ATI RN ADULT MEDICAL SURGICAL 2023
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
, Seizure precautions - ANSWER Ensure client has IV access for seizure medication
administration.
Postoperative lab values - ANSWER Report Hgb level of 8 g/dL to provider as an
indicator of postoperative hemorrhage or anemia.
ESWL procedure - ANSWER Expect stone fragments in the urine after extracorporeal
shock wave lithotripsy.
Airborne precautions - ANSWER Initiate airborne precautions for a client with anorexia,
low-grade fever, night sweats, and productive cough, as these are manifestations of
tuberculosis.
TPN administration - ANSWER Administer dextrose 10% in water until new TPN bag
arrives to avoid drop in blood glucose level.
Levothyroxine interaction - ANSWER Instruct client to avoid taking calcium within 4 hr of
levothyroxine administration, as calcium can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety - ANSWER Instruct client to allow the machine to breathe
for them to reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - ANSWER Identify orthostatic hypotension as an adverse
effect of enalapril.
Delayed wound healing - ANSWER Identify urine output of 25 mL/hr as a finding that
contributes to delayed wound healing.
Hypothyroidism and opioid analgesic - ANSWER Instruct client to void every 4 hours to
decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - 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.
Gastrectomy postoperative instructions - ANSWER Instruct client to avoid drinking fluids
with meals, eat several small meals per day, consume high-protein snacks, and avoid
highly seasoned foods.
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
, Seizure precautions - ANSWER Ensure client has IV access for seizure medication
administration.
Postoperative lab values - ANSWER Report Hgb level of 8 g/dL to provider as an
indicator of postoperative hemorrhage or anemia.
ESWL procedure - ANSWER Expect stone fragments in the urine after extracorporeal
shock wave lithotripsy.
Airborne precautions - ANSWER Initiate airborne precautions for a client with anorexia,
low-grade fever, night sweats, and productive cough, as these are manifestations of
tuberculosis.
TPN administration - ANSWER Administer dextrose 10% in water until new TPN bag
arrives to avoid drop in blood glucose level.
Levothyroxine interaction - ANSWER Instruct client to avoid taking calcium within 4 hr of
levothyroxine administration, as calcium can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety - ANSWER Instruct client to allow the machine to breathe
for them to reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - ANSWER Identify orthostatic hypotension as an adverse
effect of enalapril.
Delayed wound healing - ANSWER Identify urine output of 25 mL/hr as a finding that
contributes to delayed wound healing.
Hypothyroidism and opioid analgesic - ANSWER Instruct client to void every 4 hours to
decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - 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.
Gastrectomy postoperative instructions - ANSWER Instruct client to avoid drinking fluids
with meals, eat several small meals per day, consume high-protein snacks, and avoid
highly seasoned foods.
