ATI RN MEDICAL SURGICAL PROCTORED PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

ATI RN MEDICAL SURGICAL PROCTORED PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1. Endoscopy (EGD) positioning - answer left side lying 2. Before an Endoscopy (EGD): - answer -NPO 6-8 hr -remove dentures 3. Gastroenteritis care plan: - answer -restrict dairy, caffeine, milk -eat foods high in potassium -increase fluid intake -contact precautions 4. In what order do you open the sterile package? - answer flap furthest from body, side flaps, then closest 5. A 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 nurse unfold first: A. closest to body B. right side C. left side D. farthest from body - answer D 6. 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 gloved hand - answer C, D, E 7. A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the 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. 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. nurse turns to speak to someone who enters through the door behind the nurse E. clients hand brushes against the outer edge of the sterile field - answer B, C, D 8. TB is suspected, what precautionary actions to do? - answer -negative airflow room, airborne precautions -nurses wear N95 mask, client wears if going out of the room -admin heat & humidified O2 therapy as prescribed 9. TB interventions: - answer -family members should be screened -4 meds taken for 6-12 months -not contagious when they have 3 negative sputum cultures 10. What to watch for when on Isoniazid: - answer numb/tingling in the hands & feet 11. What to watch for when on Rifampin: - answer -orange secretions normal -watch for jaundice -interferes with birth control 12. What would be an appropriate nursing intervention for a stage II pressure ulcer in the heel? - answer increase IV fluids pillow/sheet under ankle 13. What foods would you teach a pt suffering from cholescystitis to eliminate from their diet at home? - answer fried eggs 14. What assessment finding would lead you to believe a pt suffers from Hypovolemia? - answer increased blood osmolarity 15. What lab finding would you expect in a pt receiving chemotherapy? - answer decreased WBC 16. Which of the following would lead you to believe that a client understands his teachings about using his ACE inhibitors? - answer decrease potassium and salt intake 17. What would you include in your education of a client receiving opioids? - answer increased fiber in the diet 18. What nursing interventions would you implement to address adverse effects of opioids? - answer laxatives and enemas 19. Which symptoms indicate adverse effects from the blood transfusion? - answer chills fever lower back pain tachycardia flushing hypotension chest tightening tachypnea nausea anxiety 20. What would be your first intervention for a pt who has an adverse effect from a blood transfusion? - answer Initiate saline infusion (separate line) 21. What type of needle would you use to access an implanted port? - answer noncoring needle 22. How would you confirm the placement of a PICC line? - answer chest xray 23. What lab value is an indicator that the diabetic pt isn't compliant with their treatment plan? - answer A1c is at 8% 24. What would you include in your education to a client receiving vasopressin? - answer expect lesser urine output 25. What s/s would you expect a pt with digoxin toxicity to exhibit? - answer muscle fatigue & confusion 26. Which of the following indicates client understanding of their digoxin prescription? - answer I will not take antacids at the same time as my digoxin 27. Which assessment finding indicates fluid overload? - answer crackles in the lungs upon auscultation 28. What education would you give a pt with HF? - answer increase K+ 29. Which assessment finding indicates increased intracranial pressure? - answer decreased level of consciousness 30. Which assessment findings would you expect in a pt who is 24hr post op receiving an ostomy? - answer The stoma is bright red, smooth and moist (turns pink after 2-3 weeks) 31. Appropriate oropharyngeal suctioning; select all: - answer -encourage pt to deep breath & cough prior -monitor O2 sats -store catheter in clean dry place for use -perform care 3 times a day (Q 8hrs) 32. How would you promote healing in an elderly pt? - answer increased fluids 33. which of the following is an expected outcome of a pt receiving KCL? - answer doesn't experience any dysrrhythmias 34. Which of the following is an indication of a pt at risk of developing a sodium imbalance? - answer -vomiting -diarrhea -enemas -diuretics 35. which of the following lab values indicates a pt suffers from hypovolemia? - answer increased urine specific gravity 36. what's a complication from an av graft? - answer Weak pulses in the leg or feet (capillary filling in the toe 6) 37. What position would you place a client for an ART line? - answer supine or trendelen burg 38. What education would you give a pt suffering from COPD? - answer pursed lip breathing 39. What would you teach a pt about exercise when they suffer from diabetes? - answer eat a snack during unexpected activity 40. which pt is most at risk of developing an infection? - answer low WBC