ATI ENGAGE ADULT MEDICAL SURGICAL
EXAMPREP REVIEW SHEET WITH TESTED
QUESTIONS AND COMPLETE SOLUTIONS
●● 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.
●● Cushing's triad
Answer: Identify bradycardia as a component of Cushing's triad in a
client with increased intracranial pressure from a traumatic brain injury.
●● Client coping with diabetes diagnosis
Answer: Recognize the client's change in behavior of inspecting feet
daily as an indication of successful coping with the diagnosis.
●● Inguinal hernia assessment
Answer: Palpate location C to verify the presence of an inguinal hernia.
●● Rattlesnake bite treatment
Answer: Expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
●● Hemodialysis treatment
Answer: Perform a 12-lead ECG, place the client in Trendelenburg
position, administer a 0.9% sodium chloride 200 mL IV bolus, apply
EXAMPREP REVIEW SHEET WITH TESTED
QUESTIONS AND COMPLETE SOLUTIONS
●● 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.
●● Cushing's triad
Answer: Identify bradycardia as a component of Cushing's triad in a
client with increased intracranial pressure from a traumatic brain injury.
●● Client coping with diabetes diagnosis
Answer: Recognize the client's change in behavior of inspecting feet
daily as an indication of successful coping with the diagnosis.
●● Inguinal hernia assessment
Answer: Palpate location C to verify the presence of an inguinal hernia.
●● Rattlesnake bite treatment
Answer: Expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
●● Hemodialysis treatment
Answer: Perform a 12-lead ECG, place the client in Trendelenburg
position, administer a 0.9% sodium chloride 200 mL IV bolus, apply
