ATI RN MEDICAL-SURGICAL
PROCTORED QUESTIONS AND
ANSWERS
Endoscopyj(EGD)jpositioningj-jans✔✔leftjsidejlying
BeforejanjEndoscopyj(EGD):j-jans✔✔-NPOj6-8jhr
-removejdentures
Gastroenteritisjcarejplan:j-jans✔✔-restrictjdairy,jcaffeine,jmilk
-eatjfoodsjhighjinjpotassiumj
-increasejfluidjintakej
-contactjprecautions
Injwhatjorderjdojyoujopenjthejsterilejpackage?j-
jans✔✔flapjfurthestjfromjbody,jsidejflaps,jthenjclosest
Ajnursejhasjremovedjajsterilejpackjfromjitsjoutsidejcoverjandjplacejitjonjajcleanjworkjsurfacej
injpreparationjforjanjinvasivejprocedure.jWhichjofjthejfollowingjflapsjshouldjthejnursejunfoldj
first:
A.jclosestjtojbody
B.jrightjside
C.jleftjside
D.jfarthestjfromjbodyj-jans✔✔D
Ajnursejisjwearingjsterilejglovesjinjprepjforjperformingjajsterilejprocedure.jWhichjofjthejfollo
wingjobjectsjcanjthejnursejtouchjwithoutjbreakingjsterilejtechniquej(Selectjalljthatjapply)
A.jbottlejcontainingjsterilejsolution
B.jedgejofjsterilejdrapejatjthejbasejofjthejfield
C.jinnerjwrappingjofjanjitemjonjthejsterilejfield
D.jirrigationjsyringejonjthejsterilejfield
E.jonejglovedjhandjwithjthejotherjglovedjhandj-jans✔✔C,jD,jE
, Ajnursejhasjpreparedjajsterilejfieldjforjassistingjajproviderjwithjajchestjtubejinsertion.jWhichj
ofjthejfollowingjeventsjshouldjthejnursejrecognizejasjcontaminatingjthejfieldj(Selectjalljthatja
pply)
A.jproviderjdropsjajsterilejinstrumentjontojthejnearjsidejofjthejsterilejfield
B.jnursejmoistensjajcottonjballjwithjsterilejnormaljsalinejandjplacesjitjonjsterilejfield
C.jprocedurejisjdelayedj1hrjbecausejthejproviderjreceivesjanjemergencyjcall
D.jnursejturnsjtojspeakjtojsomeonejwhojentersjthroughjthejdoorjbehindjthejnurse
E.jclientsjhandjbrushesjagainstjthejouterjedgejofjthejsterilejfieldj-jans✔✔B,jC,jD
TBjisjsuspected,jwhatjprecautionaryjactionsjtojdo?j-jans✔✔-
negativejairflowjroom,jairbornejprecautions
-nursesjwearjN95jmask,jclientjwearsjifjgoingjoutjofjthejroom
-adminjheatj&jhumidifiedjO2jtherapyjasjprescribed
TBjinterventions:j-jans✔✔-familyjmembersjshouldjbejscreenedj
-4jmedsjtakenjforj6-12jmonths
-notjcontagiousjwhenjtheyjhavej3jnegativejsputumjcultures
WhatjtojwatchjforjwhenjonjIsoniazid:j-jans✔✔numb/tinglingjinjthejhandsj&jfeet
WhatjtojwatchjforjwhenjonjRifampin:j-jans✔✔-orangejsecretionsjnormal
-watchjforjjaundicej
-interferesjwithjbirthjcontrol
WhatjtojwatchjforjwhenjonjEthambutol:j-jans✔✔visionjchanges
Clientjteachingjforjgenitaljherpes:j-jans✔✔-canjbejtransmittedjwithjorjw/outjblisters
-sexualjpartnersjshouldjbejinformedj&jscreened
-nojcure,jjustjmedsjtojhelpjw/symptoms
-abstainjfromjintercoursejuntiljlesionsjarejcompletelyjhealed
-gentlyjcleanjareasjw/mildjsoapj&jwater
Caringjforjajclientjfollowingjajstrokejofjthejrightjsidejwithjleft-sidedjhemipalegia:j-jans✔✔-
thickenjliquids/foods
-highjfowlers
-speechjtherapistjforjhelpingjw/eatingj&jspeech
-monitorjgagjreflex/swallowingjabilities
-havejsuctionjequipmentjavailable
-occupationaljtherapyj
-supportjleftjarmjwithjpillows,jslings,jetc
HighjsodiumjfoodsjclientsjwithjHFj&jPulmonaryjedemajshouldjavoid:j-jans✔✔-cheese
-soups
-breadj
-coldjcuts/curedjmeats
PROCTORED QUESTIONS AND
ANSWERS
Endoscopyj(EGD)jpositioningj-jans✔✔leftjsidejlying
BeforejanjEndoscopyj(EGD):j-jans✔✔-NPOj6-8jhr
-removejdentures
Gastroenteritisjcarejplan:j-jans✔✔-restrictjdairy,jcaffeine,jmilk
-eatjfoodsjhighjinjpotassiumj
-increasejfluidjintakej
-contactjprecautions
Injwhatjorderjdojyoujopenjthejsterilejpackage?j-
jans✔✔flapjfurthestjfromjbody,jsidejflaps,jthenjclosest
Ajnursejhasjremovedjajsterilejpackjfromjitsjoutsidejcoverjandjplacejitjonjajcleanjworkjsurfacej
injpreparationjforjanjinvasivejprocedure.jWhichjofjthejfollowingjflapsjshouldjthejnursejunfoldj
first:
A.jclosestjtojbody
B.jrightjside
C.jleftjside
D.jfarthestjfromjbodyj-jans✔✔D
Ajnursejisjwearingjsterilejglovesjinjprepjforjperformingjajsterilejprocedure.jWhichjofjthejfollo
wingjobjectsjcanjthejnursejtouchjwithoutjbreakingjsterilejtechniquej(Selectjalljthatjapply)
A.jbottlejcontainingjsterilejsolution
B.jedgejofjsterilejdrapejatjthejbasejofjthejfield
C.jinnerjwrappingjofjanjitemjonjthejsterilejfield
D.jirrigationjsyringejonjthejsterilejfield
E.jonejglovedjhandjwithjthejotherjglovedjhandj-jans✔✔C,jD,jE
, Ajnursejhasjpreparedjajsterilejfieldjforjassistingjajproviderjwithjajchestjtubejinsertion.jWhichj
ofjthejfollowingjeventsjshouldjthejnursejrecognizejasjcontaminatingjthejfieldj(Selectjalljthatja
pply)
A.jproviderjdropsjajsterilejinstrumentjontojthejnearjsidejofjthejsterilejfield
B.jnursejmoistensjajcottonjballjwithjsterilejnormaljsalinejandjplacesjitjonjsterilejfield
C.jprocedurejisjdelayedj1hrjbecausejthejproviderjreceivesjanjemergencyjcall
D.jnursejturnsjtojspeakjtojsomeonejwhojentersjthroughjthejdoorjbehindjthejnurse
E.jclientsjhandjbrushesjagainstjthejouterjedgejofjthejsterilejfieldj-jans✔✔B,jC,jD
TBjisjsuspected,jwhatjprecautionaryjactionsjtojdo?j-jans✔✔-
negativejairflowjroom,jairbornejprecautions
-nursesjwearjN95jmask,jclientjwearsjifjgoingjoutjofjthejroom
-adminjheatj&jhumidifiedjO2jtherapyjasjprescribed
TBjinterventions:j-jans✔✔-familyjmembersjshouldjbejscreenedj
-4jmedsjtakenjforj6-12jmonths
-notjcontagiousjwhenjtheyjhavej3jnegativejsputumjcultures
WhatjtojwatchjforjwhenjonjIsoniazid:j-jans✔✔numb/tinglingjinjthejhandsj&jfeet
WhatjtojwatchjforjwhenjonjRifampin:j-jans✔✔-orangejsecretionsjnormal
-watchjforjjaundicej
-interferesjwithjbirthjcontrol
WhatjtojwatchjforjwhenjonjEthambutol:j-jans✔✔visionjchanges
Clientjteachingjforjgenitaljherpes:j-jans✔✔-canjbejtransmittedjwithjorjw/outjblisters
-sexualjpartnersjshouldjbejinformedj&jscreened
-nojcure,jjustjmedsjtojhelpjw/symptoms
-abstainjfromjintercoursejuntiljlesionsjarejcompletelyjhealed
-gentlyjcleanjareasjw/mildjsoapj&jwater
Caringjforjajclientjfollowingjajstrokejofjthejrightjsidejwithjleft-sidedjhemipalegia:j-jans✔✔-
thickenjliquids/foods
-highjfowlers
-speechjtherapistjforjhelpingjw/eatingj&jspeech
-monitorjgagjreflex/swallowingjabilities
-havejsuctionjequipmentjavailable
-occupationaljtherapyj
-supportjleftjarmjwithjpillows,jslings,jetc
HighjsodiumjfoodsjclientsjwithjHFj&jPulmonaryjedemajshouldjavoid:j-jans✔✔-cheese
-soups
-breadj
-coldjcuts/curedjmeats
