ATI RN ADULT MEDICAL SURGICAL
2023 WITH WELL EXPLAINED STUDY
GUIDE
1. Seizure precautions - correct answer.💖💖💖💖✔<<<<<Ensure client has IV access for
seizure medication administration.
2. Postoperative lab values - correct answer.💖💖💖💖✔<<<<<Report Hgb level of 8 g/dL to
provider as an indicator of postoperative hemorrhage or anemia.
3. ESWL procedure - correct answer.💖💖💖💖✔<<<<<Expect stone fragments in the urine
after extracorporeal shock wave lithotripsy.
4. Airborne precautions - correct answer.💖💖💖💖✔<<<<<Initiate airborne precautions for a
client with anorexia, low-grade fever, night sweats, and productive cough, as these are
manifestations of tuberculosis.
5. TPN administration - correct answer.💖💖💖💖✔<<<<<Administer dextrose 10% in water
until new TPN bag arrives to avoid drop in blood glucose level.
6. Levothyroxine interaction - correct answer.💖💖💖💖✔<<<<<Instruct client to avoid taking
calcium within 4 hr of levothyroxine administration, as calcium can interfere with the
effectiveness of the medication.
7. Mechanical ventilation anxiety - correct answer.💖💖💖💖✔<<<<<Instruct client to allow
the machine to breathe for them to reduce anxiety and restlessness associated with fighting the
ventilator.
, 8. Adverse effect of enalapril - correct answer.💖💖💖💖✔<<<<<Identify orthostatic
hypotension as an adverse effect of enalapril.
9. Delayed wound healing - correct answer.💖💖💖💖✔<<<<<Identify urine output of 25
mL/hr as a finding that contributes to delayed wound healing.
10. Hypothyroidism and opioid analgesic - correct answer.💖💖💖💖✔<<<<<Instruct client to
void every 4 hours to decrease the risk of urinary retention, which is an adverse effect of opioid
analgesics.
11. Portal hypertension - correct answer.💖💖💖💖✔<<<<<Obtain vital signs first when caring
for a client who is vomiting blood mixed with food after a meal, as this indicates a potential
rupture of esophageal varices.
12. Gastrectomy postoperative instructions - correct answer.💖💖💖💖✔<<<<<Instruct client
to avoid drinking fluids with meals, eat several small meals per day, consume high-protein
snacks, and avoid highly seasoned foods.
13. Cushing's triad - correct answer.💖💖💖💖✔<<<<<Identify bradycardia as a component of
Cushing's triad in a client with increased intracranial pressure from a traumatic brain injury.
14. Client coping with diabetes diagnosis - correct answer.💖💖💖💖✔<<<<<Recognize the
client's change in behavior of inspecting feet daily as an indication of successful coping with the
diagnosis.
15. Inguinal hernia assessment - correct answer.💖💖💖💖✔<<<<<Palpate location C to verify
the presence of an inguinal hernia.
16. Rattlesnake bite treatment - correct answer.💖💖💖💖✔<<<<<Expect a prescription for an
opioid analgesic to promote comfort following a rattlesnake bite.
2023 WITH WELL EXPLAINED STUDY
GUIDE
1. Seizure precautions - correct answer.💖💖💖💖✔<<<<<Ensure client has IV access for
seizure medication administration.
2. Postoperative lab values - correct answer.💖💖💖💖✔<<<<<Report Hgb level of 8 g/dL to
provider as an indicator of postoperative hemorrhage or anemia.
3. ESWL procedure - correct answer.💖💖💖💖✔<<<<<Expect stone fragments in the urine
after extracorporeal shock wave lithotripsy.
4. Airborne precautions - correct answer.💖💖💖💖✔<<<<<Initiate airborne precautions for a
client with anorexia, low-grade fever, night sweats, and productive cough, as these are
manifestations of tuberculosis.
5. TPN administration - correct answer.💖💖💖💖✔<<<<<Administer dextrose 10% in water
until new TPN bag arrives to avoid drop in blood glucose level.
6. Levothyroxine interaction - correct answer.💖💖💖💖✔<<<<<Instruct client to avoid taking
calcium within 4 hr of levothyroxine administration, as calcium can interfere with the
effectiveness of the medication.
7. Mechanical ventilation anxiety - correct answer.💖💖💖💖✔<<<<<Instruct client to allow
the machine to breathe for them to reduce anxiety and restlessness associated with fighting the
ventilator.
, 8. Adverse effect of enalapril - correct answer.💖💖💖💖✔<<<<<Identify orthostatic
hypotension as an adverse effect of enalapril.
9. Delayed wound healing - correct answer.💖💖💖💖✔<<<<<Identify urine output of 25
mL/hr as a finding that contributes to delayed wound healing.
10. Hypothyroidism and opioid analgesic - correct answer.💖💖💖💖✔<<<<<Instruct client to
void every 4 hours to decrease the risk of urinary retention, which is an adverse effect of opioid
analgesics.
11. Portal hypertension - correct answer.💖💖💖💖✔<<<<<Obtain vital signs first when caring
for a client who is vomiting blood mixed with food after a meal, as this indicates a potential
rupture of esophageal varices.
12. Gastrectomy postoperative instructions - correct answer.💖💖💖💖✔<<<<<Instruct client
to avoid drinking fluids with meals, eat several small meals per day, consume high-protein
snacks, and avoid highly seasoned foods.
13. Cushing's triad - correct answer.💖💖💖💖✔<<<<<Identify bradycardia as a component of
Cushing's triad in a client with increased intracranial pressure from a traumatic brain injury.
14. Client coping with diabetes diagnosis - correct answer.💖💖💖💖✔<<<<<Recognize the
client's change in behavior of inspecting feet daily as an indication of successful coping with the
diagnosis.
15. Inguinal hernia assessment - correct answer.💖💖💖💖✔<<<<<Palpate location C to verify
the presence of an inguinal hernia.
16. Rattlesnake bite treatment - correct answer.💖💖💖💖✔<<<<<Expect a prescription for an
opioid analgesic to promote comfort following a rattlesnake bite.
