ATI ADULT MEDICAL SURGICAL PROCTORED EXAM QUESTIONS AND ANSWERS NEW UPDATE RETAKE

Endtroacheal tube extubate what would you report immedatiely? - CORRECT ANSWER stridor Why is stridor bad? - CORRECT ANSWER it means that there is an obstruction or edema in airway What is heart rate like in someone who has a low fluid volume? - CORRECT ANSWER higher than usual like 110 What is normal unrine gravity? - CORRECT ANSWER 1.000 - 1.030 What is positive pressure doing? - CORRECT ANSWER promote lung expansion and stabilize chest Would you recomened exercise for a pt who has been discharged with heart failure? - CORRECT ANSWER yes How often should exercise be in heart failure pt? - CORRECT ANSWER regular routine Should you consume milk with iron supplements? - CORRECT ANSWER no can cause gastro disturbance. Would you take iron with antacids? - CORRECT ANSWER no gastro disturb ATI ADULT MEDICAL SURGICAL PROCTORED EXAM QUESTIONS AND ANSWERS NEW UPDATE RETAKE Would you tell the pt to lower red meat intake with iron deficiency? - CORRECT ANSWER no because they would need increase What is a common side effect with iron pills? - CORRECT ANSWER constipation What would you tell them to eat with taking iron pills? - CORRECT ANSWER high fiber When does pain worsen with compartement syndrome? - CORRECT ANSWER when passive moving occurs. What does warmth under cast indicate? - CORRECT ANSWER infection Should pt decrease complex carbs for atherosceleoris? - CORRECT ANSWER no What carb should a client with atherosceloris decrease? - CORRECT ANSWER simple sugars Is MRSA airborne or contact? - CORRECT ANSWER contact What does phenyotoin do to hepatic enzymes (for seizures the med is)? - CORRECT ANSWER it decreases effectiveness What should you tell the pt not to take with ciprofloxacin? - CORRECT ANSWER magnesium containg antacids Why wouldn't you take magnesium containing anatacids with cipro? - CORRECT ANSWER calcium can decrease obsorb of med What is a common side effect of rifampin? - CORRECT ANSWER color of pee Can you take ciproflaxcin with booze? - CORRECT ANSWER yes After a parathyroidectomy what would be priority for nurse? - CORRECT ANSWER to put trach tray by bedside (AIRWAY) What meds increase osteoporosis? - CORRECT ANSWER fludrocortisone With enoxaparin what is main thing for the med the nurse should do? - CORRECT ANSWER give dosage same time every day Is restlessness common in hyperthyroidism? - CORRECT ANSWER yes What would be urgent for hyperthyroidism? - CORRECT ANSWER high BP If a pt has a weird heart sound what would be first thing you do? - CORRECT ANSWER listen to it again but on the left side (least invasive) Why would gentamicin be withheld from a pt? - CORRECT ANSWER if creatine levels are too high What is normal creatine? - CORRECT ANSWER .6-1.2 What is one of the first vital signs of a hemorrhage? - CORRECT ANSWER increase heart rate What med would you give for a febrile reaction? - CORRECT ANSWER tylenol (reduces fever) How long does a drain stay in place for a radical mastectomy? - CORRECT ANSWER 1 to 3 week What drainage amount to get rid of drainage tube for mastectomy? - CORRECT ANSWER less than 25 What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - CORRECT ANSWER if they have COPD Why would it be bad for you to put O2 on a COPD pt? - CORRECT ANSWER It can worsen hypercarbia What is someones HGB look like with leukemia increase or decreased? - CORRECT ANSWER decreased What would be a big sign that nephrostomy tube has popped? - CORRECT ANSWER back pain What is max amount of flexing for total hip? - CORRECT ANSWER no more than 90 Why would you place a pillow between a pt legs for hip athroplasty? - CORRECT ANSWER so hips don't get dislodged What is a holter monitor used for? - CORRECT ANSWER if you have an irregular heart rate it can detect it What can a pacemaker do to a pt heart? - CORRECT ANSWER regulate the heart rate What is a echo used for? - CORRECT ANSWER detecting valve dysfunction What do PPI do for gastric ulcers? - CORRECT ANSWER it suppresses gastric acid production What is good about high fowlers postion? - CORRECT ANSWER increases lung expansion and improves ventilation What med would you d/c to before going in for allergy testing? - CORRECT ANSWER prednisone If a pt were to state there vision went blurry before a car accident what would you do first? - CORRECT ANSWER monitor neuro What would be first thing to do if bowel is protruding from stomach? - CORRECT ANSWER call for help What kind of skin for hypothyroidism? - CORRECT ANSWER dry scaly What does metformin do to glucose? - CORRECT ANSWER it decreases the amount of glucose produced in liver When should pt take metformin? - CORRECT ANSWER with or immediately following meals If you have hair loss on lower legs what could be problem? - CORRECT ANSWER PAD When is pain happening with PAD? - CORRECT ANSWER when resting How is pain relieved with PAD? - CORRECT ANSWER when feet are dangling After a thoracentesis what should a nurse tell the pt? - CORRECT ANSWER to deep breather to re expand lungs What would be an indication of osteomyelitis what lab? - CORRECT ANSWER increase sedimentation rate What is a blood problem that can occur with someone taking feverfew. - CORRECT ANSWER platelet aggregation What med does not go with feverfew? - CORRECT ANSWER naproxen What should be SaO2? - CORRECT ANSWER above 90%