ATI RN MEDICAL-SURGICAL PROCTORED EXAM TEST BANK ACTUAL LATEST EXAM QUESTIONS |2 VERSIONS (VERSION A AND B) COMPLETE WITH 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS

ATI RN MEDICAL-SURGICAL PROCTORED EXAM TEST BANK ACTUAL LATEST EXAM QUESTIONS |2 VERSIONS (VERSION A AND B) COMPLETE WITH 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS A professional nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the professional 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. professional 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. professional nurse turns to speak to someone who enters through the door behind the nurse E. hospital patients hand brushes against the outer edge of the sterile field - RIGHT ANSWER B, C, D Endoscopy (EGD) positioning - RIGHT ANSWER left side lying Before an Endoscopy (EGD): - RIGHT ANSWER -NPO 6-8 hr -remove dentures Gastroenteritis care plan: - RIGHT ANSWER -restrict dairy, caffeine, milk -eat foods high in potassium -increase fluid intake -contact precautions In what order do you open the sterile package? - RIGHT ANSWER flap furthest from body, side flaps, then closest A professional 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 professional nurse unfold first: A. closest to body B. right side C. left side D. farthest from body - RIGHT ANSWER D A professional nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the professional 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 - RIGHT ANSWER C, D, E TB is suspected, what precautionary actions to do? - RIGHT ANSWER -negative airflow room, airborne precautions -nurses wear N95 mask, hospital patient wears if going out of the room -admin heat & humidified O2 therapy as prescribed TB interventions: - RIGHT ANSWER -family members should be screened -4 meds taken for 6-12 months -not contagious when they have 3 negative sputum cultures What to watch for when on Isoniazid: - RIGHT ANSWER numb/tingling in the hands & feet What to watch for when on Rifampin: - RIGHT ANSWER -orange secretions normal -watch for jaundice -interferes with birth control What to watch for when on Ethambutol: - RIGHT ANSWER vision changes Hospital patient teaching for genital herpes: - RIGHT ANSWER -can be transmitted with or w/out blisters -sexual partners should be informed & screened -no cure, just meds to help w/symptoms -abstain from intercourse until lesions are completely healed -gently clean areas w/mild soap & water Caring for a hospital patient following a stroke of the right side with left-sided hemipalegia: - RIGHT ANSWER -thicken liquids/foods -high fowlers -speech therapist for helping w/eating & speech -monitor gag reflex/swallowing abilities -have suction equipment available -occupational therapy -support left arm with pillows, slings, etc High sodium foods hospital patients with HF & Pulmonary edema should avoid: - RIGHT ANSWER -cheese -soups -bread -cold cuts/cured meats -pizza -eggs & omelets -hot dogs -baked ham Which non-opioid drug decreases the effect of aspirin? - RIGHT ANSWER ibuprofen Ketorolac should not be used concurrently with... - RIGHT ANSWER other NSAIDS Glucocorticoids increase the risk of gastric bleeding when taken with... - RIGHT ANSWER non-opioid analgesics To access an implanted port, you must use a... - RIGHT ANSWER noncoring (Huber) needle When done accessing an implanted port... - RIGHT ANSWER flush with 10 mL 0.9% sodium chloride Therapeutic effects of furosemide (Lasix) - RIGHT ANSWER -decreases preload of the heart -decreases potassium levels -increases urine output -decrease BP -decrease edema Valsartan for HF expected outcomes/findings: - RIGHT ANSWER -vasodilation -excretion of sodium & water -reduces BP -reduces risk of mortality in post-MI pts left w/vent dysfunction Expected findings of meds that increase urinary output (diuretics): - RIGHT ANSWER -decreased potassium -weight loss -decrease in edema -decreased calcium -increased urine output -decreased BP -decrease in ICP & IOP Hospital patient teaching for Nitroglycerin: - RIGHT ANSWER 1. stop activity & rest 2. place nitro tab under tongue 3. if pain is unrelieved in 5 min, call 911 or go to ED 4. take 2 or more doses at 5 min intervals -headache is a common side effect of nitro Which foods should the hospital patient on Warfarin avoid? - RIGHT ANSWER dark leafy green veggies Hospital patient teaching for anticoagulant therapy: - RIGHT ANSWER -bleeding precautions -no added meds that increase bleeding -on it for 6-8 weeks prior to hematologic dx procedure -must have blood levels checked often -monitor vitamin K in their diet Expected prescriptions for Hypertension: - RIGHT ANSWER -furosemide (Lasix) -aldactone (potassium sparing diuretic) -hydrochlorothiazide (diuretic) -verapamil, dilitiazem (CCB) -captopril, lisinopril (ACE inhibitors) -losartan, telmisartan (ARBs) -eplerenone -atenolol, metoprolol (Beta blockers) -clonidine -prazosin (minipress) Contraindications for Nadolol: - RIGHT ANSWER -asthma -sinus bradycardia -cardiogenic shock -cardiac failure -diabetes -pregnancy -right side HF -emphysema -severe COPD Treatment for diabetes insipidus: - RIGHT ANSWER -daily weights -no caffeine or alcohol -desmopressin acetate/DDVAP -aqueous vasopressin/Pitressin -carbamazepine (tegretol) -high fiber diet Meds for DI, what to look out for/do: - RIGHT ANSWER -adjust based on urine output -daily weights -inform of weight gain of 2 lb in 24 hr -notify if headaches or confusion occur -monitor for infection -monitor for dizziness/drowsiness