RN ATI MEDICAL SURGICAL 2026 PRACTICE
QUESTIONS WITH DETAILED RATIONALES A+
◉ Client teaching for Nitroglycerin: Answer: 1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
◉ Which foods should the client on Warfarin avoid? Answer: dark
leafy green veggies
◉ Client teaching for anticoagulant therapy: Answer: -bleeding
precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
◉ Expected prescriptions for Hypertension: Answer: -furosemide
(Lasix)
,-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
◉ Contraindications for Nadolol: Answer: -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
◉ Treatment for diabetes insipidus: Answer: -daily weights
-no caffeine or alcohol
,-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
◉ Meds for DI, what to look out for/do: Answer: -adjust based on
urine output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
◉ Protein requirement of an adult: _____g of protein per kg Answer:
0.8 g
◉ Caring for a client who has pancreatitis: Answer: -keep NPO
-NG tube to suction gastric contents
-low fat, high protein, high carb diet
Risk factors:
-high fat diet
, -excessive alcohol consumption
-age
◉ Expected lab findings for a client with pancreatitis: Answer: -
increased amylase & lipase
-increased WBC
-decreased platelets
-increased glucose
-increased liver enzymes & bilirubin
-elevated ESR
-decreased calcium & magnesium
◉ What med do you give for symptomatic bradycardia? What
electrical management? Answer: med=atropine
elec= pacemaker insertion
◉ What med/meds do you give for AFib? What electrical
management? Answer: meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
◉ What med/meds do you give for SVT? What electrical
management? Answer: meds= amiodarone, adenosine, verapamil
QUESTIONS WITH DETAILED RATIONALES A+
◉ Client teaching for Nitroglycerin: Answer: 1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
◉ Which foods should the client on Warfarin avoid? Answer: dark
leafy green veggies
◉ Client teaching for anticoagulant therapy: Answer: -bleeding
precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
◉ Expected prescriptions for Hypertension: Answer: -furosemide
(Lasix)
,-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
◉ Contraindications for Nadolol: Answer: -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
◉ Treatment for diabetes insipidus: Answer: -daily weights
-no caffeine or alcohol
,-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
◉ Meds for DI, what to look out for/do: Answer: -adjust based on
urine output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
◉ Protein requirement of an adult: _____g of protein per kg Answer:
0.8 g
◉ Caring for a client who has pancreatitis: Answer: -keep NPO
-NG tube to suction gastric contents
-low fat, high protein, high carb diet
Risk factors:
-high fat diet
, -excessive alcohol consumption
-age
◉ Expected lab findings for a client with pancreatitis: Answer: -
increased amylase & lipase
-increased WBC
-decreased platelets
-increased glucose
-increased liver enzymes & bilirubin
-elevated ESR
-decreased calcium & magnesium
◉ What med do you give for symptomatic bradycardia? What
electrical management? Answer: med=atropine
elec= pacemaker insertion
◉ What med/meds do you give for AFib? What electrical
management? Answer: meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
◉ What med/meds do you give for SVT? What electrical
management? Answer: meds= amiodarone, adenosine, verapamil
