
PROCTORED EXAM A nurse has removed a sterile pack from
2024 ACTUAL EXAM its outside cover and place it on a clean
work surface in preparation for an
COMPLETE invasive procedure. Which of the
following flaps should the nurse unfold
ACCURATE EXAM first:
QUESTIONS WITH A. closest to body
B. right side
DETAILED C. left side
VERIFIED D. farthest from body - ------CORRECT
ANSWER -----D
ANSWERS
A nurse is wearing sterile gloves in prep
for performing a sterile procedure.
Which of the following objects can the
nurse touch without breaking sterile
technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of
the field
C. inner wrapping of an item on the
sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other
Endoscopy (EGD) positioning - ------ gloved hand - ------CORRECT ANSWER
CORRECT ANSWER -----left side lying -----C, D, E
Before an Endoscopy (EGD): - ------ A nurse has prepared a sterile field for
CORRECT ANSWER ------NPO 6-8 hr assisting a provider with a chest tube
-remove dentures insertion. Which of the following events
should the nurse recognize as
Gastroenteritis care plan: - ------ contaminating the field (Select all that
CORRECT ANSWER ------restrict dairy, apply)
caffeine, milk
-eat foods high in potassium A. provider drops a sterile instrument
-increase fluid intake onto the near side of the sterile field
-contact precautions B. nurse moistens a cotton ball with
sterile normal saline and places it on
sterile field
,ATI MEDICAL SURGICAL CMS PROCTORED EXAM 2024
C. procedure is delayed 1hr because the -abstain from intercourse until lesions
provider receives an emergency call are completely healed
D. nurse turns to speak to someone who -gently clean areas w/mild soap & water
enters through the door behind the
nurse Caring for a client following a stroke of
E. clients hand brushes against the the right side with left-sided
outer edge of the sterile field - ------ hemipalegia: - ------CORRECT
CORRECT ANSWER -----B, C, D ANSWER ------thicken liquids/foods
-high fowlers
TB is suspected, what precautionary -speech therapist for helping w/eating &
actions to do? - ------CORRECT speech
ANSWER ------negative airflow room, -monitor gag reflex/swallowing abilities
airborne precautions -have suction equipment available
-nurses wear N95 mask, client wears if -occupational therapy
going out of the room -support left arm with pillows, slings, etc
-admin heat & humidified O2 therapy as
prescribed High sodium foods clients with HF &
Pulmonary edema should avoid: - ------
TB interventions: - ------CORRECT CORRECT ANSWER ------cheese
ANSWER ------family members should -soups
be screened -bread
-4 meds taken for 6-12 months -cold cuts/cured meats
-not contagious when they have 3 -pizza
negative sputum cultures -eggs & omelets
-hot dogs
What to watch for when on Isoniazid: - -- -baked ham
----CORRECT ANSWER -----
numb/tingling in the hands & feet Which non-opioid drug decreases the
effect of aspirin? - ------CORRECT
What to watch for when on Rifampin: - -- ANSWER -----ibuprofen
----CORRECT ANSWER ------orange
secretions normal Ketorolac should not be used
-watch for jaundice concurrently with... - ------CORRECT
-interferes with birth control ANSWER -----other NSAIDS
What to watch for when on Ethambutol: Glucocorticoids increase the risk of
- ------CORRECT ANSWER -----vision gastric bleeding when taken with... - -----
changes -CORRECT ANSWER -----non-opioid
analgesics
Client teaching for genital herpes: - ------
CORRECT ANSWER ------can be To access an implanted port, you must
transmitted with or w/out blisters use a... - ------CORRECT ANSWER -----
-sexual partners should be informed & noncoring (Huber) needle
screened
-no cure, just meds to help w/symptoms
, ATI MEDICAL SURGICAL CMS PROCTORED EXAM 2024
When done accessing an implanted
port... - ------CORRECT ANSWER ----- Client teaching for anticoagulant
flush with 10 mL 0.9% sodium chloride therapy: - ------CORRECT ANSWER ----
--bleeding precautions
Therapeutic effects of furosemide -no added meds that increase bleeding
(Lasix) - ------CORRECT ANSWER ------ -on it for 6-8 weeks prior to hematologic
decreases preload of the heart dx procedure
-decreases potassium levels -must have blood levels checked often
-increases urine output -monitor vitamin K in their diet
-decrease BP
-decrease edema Expected prescriptions for Hypertension:
- ------CORRECT ANSWER ------
Valsartan for HF expected furosemide (Lasix)
outcomes/findings: - ------CORRECT -aldactone (potassium sparing diuretic)
ANSWER ------vasodilation -hydrochlorothiazide (diuretic)
-excretion of sodium & water -verapamil, dilitiazem (CCB)
-reduces BP -captopril, lisinopril (ACE inhibitors)
-reduces risk of mortality in post-MI pts -losartan, telmisartan (ARBs)
left w/vent dysfunction -eplerenone
-atenolol, metoprolol (Beta blockers)
Expected findings of meds that increase -clonidine
urinary output (diuretics): - ------ -prazosin (minipress)
CORRECT ANSWER ------decreased
potassium Contraindications for Nadolol: - ------
-weight loss CORRECT ANSWER ------asthma
-decrease in edema -sinus bradycardia
-decreased calcium -cardiogenic shock
-increased urine output -cardiac failure
-decreased BP -diabetes
-decrease in ICP & IOP -pregnancy
-right side HF
Client teaching for Nitroglycerin: - ------ -emphysema
CORRECT ANSWER -----1. stop activity -severe COPD
& rest
2. place nitro tab under tongue Treatment for diabetes insipidus: - ------
3. if pain is unrelieved in 5 min, call 911 CORRECT ANSWER ------daily weights
or go to ED -no caffeine or alcohol
4. take 2 or more doses at 5 min -desmopressin acetate/DDVAP
intervals -aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-headache is a common side effect of -high fiber diet
nitro
Meds for DI, what to look out for/do: - ---
Which foods should the client on ---CORRECT ANSWER ------adjust
Warfarin avoid? - ------CORRECT based on urine output
ANSWER -----dark leafy green veggies -daily weights
In what order do you open the sterile
ATI MEDICAL package? - ------CORRECT ANSWER --
---flap furthest from body, side flaps,
SURGICAL CMS then closest
PROCTORED EXAM A nurse has removed a sterile pack from
2024 ACTUAL EXAM its outside cover and place it on a clean
work surface in preparation for an
COMPLETE invasive procedure. Which of the
following flaps should the nurse unfold
ACCURATE EXAM first:
QUESTIONS WITH A. closest to body
B. right side
DETAILED C. left side
VERIFIED D. farthest from body - ------CORRECT
ANSWER -----D
ANSWERS
A nurse is wearing sterile gloves in prep
for performing a sterile procedure.
Which of the following objects can the
nurse touch without breaking sterile
technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of
the field
C. inner wrapping of an item on the
sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other
Endoscopy (EGD) positioning - ------ gloved hand - ------CORRECT ANSWER
CORRECT ANSWER -----left side lying -----C, D, E
Before an Endoscopy (EGD): - ------ A nurse has prepared a sterile field for
CORRECT ANSWER ------NPO 6-8 hr assisting a provider with a chest tube
-remove dentures insertion. Which of the following events
should the nurse recognize as
Gastroenteritis care plan: - ------ contaminating the field (Select all that
CORRECT ANSWER ------restrict dairy, apply)
caffeine, milk
-eat foods high in potassium A. provider drops a sterile instrument
-increase fluid intake onto the near side of the sterile field
-contact precautions B. nurse moistens a cotton ball with
sterile normal saline and places it on
sterile field
,ATI MEDICAL SURGICAL CMS PROCTORED EXAM 2024
C. procedure is delayed 1hr because the -abstain from intercourse until lesions
provider receives an emergency call are completely healed
D. nurse turns to speak to someone who -gently clean areas w/mild soap & water
enters through the door behind the
nurse Caring for a client following a stroke of
E. clients hand brushes against the the right side with left-sided
outer edge of the sterile field - ------ hemipalegia: - ------CORRECT
CORRECT ANSWER -----B, C, D ANSWER ------thicken liquids/foods
-high fowlers
TB is suspected, what precautionary -speech therapist for helping w/eating &
actions to do? - ------CORRECT speech
ANSWER ------negative airflow room, -monitor gag reflex/swallowing abilities
airborne precautions -have suction equipment available
-nurses wear N95 mask, client wears if -occupational therapy
going out of the room -support left arm with pillows, slings, etc
-admin heat & humidified O2 therapy as
prescribed High sodium foods clients with HF &
Pulmonary edema should avoid: - ------
TB interventions: - ------CORRECT CORRECT ANSWER ------cheese
ANSWER ------family members should -soups
be screened -bread
-4 meds taken for 6-12 months -cold cuts/cured meats
-not contagious when they have 3 -pizza
negative sputum cultures -eggs & omelets
-hot dogs
What to watch for when on Isoniazid: - -- -baked ham
----CORRECT ANSWER -----
numb/tingling in the hands & feet Which non-opioid drug decreases the
effect of aspirin? - ------CORRECT
What to watch for when on Rifampin: - -- ANSWER -----ibuprofen
----CORRECT ANSWER ------orange
secretions normal Ketorolac should not be used
-watch for jaundice concurrently with... - ------CORRECT
-interferes with birth control ANSWER -----other NSAIDS
What to watch for when on Ethambutol: Glucocorticoids increase the risk of
- ------CORRECT ANSWER -----vision gastric bleeding when taken with... - -----
changes -CORRECT ANSWER -----non-opioid
analgesics
Client teaching for genital herpes: - ------
CORRECT ANSWER ------can be To access an implanted port, you must
transmitted with or w/out blisters use a... - ------CORRECT ANSWER -----
-sexual partners should be informed & noncoring (Huber) needle
screened
-no cure, just meds to help w/symptoms
, ATI MEDICAL SURGICAL CMS PROCTORED EXAM 2024
When done accessing an implanted
port... - ------CORRECT ANSWER ----- Client teaching for anticoagulant
flush with 10 mL 0.9% sodium chloride therapy: - ------CORRECT ANSWER ----
--bleeding precautions
Therapeutic effects of furosemide -no added meds that increase bleeding
(Lasix) - ------CORRECT ANSWER ------ -on it for 6-8 weeks prior to hematologic
decreases preload of the heart dx procedure
-decreases potassium levels -must have blood levels checked often
-increases urine output -monitor vitamin K in their diet
-decrease BP
-decrease edema Expected prescriptions for Hypertension:
- ------CORRECT ANSWER ------
Valsartan for HF expected furosemide (Lasix)
outcomes/findings: - ------CORRECT -aldactone (potassium sparing diuretic)
ANSWER ------vasodilation -hydrochlorothiazide (diuretic)
-excretion of sodium & water -verapamil, dilitiazem (CCB)
-reduces BP -captopril, lisinopril (ACE inhibitors)
-reduces risk of mortality in post-MI pts -losartan, telmisartan (ARBs)
left w/vent dysfunction -eplerenone
-atenolol, metoprolol (Beta blockers)
Expected findings of meds that increase -clonidine
urinary output (diuretics): - ------ -prazosin (minipress)
CORRECT ANSWER ------decreased
potassium Contraindications for Nadolol: - ------
-weight loss CORRECT ANSWER ------asthma
-decrease in edema -sinus bradycardia
-decreased calcium -cardiogenic shock
-increased urine output -cardiac failure
-decreased BP -diabetes
-decrease in ICP & IOP -pregnancy
-right side HF
Client teaching for Nitroglycerin: - ------ -emphysema
CORRECT ANSWER -----1. stop activity -severe COPD
& rest
2. place nitro tab under tongue Treatment for diabetes insipidus: - ------
3. if pain is unrelieved in 5 min, call 911 CORRECT ANSWER ------daily weights
or go to ED -no caffeine or alcohol
4. take 2 or more doses at 5 min -desmopressin acetate/DDVAP
intervals -aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-headache is a common side effect of -high fiber diet
nitro
Meds for DI, what to look out for/do: - ---
Which foods should the client on ---CORRECT ANSWER ------adjust
Warfarin avoid? - ------CORRECT based on urine output
ANSWER -----dark leafy green veggies -daily weights
