ATI PROCTORED MED SURG PRACTICE EXAM NEWEST 2022.NGN QUESTIONS WITH VERIFIED SOLUTIONS (UPDATED 2023)

Wound Evisceration, Emergency management - CORRECT ANSWER 1. Saline cover wound Asthma emergency management of bee sting allergies - CORRECT ANSWER 1. Epi Pen Hypocalcemia - CORRECT ANSWER 1. Paresthesia fingers and lips 2. Tetany 3. Muscle Twitching Peripheral Vascular Disease, Data Collection - CORRECT ANSWER 1. Bruit over femoral and aortic arteries Peripheral Arterial Disease, Monitoring Circulation - CORRECT ANSWER 1. Walk 8 times a day 2. Avoid Cold 3. Monitor q 8 hours 4. Skin care with warm water 5. Mild Soap Meningitis Expected findings - CORRECT ANSWER -Nuchal Ridgity -Red Macular Rash -photophobia -HA -Avoid raising legs above level of the heart -Avoid crossing legs, hip flexion Head injury ICP expected finding * - CORRECT ANSWER 1. Early sign Restlessness 2. Late sign Dilated Pupils Diabetes Management Hypoglycemia* - CORRECT ANSWER 1. Clammy Pale Skin 2. Irrability 3. Weakness 4. Tremors Urinary Tract Infection Reinforcing Teaching - CORRECT ANSWER 1. Void 3-4 hours 2. Wipe front to the back 3. Drink plenty of fluids 4. Wear cotton underwear 5. Avoid bubble baths Urinary Elimination Needs and Specimen Collection Catheterization for Residual Urine - CORRECT ANSWER 1. Alcohol clean side port to Withdraw Amputation Discharge Teaching - CORRECT ANSWER 1. Prone position, 6x a day for 20-30 min Mechanical Ventilation Planning Care - CORRECT ANSWER 1. Asses cuff pressure every 8 hours Systemic Lupus Erythematosus (Medrol Meds) - CORRECT ANSWER 1. Should Limit Contact With People With Possible Infection 2. Avoid Large Group Of People Right Sided Heart Failure - CORRECT ANSWER 1. Jungular Vein Distention 2. Ascending Dependent Edema 3. Weight Gain 4. Hepatomegaly (Liver Enlargement) Left Sided Heart Failure - CORRECT ANSWER 1. Pnea, SOB 2. Crackles 3. Oliguria 4. Frothy Sputum 5. Displaced Apical Pulse (Hypertrophy) Benign Hypertrophy - CORRECT ANSWER 1. While Catheter in place, will feel the urge to void 2. Calculate urine output every 2 hours 3. Should get up in a chair ASAP 4. Avoid heavy lifting 5. Avoid Sex/Intercourse 2-6 weeks 6. Expected output 150-200 ml every 3-4 hours Cerebrovascular Accident - CORRECT ANSWER 1. Eat in upright position / Swallow with head and neck flexed slightly forward 2. Place food in back of mouth on unaffected side 3. Avoid extreme flexion or extension of the neck 4. Give sour/tart food 5. Meet with Speech Therapist Hyperglycemia - CORRECT ANSWER 1. Flushed Skin 2. Fruity Breath 3. Rapid Breathing 4. Thirst Disaster Planning and Emergency Management Responding to a fire - CORRECT ANSWER 1. remove Patient First Disaster Planning and Emergency Management Recommending Clients to Discharge - CORRECT ANSWER 1. Fever has to stay Cognitive Disorders Planning Care in an Adult Day Care Setting - CORRECT ANSWER 1. Check Mental Status Female Cancers Appropriate Referrals - CORRECT ANSWER 1. Support Group Cerebrovascular Accident Appropriate Referrals - CORRECT ANSWER 1. Speech Therapist Legal Responsibilities Securing Client Valuables - CORRECT ANSWER 1. Give money to Security Bacterial Viral and Fungal Infection, Nationally Notifiable Infectious Disease - CORRECT ANSWER 1. E coli Clients Understanding of Organ Donation - CORRECT ANSWER 1. Must be made by patient Spinal Cord Injury Client Referral - CORRECT ANSWER 1. OTA 2. PT 3. Social Service Living Will* - CORRECT ANSWER 1. Express patient's wishes Contraception Appropriate Use of Contraception - CORRECT ANSWER 1. Can use spermicide gel/cream 2. No male and female condoms 3. Refitted every 2 years/ Keep in place for 6hrs after intercourse Contraception Appropriate Methods for an Adolescent - CORRECT ANSWER 1. Injectable Progestin (Depo Prevea) Testicular Examination - CORRECT ANSWER 1. Monthly after warm shower Childhood Immunization Contraindication - CORRECT ANSWER 1. Pregnancy 2. Allergies to gelatin 3. Can be contraindicated if child is sick Breast Self-Examination - CORRECT ANSWER 1. Following Menstrual Cycle Monthly a Week After Amputation Body Image Change - CORRECT ANSWER 1. Monitor Anger, 2. Withdrawal 3. Sadness 4. Assist with residue limb Prepation Phototherapy - CORRECT ANSWER 1. Jaundice on Head Sclera 2. Maculopapular Rash 3. Dehydration 4. Green liquid stools 5. Feed every 3-4 hours 6. Vital Signs every 4 hours 7. Mask The Eyes 8. Keep Infants Undressed 9. Remove baby from light every 4 hours Nursing Care of the Newborn Reinforcing Teaching about Breastfeeding - CORRECT ANSWER 1. 6 to 8 Diapers a day 2. Will have loose pale yellow stools 3. Cover part of Areolar Nursing Care of the Newborn Breastfeeding - CORRECT ANSWER 1. 30-40 minutes a day Meeting Nutritional Needs of Newborns Breastfeeding - CORRECT ANSWER 1. Every 2 to 3 hours 2. Freeze 3 to 6 months Tuberculosis Transmission Precautions - CORRECT ANSWER 1. Negative air pressure room 2. Transferring Patient needs a Surgical Mask