ATI RN MEDICAL-SURGICAL PROCTORED EXAM TEST BANK
2024-2025|ACTUAL LATEST EXAM QUESTIONS |2
VERSIONS (VERSION A AND B) COMPLETE WITH 400
QUESTIONS WITH DETAILED VERIFIED ANSWERS
A registered nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which
of the following events should the registered nurse recognize as contaminating the field (Select all that
apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. registered nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. registered nurse turns to speak to someone who enters through the door behind the nurse
E. patients hand brushes against the outer edge of the sterile field - CORRECT ANS✔✔ B, C, D
Endoscopy (EGD) positioning - CORRECT ANS✔✔ left side lying
Before an Endoscopy (EGD): - CORRECT ANS✔✔ -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - CORRECT ANS✔✔ -restrict dairy, caffeine, milk
,-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - CORRECT ANS✔✔ flap furthest from body, side flaps,
then closest
A registered nurse has removed a sterile pack from its outside cover and place it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the registered nurse unfold
first:
A. closest to body
B. right side
C. left side
D. farthest from body - CORRECT ANS✔✔ D
A registered nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the registered 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 gloved hand - CORRECT ANS✔✔ C, D, E
TB is suspected, what precautionary actions to do? - CORRECT ANS✔✔ -negative airflow room, airborne
precautions
-nurses wear N95 mask, patient wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - CORRECT ANS✔✔ -family members should be screened
,-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - CORRECT ANS✔✔ numb/tingling in the hands & feet
What to watch for when on Rifampin: - CORRECT ANS✔✔ -orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT ANS✔✔ vision changes
Patient teaching for genital herpes: - CORRECT ANS✔✔ -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a patient following a stroke of the right side with left-sided hemipalegia: - CORRECT ANS✔✔ -
thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods patients with HF & Pulmonary edema should avoid: - CORRECT ANS✔✔ -cheese
-soups
-bread
, -cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - CORRECT ANS✔✔ ibuprofen
Ketorolac should not be used concurrently with... - CORRECT ANS✔✔ other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - CORRECT ANS✔✔ non-opioid
analgesics
To access an implanted port, you must use a... - CORRECT ANS✔✔ noncoring (Huber) needle
When done accessing an implanted port... - CORRECT ANS✔✔ flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - CORRECT ANS✔✔ -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - CORRECT ANS✔✔ -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - CORRECT ANS✔✔ -decreased potassium
-weight loss
2024-2025|ACTUAL LATEST EXAM QUESTIONS |2
VERSIONS (VERSION A AND B) COMPLETE WITH 400
QUESTIONS WITH DETAILED VERIFIED ANSWERS
A registered nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which
of the following events should the registered nurse recognize as contaminating the field (Select all that
apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. registered nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. registered nurse turns to speak to someone who enters through the door behind the nurse
E. patients hand brushes against the outer edge of the sterile field - CORRECT ANS✔✔ B, C, D
Endoscopy (EGD) positioning - CORRECT ANS✔✔ left side lying
Before an Endoscopy (EGD): - CORRECT ANS✔✔ -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - CORRECT ANS✔✔ -restrict dairy, caffeine, milk
,-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - CORRECT ANS✔✔ flap furthest from body, side flaps,
then closest
A registered nurse has removed a sterile pack from its outside cover and place it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the registered nurse unfold
first:
A. closest to body
B. right side
C. left side
D. farthest from body - CORRECT ANS✔✔ D
A registered nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the registered 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 gloved hand - CORRECT ANS✔✔ C, D, E
TB is suspected, what precautionary actions to do? - CORRECT ANS✔✔ -negative airflow room, airborne
precautions
-nurses wear N95 mask, patient wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - CORRECT ANS✔✔ -family members should be screened
,-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - CORRECT ANS✔✔ numb/tingling in the hands & feet
What to watch for when on Rifampin: - CORRECT ANS✔✔ -orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT ANS✔✔ vision changes
Patient teaching for genital herpes: - CORRECT ANS✔✔ -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a patient following a stroke of the right side with left-sided hemipalegia: - CORRECT ANS✔✔ -
thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods patients with HF & Pulmonary edema should avoid: - CORRECT ANS✔✔ -cheese
-soups
-bread
, -cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - CORRECT ANS✔✔ ibuprofen
Ketorolac should not be used concurrently with... - CORRECT ANS✔✔ other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - CORRECT ANS✔✔ non-opioid
analgesics
To access an implanted port, you must use a... - CORRECT ANS✔✔ noncoring (Huber) needle
When done accessing an implanted port... - CORRECT ANS✔✔ flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - CORRECT ANS✔✔ -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - CORRECT ANS✔✔ -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - CORRECT ANS✔✔ -decreased potassium
-weight loss
