ATI RN MEDICAL SURGICAL
EXAMINATION TEST BUNDLE 2026 REAL
TESTED QUESTIONS WITH DETAILED
ANSWERS
⩥ Acute Glomerulonephritis. Answer: - ASO titer will indicate if the
child has had a recent strep infection. In determining a definitive
diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
⩥ Myelomeningocele. Answer: - Hydrocephalus; is a post-operative risk
because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid and
once the sac is removed, there is nowhere for this additional CSF to
accumulate except in the ventricles of the brain.
⩥ Intussusception. Answer: - Diagnosed with a barium enema, which
may also correct the condition; the telescoping of the bowel may be
reduced by the hydrostatic pressure of the barium enema.
⩥ Nephrotic Syndrome
,Prednisone. Answer: - In nephrotic syndrome it acts on the body to
decrease the excretion of protein, and thus helps flush fluids back to
their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be
measured in weight loss.
⩥ Spinal Fusion. Answer: - Log rolling Q2hr promotes good pulmonary,
gastrointestinal and genitourinary functioning. It also allows the nurse
the opportunity to assess the clients lengthy posterior spinal dressing for
drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op,
elevated HOB @ 2-3 days post-op
⩥ Milwaukee brace. Answer: - Worn for scoliosis , stabilizes the spine
from the neck to the pelvis. It must be removed daily for hygiene care,
but that is all. Once the curves has stabilized and spinal growth is nearly
complete the ortho surgeon will begin to wean the client out of the
brace, but continues to wear it in the evening and at night. The brace will
often be worn at night several years after growth is complete to maintain
the spinal correction.
⩥ Steroid Inhaler. Answer: - Help manage asthma be decreasing
reactivity of the airways by preventing or lessening the inflammatory
process when the pt. is exposed to a trigger, so even when manifestation
free it is critical to continue using it.
- They have no immediate bronchodilator effect and are not used for
prophylactic measures.
, ⩥ Urine Specific gravity. Answer: Expected finding is 1.010-1.020
↑ = concentration
⩥ Anaphylaxis. Answer: - Nausea, Tachycardia, Urticaria (hives),
Stridor
- Histamine is a vasodilator = Tachycardia and ↓B.P.
- GI response due to increase of histamine release = Nausea
⩥ Superficial Partial-Thickness Burn. Answer: - High Carbohydrates
and Protein with adequate fat for healing.
- Administer medication 30min. before dressing changes
- Do not change dressings close to feedings therefore perform at least 1
hour before or after meals.
⩥ Autistic. Answer: Characteristics include engagement in repetitive
activities and stereotyped movements, resistance to environmental
change or change in daily routines and unusual responses to sensory
experiences. The child with autism has unusual responses to painful
stimuli and may engage in self-injurious behaviors as a form of auto-
stimulation.
⩥ Bone Marrow Aspiration. Answer: - Lie on abdomen because the
specimen is obtained from the iliac crest.
EXAMINATION TEST BUNDLE 2026 REAL
TESTED QUESTIONS WITH DETAILED
ANSWERS
⩥ Acute Glomerulonephritis. Answer: - ASO titer will indicate if the
child has had a recent strep infection. In determining a definitive
diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
⩥ Myelomeningocele. Answer: - Hydrocephalus; is a post-operative risk
because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid and
once the sac is removed, there is nowhere for this additional CSF to
accumulate except in the ventricles of the brain.
⩥ Intussusception. Answer: - Diagnosed with a barium enema, which
may also correct the condition; the telescoping of the bowel may be
reduced by the hydrostatic pressure of the barium enema.
⩥ Nephrotic Syndrome
,Prednisone. Answer: - In nephrotic syndrome it acts on the body to
decrease the excretion of protein, and thus helps flush fluids back to
their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be
measured in weight loss.
⩥ Spinal Fusion. Answer: - Log rolling Q2hr promotes good pulmonary,
gastrointestinal and genitourinary functioning. It also allows the nurse
the opportunity to assess the clients lengthy posterior spinal dressing for
drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op,
elevated HOB @ 2-3 days post-op
⩥ Milwaukee brace. Answer: - Worn for scoliosis , stabilizes the spine
from the neck to the pelvis. It must be removed daily for hygiene care,
but that is all. Once the curves has stabilized and spinal growth is nearly
complete the ortho surgeon will begin to wean the client out of the
brace, but continues to wear it in the evening and at night. The brace will
often be worn at night several years after growth is complete to maintain
the spinal correction.
⩥ Steroid Inhaler. Answer: - Help manage asthma be decreasing
reactivity of the airways by preventing or lessening the inflammatory
process when the pt. is exposed to a trigger, so even when manifestation
free it is critical to continue using it.
- They have no immediate bronchodilator effect and are not used for
prophylactic measures.
, ⩥ Urine Specific gravity. Answer: Expected finding is 1.010-1.020
↑ = concentration
⩥ Anaphylaxis. Answer: - Nausea, Tachycardia, Urticaria (hives),
Stridor
- Histamine is a vasodilator = Tachycardia and ↓B.P.
- GI response due to increase of histamine release = Nausea
⩥ Superficial Partial-Thickness Burn. Answer: - High Carbohydrates
and Protein with adequate fat for healing.
- Administer medication 30min. before dressing changes
- Do not change dressings close to feedings therefore perform at least 1
hour before or after meals.
⩥ Autistic. Answer: Characteristics include engagement in repetitive
activities and stereotyped movements, resistance to environmental
change or change in daily routines and unusual responses to sensory
experiences. The child with autism has unusual responses to painful
stimuli and may engage in self-injurious behaviors as a form of auto-
stimulation.
⩥ Bone Marrow Aspiration. Answer: - Lie on abdomen because the
specimen is obtained from the iliac crest.
