Advanced Med-Surg Proctored ATI
Review 2025 Questions and Answers
|100% Solved
Arterial Blood Gas - ....ANSWER ...-ABG's via arterial puncture or arterial
line: allows the most accurate method of assessing respiratory function.
Steps for collecting ABG's - ....ANSWER ...-a. Perform Allen test if no
arterial line
b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory immediately
d. document amount and method of oxygen delivered for accurate results
e. apply direct pressure to puncture site at least 5 min (longer for clients at risk for
bleeding)
Bronchoscopy - ....ANSWER ...-visualizes the larynx, trachea, bronchi;
obtains tissue biopsy; and removes foreign bodies.
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,Steps for a bronchoscopy procedure - ....ANSWER ...-a. obtain informed
consent
b. maintain NPO 8 to 12 hr.
c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as atropine (to reduce oral
secretions), sedation, and/or anti-anxiety.
f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of consciousness
Mantoux test - ....ANSWER ...-Positive test indicates exposure to
tuberculosis. Diagnosis must be confirmed with sputum culture for presence of
acid-fast bacillus (AFB).
Mantoux test steps - ....ANSWER ...-a. administer 0.1 mL of purified protein
derivation intradermal to upper half inner surface of forearm (insert needle bevel
up)
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,b. Assess for reaction in 48 to 72 hr following injection; induration (hardening) of
10 mm or greater is considered a positive test; 5 mm may be considered significant
if immunocompromised.
QuantiFERON-TB Gold test (QFT-GT) and T-SPOT.TB - ....ANSWER ...-
Identify the presence of Mycobacterium tuberculosis infection by measuring the
immune response to the TB bacteria in whole blood.
Thoracentesis - ....ANSWER ...-Surgical perforation of the pleural space to
obtain specimen, to remove fluid or air, or to instill medication.
Steps for Thoracentesis - ....ANSWER ...-a. informed consent
b. educate client: remain still, feeling of pressure, positioning
c. position upright
d. monitor respiratory status and vital signs
e. label specimens
f. Document client response, amount, color and viscosity of fluid (maximum
amount of fluid to be removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, Asthma - ....ANSWER ...-Chronic inflammatory disorder of the airways
resulting in intermittent and reversible airflow obstruction of the bronchioles.
Contributing factors of asthma - ....ANSWER ...--Extrinsic: antigen-antibody
reaction triggered by food, medications, or inhaled substances
-Intrinsic: pathophysiological abnormalities within the respiratory tract
-Older clients: beta receptors are less responsive to agonist and trigger
bronchospasms.
Manifestations of asthma - ....ANSWER ...--Sudden, severe dyspnea with use
of accessory muscles
-sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
Diagnostic procedures for asthma - ....ANSWER ...--ABGs
-sputum cultures
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
Review 2025 Questions and Answers
|100% Solved
Arterial Blood Gas - ....ANSWER ...-ABG's via arterial puncture or arterial
line: allows the most accurate method of assessing respiratory function.
Steps for collecting ABG's - ....ANSWER ...-a. Perform Allen test if no
arterial line
b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory immediately
d. document amount and method of oxygen delivered for accurate results
e. apply direct pressure to puncture site at least 5 min (longer for clients at risk for
bleeding)
Bronchoscopy - ....ANSWER ...-visualizes the larynx, trachea, bronchi;
obtains tissue biopsy; and removes foreign bodies.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Steps for a bronchoscopy procedure - ....ANSWER ...-a. obtain informed
consent
b. maintain NPO 8 to 12 hr.
c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as atropine (to reduce oral
secretions), sedation, and/or anti-anxiety.
f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of consciousness
Mantoux test - ....ANSWER ...-Positive test indicates exposure to
tuberculosis. Diagnosis must be confirmed with sputum culture for presence of
acid-fast bacillus (AFB).
Mantoux test steps - ....ANSWER ...-a. administer 0.1 mL of purified protein
derivation intradermal to upper half inner surface of forearm (insert needle bevel
up)
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,b. Assess for reaction in 48 to 72 hr following injection; induration (hardening) of
10 mm or greater is considered a positive test; 5 mm may be considered significant
if immunocompromised.
QuantiFERON-TB Gold test (QFT-GT) and T-SPOT.TB - ....ANSWER ...-
Identify the presence of Mycobacterium tuberculosis infection by measuring the
immune response to the TB bacteria in whole blood.
Thoracentesis - ....ANSWER ...-Surgical perforation of the pleural space to
obtain specimen, to remove fluid or air, or to instill medication.
Steps for Thoracentesis - ....ANSWER ...-a. informed consent
b. educate client: remain still, feeling of pressure, positioning
c. position upright
d. monitor respiratory status and vital signs
e. label specimens
f. Document client response, amount, color and viscosity of fluid (maximum
amount of fluid to be removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, Asthma - ....ANSWER ...-Chronic inflammatory disorder of the airways
resulting in intermittent and reversible airflow obstruction of the bronchioles.
Contributing factors of asthma - ....ANSWER ...--Extrinsic: antigen-antibody
reaction triggered by food, medications, or inhaled substances
-Intrinsic: pathophysiological abnormalities within the respiratory tract
-Older clients: beta receptors are less responsive to agonist and trigger
bronchospasms.
Manifestations of asthma - ....ANSWER ...--Sudden, severe dyspnea with use
of accessory muscles
-sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
Diagnostic procedures for asthma - ....ANSWER ...--ABGs
-sputum cultures
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
