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, Actual ATI RN Med-Surg 2023/2026 Proctored Exam NGN |
100 Screenshot Questions and Answers
1. A nurse is preparing a client for an esophagogastroduodenoscopy (EGD).
Which of the following nursing interventions is the priority?
A. Assess the client's post-procedure gag reflex.
B. Ensure the client has been NPO for at least 6 to 8 hours prior.
C. Administer a continuous maintenance infusion of normal saline.
D. Position the client in a high-Fowler's position during the exam.
Answer: B. Prevention of aspiration is the priority safety goal for a client
undergoing an upper endoscopy. Keeping the client strictly NPO for 6 to 8 hours
ensures the stomach is empty, minimizing the risk of vomiting and subsequent
airway compromise under conscious sedation. While assessing the gag reflex
(Choice A) is a critical nursing action, it is a post-procedure intervention
performed before reintroducing oral fluids. The client is typically placed in a left
side-lying position (Choice D) during the procedure, not high-Fowler's, to facilitate
clearance of secretions and scope advancement .
2. A nurse is setting up a sterile field to perform a central venous catheter
dressing change. Which of the following actions should the nurse perform first
when opening the sterile package wrapper?
A. Open the right side flap of the package wrapper.
B. Open the left side flap of the package wrapper.
C. Open the flap furthest away from the nurse's body.
D. Open the closest flap toward the nurse's body.
Answer: C. When establishing a sterile field, the nurse must always open the top
flap furthest away from their body first. This prevents the nurse's unsterile arm
from crossing directly over the exposed sterile field during the subsequent
opening of the side and front flaps, thereby maintaining strict surgical asepsis.
Opening the closest flap first (Choice D) or side flaps first (Choices A and B) would
force the nurse to reach over the sterile contents to open the remaining flaps,
contaminating the environment .
,
, Actual ATI RN Med-Surg 2023/2026 Proctored Exam NGN |
100 Screenshot Questions and Answers
1. A nurse is preparing a client for an esophagogastroduodenoscopy (EGD).
Which of the following nursing interventions is the priority?
A. Assess the client's post-procedure gag reflex.
B. Ensure the client has been NPO for at least 6 to 8 hours prior.
C. Administer a continuous maintenance infusion of normal saline.
D. Position the client in a high-Fowler's position during the exam.
Answer: B. Prevention of aspiration is the priority safety goal for a client
undergoing an upper endoscopy. Keeping the client strictly NPO for 6 to 8 hours
ensures the stomach is empty, minimizing the risk of vomiting and subsequent
airway compromise under conscious sedation. While assessing the gag reflex
(Choice A) is a critical nursing action, it is a post-procedure intervention
performed before reintroducing oral fluids. The client is typically placed in a left
side-lying position (Choice D) during the procedure, not high-Fowler's, to facilitate
clearance of secretions and scope advancement .
2. A nurse is setting up a sterile field to perform a central venous catheter
dressing change. Which of the following actions should the nurse perform first
when opening the sterile package wrapper?
A. Open the right side flap of the package wrapper.
B. Open the left side flap of the package wrapper.
C. Open the flap furthest away from the nurse's body.
D. Open the closest flap toward the nurse's body.
Answer: C. When establishing a sterile field, the nurse must always open the top
flap furthest away from their body first. This prevents the nurse's unsterile arm
from crossing directly over the exposed sterile field during the subsequent
opening of the side and front flaps, thereby maintaining strict surgical asepsis.
Opening the closest flap first (Choice D) or side flaps first (Choices A and B) would
force the nurse to reach over the sterile contents to open the remaining flaps,
contaminating the environment .
