ATI PROCTORED MEDICAL SURGICAL
EXAMINATION//VERIFIED ANWERS
In extubating an Endtroacheal tube, what needs to be reported immedatiely? -
ANSWER-stridor
Why is stridor bad? - ANSWER-it means that there is an obstruction or edema in
airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? -
ANSWER-usually greater than 110- to compensate for the low bp
What is normal urine gravity? - ANSWER-1.000 - 1.030
What is the role of positive pressure? - ANSWER-to promote lung expansion and
stabilize chest
Would you recommend exercise for a pt who has been discharged with heart
failure? - ANSWER-yes
How often should exercise be in heart failure pt? - ANSWER-regular routine
,Should you consume milk with iron supplements? - ANSWER-no- can cause
gastric disturbance.
Would you take iron with antacids? - ANSWER-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - ANSWER-
no- increase iron rich foods
What is a common side effect with iron pills? - ANSWER-constipation
What would you tell them to eat with taking iron pills? - ANSWER-high fiber
When does pain worsen with compartement syndrome? - ANSWER-when passive
moving occurs.
What does warmth under cast indicate? - ANSWER-infection
Should pt decrease complex carbs for atherosceleoris? - ANSWER-no, increase
them
What carb should a client with atherosceloris decrease? - ANSWER-simple sugars
Is MRSA airborne or contact? - ANSWER-contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - ANSWER-it
decreases effectiveness
,What should you tell the pt not to take with ciprofloxacin? - ANSWER-magnesium
containg 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 urine-
Can you take ciproflaxcin with alcohol? - ANSWER-yes
After a parathryoidectomy what would be the priority for the nurse? - ANSWER-to
put trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - ANSWER-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - ANSWER-give
dosage same time every day
Is restlessness common in hyperthyroidism? - ANSWER-yes
What would be urgent for hyperthyroidism? - ANSWER-high BP
If a pt has a weird heart sound what would be first thing you do? - ANSWER-listen
to it again but on the left side (least invasive)
, Why would gentamicin be withheld from a pt? - ANSWER-if creatine levels are
too high
What is normal creatine? - ANSWER-.6-1.2
What is one of the first vital signs of a hemorrhage? - ANSWER-increase 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
week
What drainage amount to get rid of drainage tube for mastectomy? - ANSWER-
less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2?
- ANSWER-if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - ANSWER-It can worsen
hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? -
ANSWER-decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? -
ANSWER-back pain
EXAMINATION//VERIFIED ANWERS
In extubating an Endtroacheal tube, what needs to be reported immedatiely? -
ANSWER-stridor
Why is stridor bad? - ANSWER-it means that there is an obstruction or edema in
airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? -
ANSWER-usually greater than 110- to compensate for the low bp
What is normal urine gravity? - ANSWER-1.000 - 1.030
What is the role of positive pressure? - ANSWER-to promote lung expansion and
stabilize chest
Would you recommend exercise for a pt who has been discharged with heart
failure? - ANSWER-yes
How often should exercise be in heart failure pt? - ANSWER-regular routine
,Should you consume milk with iron supplements? - ANSWER-no- can cause
gastric disturbance.
Would you take iron with antacids? - ANSWER-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - ANSWER-
no- increase iron rich foods
What is a common side effect with iron pills? - ANSWER-constipation
What would you tell them to eat with taking iron pills? - ANSWER-high fiber
When does pain worsen with compartement syndrome? - ANSWER-when passive
moving occurs.
What does warmth under cast indicate? - ANSWER-infection
Should pt decrease complex carbs for atherosceleoris? - ANSWER-no, increase
them
What carb should a client with atherosceloris decrease? - ANSWER-simple sugars
Is MRSA airborne or contact? - ANSWER-contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - ANSWER-it
decreases effectiveness
,What should you tell the pt not to take with ciprofloxacin? - ANSWER-magnesium
containg 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 urine-
Can you take ciproflaxcin with alcohol? - ANSWER-yes
After a parathryoidectomy what would be the priority for the nurse? - ANSWER-to
put trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - ANSWER-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - ANSWER-give
dosage same time every day
Is restlessness common in hyperthyroidism? - ANSWER-yes
What would be urgent for hyperthyroidism? - ANSWER-high BP
If a pt has a weird heart sound what would be first thing you do? - ANSWER-listen
to it again but on the left side (least invasive)
, Why would gentamicin be withheld from a pt? - ANSWER-if creatine levels are
too high
What is normal creatine? - ANSWER-.6-1.2
What is one of the first vital signs of a hemorrhage? - ANSWER-increase 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
week
What drainage amount to get rid of drainage tube for mastectomy? - ANSWER-
less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2?
- ANSWER-if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - ANSWER-It can worsen
hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? -
ANSWER-decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? -
ANSWER-back pain
