ATI RN ADULT MEDICAL-SURGICAL
PROCTORED RETAKE EXAM 2023 -
2024 WITH CORRECT ANSWERS A+
A nurse has prepared a sterile field for assisting a provider with a chest
tube insertion. Which of the following events should the nurse recognize
as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile
field
B. nurse moistens a cotton ball with sterile normal saline and places it on
sterile field
C. procedure is delayed 1hr because the provider receives an emergency
call
D. nurse turns to speak to someone who enters through the door behind
the nurse
E. clients hand brushes against the outer edge of the sterile field -
ANSWER-B, C, D
TB is suspected, what precautionary actions to do? - ANSWER--negative
airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - ANSWER--family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
,What to watch for when on Isoniazid: - ANSWER-numb/tingling in the
hands & feet
What to watch for when on Rifampin: - ANSWER--orange secretions
normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - ANSWER-vision changes
Client teaching for genital herpes: - ANSWER--can be transmitted with or
w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided
hemipalegia: - ANSWER--thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: -
ANSWER--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - ANSWER-
ibuprofen
,What complaint would lead you to believe the pt is suffering from an
aneurysm? - ANSWER-pain in the abd, back, arm, or leg
sudden onset
If a pt suffered 18% burns what lab values would you expect to increase
after 24 hrs? - ANSWER-WBC decrease
Hgb & Hct decrease
Sodium decrease
Internal radiation: - ANSWER--visitors limited to 30 min a day at distance
of 6 ft
-healthcare staff must wear dosimeter
-sign on door
-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
Internal radiation, which indicates client understanding? - ANSWER-I will
wash area with mild soap and water daily
which of the following pts is at risk for developing metabolic alkalosis? -
ANSWER-vomiting
laxatives
ng tube suctioning
Which of the following pt complaints would lead you to suspect
extravasation? - ANSWER-burning
Ketorolac should not be used concurrently with... - ANSWER-other
NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... -
ANSWER-non-opioid analgesics
To access an implanted port, you must use a... - ANSWER-noncoring
(Huber) needle
When done accessing an implanted port... - ANSWER-flush with 10 mL
0.9% sodium chloride
, Therapeutic effects of furosemide (Lasix) - ANSWER--decreases preload
of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - ANSWER--vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): -
ANSWER--decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
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
Endoscopy (EGD) positioning - ANSWER-left side lying
Before an Endoscopy (EGD): - ANSWER--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
PROCTORED RETAKE EXAM 2023 -
2024 WITH CORRECT ANSWERS A+
A nurse has prepared a sterile field for assisting a provider with a chest
tube insertion. Which of the following events should the nurse recognize
as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile
field
B. nurse moistens a cotton ball with sterile normal saline and places it on
sterile field
C. procedure is delayed 1hr because the provider receives an emergency
call
D. nurse turns to speak to someone who enters through the door behind
the nurse
E. clients hand brushes against the outer edge of the sterile field -
ANSWER-B, C, D
TB is suspected, what precautionary actions to do? - ANSWER--negative
airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - ANSWER--family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
,What to watch for when on Isoniazid: - ANSWER-numb/tingling in the
hands & feet
What to watch for when on Rifampin: - ANSWER--orange secretions
normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - ANSWER-vision changes
Client teaching for genital herpes: - ANSWER--can be transmitted with or
w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided
hemipalegia: - ANSWER--thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: -
ANSWER--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - ANSWER-
ibuprofen
,What complaint would lead you to believe the pt is suffering from an
aneurysm? - ANSWER-pain in the abd, back, arm, or leg
sudden onset
If a pt suffered 18% burns what lab values would you expect to increase
after 24 hrs? - ANSWER-WBC decrease
Hgb & Hct decrease
Sodium decrease
Internal radiation: - ANSWER--visitors limited to 30 min a day at distance
of 6 ft
-healthcare staff must wear dosimeter
-sign on door
-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
Internal radiation, which indicates client understanding? - ANSWER-I will
wash area with mild soap and water daily
which of the following pts is at risk for developing metabolic alkalosis? -
ANSWER-vomiting
laxatives
ng tube suctioning
Which of the following pt complaints would lead you to suspect
extravasation? - ANSWER-burning
Ketorolac should not be used concurrently with... - ANSWER-other
NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... -
ANSWER-non-opioid analgesics
To access an implanted port, you must use a... - ANSWER-noncoring
(Huber) needle
When done accessing an implanted port... - ANSWER-flush with 10 mL
0.9% sodium chloride
, Therapeutic effects of furosemide (Lasix) - ANSWER--decreases preload
of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - ANSWER--vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): -
ANSWER--decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
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
Endoscopy (EGD) positioning - ANSWER-left side lying
Before an Endoscopy (EGD): - ANSWER--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
