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Exam (elaborations)

ATI 1111 ATI- MED SURG PROCTORED PRACTICE.

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ATI- MED SURG PROCTORED PRACTICE QUESTIONS & ANSWERS.

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ATI- MED SURG PROCTORED PRACTICE QUESTIONS & ANSWERS
1. Removing a peripheral IV catheter- Answer: make sure the tip is intact

2. Patient has INR of 1.5 prior to surgery. What are you going to do?
Answer: Prep the patient for surgery

3. Following the surgical placement of a new ileostomy, which of the following would you teach
them?
Answer: chew food well
Rationale: Patients with a new ostomy involving the small intestine (i.e. an ileostomy) are
told post-op to avoid foods that increase flatus (green leafy vegetables, beer, carbonated
beverages, dairy, and corn); avoid high-fiber foods for first 2 months; CHEW FOOD WELL;
increase fluid intake; and evaluate evidence of blockage.

4. A patient is on isolation due to C difficile infection; which of the following represents correct
infection protection protocol?

Answer: Collect fecal sample with gloves

5. A patient ____(has either a list of symptoms or a new prescription for anti-
coagulant)________ during medical history they report they have been TAKING IBUPROFEN
FOR 3 YEARS. What lab would you expect to be drawn?
Answer: Fecal Testing/Stool Guaiac/ Fecal Occult Blood Test (FOBT)

6. A patient has been on total parenteral nutrition for 10 full days, which of the following would
be an indication that the nutrition therapy is effective?

Answer: Potassium 4.0 (Pg.524)

7. Which of the following clients is MOST at risk for developing atelectasis?

Answer: Post anesthesia for bowel resection

o Rationale: This patient was the only patient who had abdominal surgery; patients
with abdominal surgery are at the HIGHEST risk for atelectasis because the pain from
incision/surgical procedure causes them to reflexively breathe in a shallow, cautious
way. Positioning (guarding) also causes decreased in lung expansion.

8. The nurse is preparing a patient for paracentesis procedure, which of the following
instructions would be given to the patient to decrease the risk of perforation?

Answer: Instruct patient to empty their bladder prior to the procedure, this is done in order to
decrease the size of a bladder and it reduces the chance of accidental bladder perforation.Pg 527


9. The nurse is providing home care for a patient receiving peritoneal dialysis, the patient has a
fever of 102, and the catheter has decreased dialysate outflow. Which of the following
should the nurse perform first?

Answer: Reposition the patient



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, Rationale: Nursing Actions regarding reduced or inadequate outflow include: repositioning the client
(b/c this moves the distal lumen of the catheter which may become pressed up against the
abdominal wall = obstruction); milk the tubing if a visible clot is present in the catheter; check the
tubing for kinks or closed clamps, determine when the patient’s last bowel movement




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