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ATI ADULT MEDICAL SURGICAL 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Seizures and Epilepsy: Seizure precautions - correct answer-
During a seizure: Position client on the floor and provide a
patent airway, turn client to side and loosen restrictive clothing
Cancer treatment options: Protective Isolation (999) - correct
answer- If WBC drops below 1,000, place the client in a private
room and initiate neutropenic precautions.
- Have client remain in his room unless be needs to leave for a
diagnostic procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change
water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene,
restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
Infection control: Appropriate room assignment - correct
answer- Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
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3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause
splashing or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single,
nonporous bag without touching the outside of the bag
TB: Priority action for a client in the emergency department
(249) - correct answer- -Wear an N95 or HEPA respirator
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-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing
contamination exists
Immunizations: Recommended vaccinations for older adult
clients (943) - correct answer- Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT (258) - correct
answer- -Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
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-Long bone fractures
-Advanced age
Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection (743) -
correct answer- -Urethral trauma
-Urinary retention
- Bleeding
- Infection
Stroke: Caring for a client who has left sided hemiplegia (155) -
correct answer- - Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected
extremity
- Ensure foot rest is on wheel chair and ankle brace is on the
affected foot
- Instruct client to dress the affected side first
Fractures and immobilization devices: Prevent complications
(787) - correct answer- -Assess neurovascular status of the
affected body part for every hour for 24 hours and Q4 hours
after that
- Maintain body alignment
- avoid lifting or removing weights
ATI ADULT MEDICAL SURGICAL 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Seizures and Epilepsy: Seizure precautions - correct answer-
During a seizure: Position client on the floor and provide a
patent airway, turn client to side and loosen restrictive clothing
Cancer treatment options: Protective Isolation (999) - correct
answer- If WBC drops below 1,000, place the client in a private
room and initiate neutropenic precautions.
- Have client remain in his room unless be needs to leave for a
diagnostic procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change
water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene,
restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
Infection control: Appropriate room assignment - correct
answer- Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
,2 | Page
3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause
splashing or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single,
nonporous bag without touching the outside of the bag
TB: Priority action for a client in the emergency department
(249) - correct answer- -Wear an N95 or HEPA respirator
,3 | Page
-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing
contamination exists
Immunizations: Recommended vaccinations for older adult
clients (943) - correct answer- Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT (258) - correct
answer- -Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
, 4 | Page
-Long bone fractures
-Advanced age
Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection (743) -
correct answer- -Urethral trauma
-Urinary retention
- Bleeding
- Infection
Stroke: Caring for a client who has left sided hemiplegia (155) -
correct answer- - Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected
extremity
- Ensure foot rest is on wheel chair and ankle brace is on the
affected foot
- Instruct client to dress the affected side first
Fractures and immobilization devices: Prevent complications
(787) - correct answer- -Assess neurovascular status of the
affected body part for every hour for 24 hours and Q4 hours
after that
- Maintain body alignment
- avoid lifting or removing weights
