ATI ADULT MEDICAL SURGICAL - Avoid invasive procedures (rectal temps,
2024 PROCTORED EXAM /ADULT injections)
MEDICAL SURGICAL ATI - Administer (neupogen, neulasta) to stimulate
PROCTORED EXAM 2024 REAL WBC production
EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
Infection control: Appropriate room assignment
Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually
soiled
Terms in this set (90) 3. Gloves - when touching anything that has the
potential to contaminate.
Original 4. Masks, eye protection & face shields when
care may cause splashing or spraying of body
Seizures and Epilepsy: Seizure precautions fluids
During a seizure: Position client on the floor and
provide a patent airway, turn client to side and
loosen restrictive clothing Droplet:
1. private room or with someone with same
illness
2. masks
Cancer treatment options: Protective Isolation
(999)
Airborne:
If WBC drops below 1,000, place the client in a
private room and initiate neutropenic 1. private room
precautions.
2. masks or respiratory protection devices
- Have client remain in his room unless be needs
to leave for a diagnostic procedure, in case of a. use an N95 respirator for tuberculosis
transport place a mask on him 3. Negative pressure airflow
- Protect from possible sources of infection 4. full face protection if splashing or spraying is
(plants, change water in equipment daily) possible
- Have client, staff and visitors perform frequent
hand hygiene, restrict ill visitors
Contact:
,1. private room or room with same illness - Tobacco use
2. gloves & gowns - Hypercoagulabilty
3. disposal of infections dressing materials into - Obesity
a single, nonporous bag without touching the
- Surgery
outside of the bag
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
TB: Priority action for a client in the emergency
department (249) -Advanced age
-Wear an N95 or HEPA respirator
-Place client in negative airflow room and
implement airborne precautions
Disorders of the male reproductive system:
-use barrier protection when the risk of hand or Complications of continuous irrigation following
clothing contamination exists Trans-urethral Resection (743)
-Urethral trauma
-Urinary retention
Immunizations: Recommended vaccinations for - Bleeding
older adult clients (943)
- Infection
Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
Stroke: Caring for a client who has left sided
- Herpes Zoster Vaccine hemiplegia (155)
-Hepatitis A - Observe extremities for injury
- Hepatitis B - Apply an arm sling if client is unable to care for
the affected extremity
- Meningococcal Vaccine
- Ensure foot rest is on wheel chair and ankle
brace is on the affected foot
- Instruct client to dress the affected side first
Pulmonary Embolism: Risk factors for DVT (258)
-Long term immobility
- Oral contraceptives
Fractures and immobilization devices: Prevent
- Pregnancy complications (787)
, -Assess neurovascular status of the affected
body part for every hour for 24 hours and Q4
Heart failure and pulmonary edema: Dietary
hours after that
teaching about sodium restriction
- Maintain body alignment
Maintain fluid and sodium restriction
- avoid lifting or removing weights
Increase dietary intake of potassium
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
Pulmonary Embolism: Planning care for a client
who is receiving enoxaparin
-Assess for contraindications (active bleeding,
peptic ulcer disease, history of stroke, recent
Pain Management: use of non pharmacological
trauma)
methods of pain relief
-Monitor bleeding times (PT, aPTT and INR)
- Cutaneous (skin) stimulation- TENS, heat, cold,
therapeutic touch and massage -Monitor for side effects such as
thrombocytopenia, anemia and hemmorhage
- Distraction (deep breathing, ambulation,
visitors, TV and music)
- Relaxation (meditation, yoga and progressive
muscle relaxation
Rheumatoid Arthritis: Reviewing Laboratory
-Imagery (focus on pleasant thoughts) Values
- Elevation of extremities to promote venous -Positive Anti- cyclic citrullinated peptide
return
-RF Antibody (Diagnostic level for RA is 1:40-
1:60) expected reference range 1:20
- Elevated ESR
Acute Kidney injury and chronic kidney disease: 20-40 mild inflammation
Evaluating teaching about nutrition
40-70 moderate
-Restrict dietary intake of potassium, phosphate
70-150 severe
and magnesium during oliguric phase
- Positive C-reactive protein
-K and Na is regulated according to stage of
kidney injury - Positive ANA titier
- high protein diet to replace the high rate of - Elevated WBC's
protein breakdown due to the stress from the
illness. Possible TPN
2024 PROCTORED EXAM /ADULT injections)
MEDICAL SURGICAL ATI - Administer (neupogen, neulasta) to stimulate
PROCTORED EXAM 2024 REAL WBC production
EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
Infection control: Appropriate room assignment
Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually
soiled
Terms in this set (90) 3. Gloves - when touching anything that has the
potential to contaminate.
Original 4. Masks, eye protection & face shields when
care may cause splashing or spraying of body
Seizures and Epilepsy: Seizure precautions fluids
During a seizure: Position client on the floor and
provide a patent airway, turn client to side and
loosen restrictive clothing Droplet:
1. private room or with someone with same
illness
2. masks
Cancer treatment options: Protective Isolation
(999)
Airborne:
If WBC drops below 1,000, place the client in a
private room and initiate neutropenic 1. private room
precautions.
2. masks or respiratory protection devices
- Have client remain in his room unless be needs
to leave for a diagnostic procedure, in case of a. use an N95 respirator for tuberculosis
transport place a mask on him 3. Negative pressure airflow
- Protect from possible sources of infection 4. full face protection if splashing or spraying is
(plants, change water in equipment daily) possible
- Have client, staff and visitors perform frequent
hand hygiene, restrict ill visitors
Contact:
,1. private room or room with same illness - Tobacco use
2. gloves & gowns - Hypercoagulabilty
3. disposal of infections dressing materials into - Obesity
a single, nonporous bag without touching the
- Surgery
outside of the bag
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
TB: Priority action for a client in the emergency
department (249) -Advanced age
-Wear an N95 or HEPA respirator
-Place client in negative airflow room and
implement airborne precautions
Disorders of the male reproductive system:
-use barrier protection when the risk of hand or Complications of continuous irrigation following
clothing contamination exists Trans-urethral Resection (743)
-Urethral trauma
-Urinary retention
Immunizations: Recommended vaccinations for - Bleeding
older adult clients (943)
- Infection
Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
Stroke: Caring for a client who has left sided
- Herpes Zoster Vaccine hemiplegia (155)
-Hepatitis A - Observe extremities for injury
- Hepatitis B - Apply an arm sling if client is unable to care for
the affected extremity
- Meningococcal Vaccine
- Ensure foot rest is on wheel chair and ankle
brace is on the affected foot
- Instruct client to dress the affected side first
Pulmonary Embolism: Risk factors for DVT (258)
-Long term immobility
- Oral contraceptives
Fractures and immobilization devices: Prevent
- Pregnancy complications (787)
, -Assess neurovascular status of the affected
body part for every hour for 24 hours and Q4
Heart failure and pulmonary edema: Dietary
hours after that
teaching about sodium restriction
- Maintain body alignment
Maintain fluid and sodium restriction
- avoid lifting or removing weights
Increase dietary intake of potassium
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
Pulmonary Embolism: Planning care for a client
who is receiving enoxaparin
-Assess for contraindications (active bleeding,
peptic ulcer disease, history of stroke, recent
Pain Management: use of non pharmacological
trauma)
methods of pain relief
-Monitor bleeding times (PT, aPTT and INR)
- Cutaneous (skin) stimulation- TENS, heat, cold,
therapeutic touch and massage -Monitor for side effects such as
thrombocytopenia, anemia and hemmorhage
- Distraction (deep breathing, ambulation,
visitors, TV and music)
- Relaxation (meditation, yoga and progressive
muscle relaxation
Rheumatoid Arthritis: Reviewing Laboratory
-Imagery (focus on pleasant thoughts) Values
- Elevation of extremities to promote venous -Positive Anti- cyclic citrullinated peptide
return
-RF Antibody (Diagnostic level for RA is 1:40-
1:60) expected reference range 1:20
- Elevated ESR
Acute Kidney injury and chronic kidney disease: 20-40 mild inflammation
Evaluating teaching about nutrition
40-70 moderate
-Restrict dietary intake of potassium, phosphate
70-150 severe
and magnesium during oliguric phase
- Positive C-reactive protein
-K and Na is regulated according to stage of
kidney injury - Positive ANA titier
- high protein diet to replace the high rate of - Elevated WBC's
protein breakdown due to the stress from the
illness. Possible TPN
