ATI RN MEDICAL-SURGICAL PROCTORED 2026-2027
QUESTION AND ANSWERS
Endoscopy (EGD) positioning - correct answer-left side lying
Before an Endoscopy (EGD): - correct answer--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - correct answer--restrict dairy, caffeine, milk
-eatJfoods highJin potassiumJ
-increase fluidJintake
-contactJprecautions
In what order do you openJthe sterile package? - correct answer-
flap furthest from body, side flaps, then closest
A nurse has removed a sterileJpack from its outside cover and place it on a clean workJsurfaceJin preparation f
or an invasive procedure. Which of the following flaps should theJnurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - correct answer-D
A nurse is wearingJsterile gloves in prep for performing a sterile procedure. Which of theJfollowing objects c
anJthe nurse touch without breaking sterile technique (Select all thatJapply)
A. bottle containing sterile solution
B. edge of sterile drape at theJbase of the field
C. inner wrapping of an item on theJsterile field
D. irrigation syringe on theJsterile field
,E. one gloved hand with theJother gloved hand - correct answer-C, D, E
A nurse has prepared a sterileJfield for assisting a provider with a chest tube insertion. WhichJof the followin
gJevents should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument ontoJthe near sideJof the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayedJ1hr because the provider receives an emergency call
D. nurse turns to speak toJsomeoneJwhoJenters through the door behindJthe nurse
E. clients hand brushes against the outer edge of theJsterile field - correct answer-B, C, D
TB is suspected, what precautionary actions to do? - correct answer--
negativeJairflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - correct answer--family members should beJscreened
-4 meds taken for 6-12 months
-not contagious when they have 3 negativeJsputum cultures
What toJwatch for when on Isoniazid: - correct answer-numb/tingling in theJhands & feet
What toJwatch for when on Rifampin: - correct answer--orange secretions normal
-watch for jaundice
-interferes with birth control
What toJwatch for when on Ethambutol: - correct answer-vision changes
Client teaching for genital herpes: - correct answer--can beJtransmitted withJor w/outJblisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
, -abstain from intercourse until lesions are completely healed
-gently cleanJareas w/mild soap & water
Caring for a client following a strokeJof the right side with left-sided hemipalegia: - correct answer--
thickenJliquids/foods
-highJfowlers
-speech therapist forJhelping w/eating & speech
-monitor gagJreflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support leftJarmJwith pillows, slings, etc
High sodium foods clientsJwith HF & Pulmonary edema should avoid: - correct answer--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - correct answer-ibuprofen
Ketorolac should not be used concurrently with... - correct answer-other NSAIDS
Glucocorticoids increase the risk of gastric bleedingJwhen taken with... - correct answer-non-
opioid analgesics
ToJaccess an implanted port, you must use a... - correct answer-noncoring (Huber) needle
WhenJdone accessing an implanted port... - correct answer-flush with 10 mLJ0.9% sodiumJchloride
QUESTION AND ANSWERS
Endoscopy (EGD) positioning - correct answer-left side lying
Before an Endoscopy (EGD): - correct answer--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - correct answer--restrict dairy, caffeine, milk
-eatJfoods highJin potassiumJ
-increase fluidJintake
-contactJprecautions
In what order do you openJthe sterile package? - correct answer-
flap furthest from body, side flaps, then closest
A nurse has removed a sterileJpack from its outside cover and place it on a clean workJsurfaceJin preparation f
or an invasive procedure. Which of the following flaps should theJnurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - correct answer-D
A nurse is wearingJsterile gloves in prep for performing a sterile procedure. Which of theJfollowing objects c
anJthe nurse touch without breaking sterile technique (Select all thatJapply)
A. bottle containing sterile solution
B. edge of sterile drape at theJbase of the field
C. inner wrapping of an item on theJsterile field
D. irrigation syringe on theJsterile field
,E. one gloved hand with theJother gloved hand - correct answer-C, D, E
A nurse has prepared a sterileJfield for assisting a provider with a chest tube insertion. WhichJof the followin
gJevents should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument ontoJthe near sideJof the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayedJ1hr because the provider receives an emergency call
D. nurse turns to speak toJsomeoneJwhoJenters through the door behindJthe nurse
E. clients hand brushes against the outer edge of theJsterile field - correct answer-B, C, D
TB is suspected, what precautionary actions to do? - correct answer--
negativeJairflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - correct answer--family members should beJscreened
-4 meds taken for 6-12 months
-not contagious when they have 3 negativeJsputum cultures
What toJwatch for when on Isoniazid: - correct answer-numb/tingling in theJhands & feet
What toJwatch for when on Rifampin: - correct answer--orange secretions normal
-watch for jaundice
-interferes with birth control
What toJwatch for when on Ethambutol: - correct answer-vision changes
Client teaching for genital herpes: - correct answer--can beJtransmitted withJor w/outJblisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
, -abstain from intercourse until lesions are completely healed
-gently cleanJareas w/mild soap & water
Caring for a client following a strokeJof the right side with left-sided hemipalegia: - correct answer--
thickenJliquids/foods
-highJfowlers
-speech therapist forJhelping w/eating & speech
-monitor gagJreflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support leftJarmJwith pillows, slings, etc
High sodium foods clientsJwith HF & Pulmonary edema should avoid: - correct answer--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - correct answer-ibuprofen
Ketorolac should not be used concurrently with... - correct answer-other NSAIDS
Glucocorticoids increase the risk of gastric bleedingJwhen taken with... - correct answer-non-
opioid analgesics
ToJaccess an implanted port, you must use a... - correct answer-noncoring (Huber) needle
WhenJdone accessing an implanted port... - correct answer-flush with 10 mLJ0.9% sodiumJchloride
