ATI RN Adult Medical Surgical
Proctored Exam with NGN | RN ATI
Medical Surgical Proctored Exam
with NGN | ATI Adult Med-Surg
Proctored Exam | 100 Screenshot
Questions and Answers
Endotracheal tube extubate what would you report immedatiely? - ANSWER
✓✓✓stridor
Why is stridor bad? - ANSWER ✓✓✓it means that there is an obstruction or edema in
airway
What drainage amount is needed to get rid of drainage tube for mastectomy? -
ANSWER ✓✓✓less than 25 ml
,What is heart rate like in someone who has a low fluid volume? - ANSWER ✓✓✓
higher than usual like 110
What is normal unrine gravity? - ANSWER ✓✓✓1.000 - 1.030
What is positive pressure doing? - ANSWER ✓✓✓promote lung expansion and
stabilize chest
Would you recomened exercise for a patient who has been discharged with heart
failure? - ANSWER ✓✓✓yes
How often should exercise be in heart failure patient? - ANSWER ✓✓✓regular routine
Should you consume milk with iron supplements? - ANSWER ✓✓✓no, can cause
gastro disturbances
Would you take iron with antacids? - ANSWER ✓✓✓no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency? - ANSWER ✓
✓✓no, because they would need to increase
What is a common side effect with iron pills? - ANSWER ✓✓✓constipation
What would you tell them to eat when taking iron pills? - ANSWER ✓✓✓high fiber diet
When does pain worsen with compartment syndrome? - ANSWER ✓✓✓when passive
movement occurs
What does warmth under cast indicate? - ANSWER ✓✓✓infection
Should patient decrease complex carbs for atherosceleoris? - ANSWER ✓✓✓no
What carb should a client with atherosceloris decrease? - ANSWER ✓✓✓simple
sugars
Is MRSA airborne or contact? - ANSWER ✓✓✓contact
What does phenytoin do to hepatic enzymes [seizure med]? - ANSWER ✓✓✓it
decreases effectiveness
What should you tell the client not to take with ciprofloxacin? - ANSWER ✓✓✓
magnesium containing 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 pee
Can you take ciproflaxcin with alcohol? - ANSWER ✓✓✓yes
After a para-thyroidectomy what would be a priority for the nurse to do? - ANSWER ✓
✓✓to put trach tray by bedside [think AIRWAY]
What meds increase osteoporosis? - ANSWER ✓✓✓Fludrocortisone
With enoxaparin what is the main thing the nurse should do? - ANSWER ✓✓✓give
dosage same time every day
Is restlessness common in hyperthyroidism? - ANSWER ✓✓✓yes
What would be urgent for hyperthyroidism? - ANSWER ✓✓✓high blood pressure
If a client has a weird heart sound what would be the first thing you do? - ANSWER ✓
✓✓listen to it again but on the left side [always want least invasive]
Why would gentamicin be withheld from a patient? - ANSWER ✓✓✓creatine levels are
too high
What is normal creatine? - ANSWER ✓✓✓0.6 - 1.2
What is one of the first vital signs of a hemorrhage? - ANSWER ✓✓✓increased 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
weeks
What is the first thing to ask if a client reports dyspnea and shortness of breath when
put on O2? - ANSWER ✓✓✓if they have COPD
Why would it be bad for you to put O2 on a COPD patient? - ANSWER ✓✓✓It can
worsen hypercarbia
, Leukemia client; would their hemoglobin be increased or decreased? - ANSWER ✓✓
✓decreased
What would be a big sign that a client's nephrostomy tube has popped? - ANSWER ✓
✓✓back pain
What is max amount of flexing for total hip replacement? - ANSWER ✓✓✓no more
than 90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty? - ANSWER
✓✓✓so hips don't get dislodged
What is a holter monitor used for? - ANSWER ✓✓✓if you have an irregular heart rate
it can detect it
What can a pacemaker do to a patient's heart? - ANSWER ✓✓✓regulate the heart
rate
What is an echo used for? - ANSWER ✓✓✓detecting valve dysfunction
What do PPI's do for gastric ulcers? - ANSWER ✓✓✓it suppresses gastric acid
production
What is good about high fowlers postion? - ANSWER ✓✓✓increases lung expansion
and improves ventilation
What med would you discontinue before going in for allergy testing? - ANSWER ✓✓✓
prednisone
If a client were to state their vision went blurry before a car accident what would you do
first? - ANSWER ✓✓✓monitor neuro
What can plasmapheresis cause? [what electrolyte imbalance] - ANSWER ✓✓✓
hypocalcemia; so monitor electrolyte levels
What would be the 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 client take metformin? - ANSWER ✓✓✓with or immediately following
meals