ATI RN MEDICAL-SURGICAL PROCTORED
QUESTIONS AND VERIFIED ANSWERS
UPDATED
Post hip arthroplasty positioning: -Answer:-supine w/head of bed slightly
elevated & affected leg in a neutral position
place pillow or abduction device between the legs when turning to the
unaffected side
client should not be turned to affected side
Intervening for decreased diasylate flow rate: -Answer:--keep outflow bag
lower than client's abdomen
*reposition the client if it is not enough*=1st action
-milk peritoneal dialysis catheter if fibrin clot has formed
Steps to take for wound dehiscence or evisceration: -Answer:-1. call for help
2. stay w/the client
3. cover wound w/sterile dressing/towel that is moistened w/sterile saline
4. Don't reinsert organs
,5. place client in supine position w/hips & knees bent
6. monitor for shock & notify provider ASAP
Priority finding following general anesthesia: -Answer:-return of gag reflex
Hypokalemia s/s: -Answer:--weakness
-irregular pulse
-hypotension
-respiratory distress
-muscle cramping
-decreased muscle tone & hypoactive reflexes
-paresthesias
-mental confusion
Priority intervention for Diabetic ketoacidosis: -Answer:-administer insulin
administer IV fluids
Diabetes foot care stuff to know: -Answer:--wash feet daily w/mild soap &
warm water
-test water temp 1st
,-nails cut straight across
-no barefoot
-lotion, but not between toes
-use socks made of cotton only
Glaucoma s/s: -Answer:--headache
-eye pain
-loss of peripheral vision
-elevated IOP (above 21)
-decreased or blurred vision
-halos around lights
-nonreactive pupils to lights
-photophobia
Hypothyroidism client teaching: -Answer:--no heating blankets
-encourage warm liquids
-cough & deep breath
-increase activity level gradually, allow time for rest
-TSH monitoring
-treatment starts slow
, -take meds 1-2 hrs before breakfast
-lifelong tx, w/ongoing thyroid assessment
Wound care following an open cholecystectomy: -Answer:--hospitalized for 2-
3 days
-T tube may be in place (drainage is initially bloody then brown-green bile)
-report drainage exceeding 1000 mL/day
-keep drainage bag at level of gallbladder
-clamp tube 1-2 hr before & after meals
-expect more than 400 mL of drainage in the 1st 24 hr initially, w/gradual
decrease
-report nausea & pain (indicates obstruction of t-tube)
Automated external defibrillator steps: -Answer:-1. turn it on & place pads on
client
2. make sure no one is touching client
3. hit analyze
4. if shock is needed, AED will do it
Nonpharm interventions for total knee replacement postop client complaining
of pain but refusing pain meds: -Answer:-cold or ice therapy
QUESTIONS AND VERIFIED ANSWERS
UPDATED
Post hip arthroplasty positioning: -Answer:-supine w/head of bed slightly
elevated & affected leg in a neutral position
place pillow or abduction device between the legs when turning to the
unaffected side
client should not be turned to affected side
Intervening for decreased diasylate flow rate: -Answer:--keep outflow bag
lower than client's abdomen
*reposition the client if it is not enough*=1st action
-milk peritoneal dialysis catheter if fibrin clot has formed
Steps to take for wound dehiscence or evisceration: -Answer:-1. call for help
2. stay w/the client
3. cover wound w/sterile dressing/towel that is moistened w/sterile saline
4. Don't reinsert organs
,5. place client in supine position w/hips & knees bent
6. monitor for shock & notify provider ASAP
Priority finding following general anesthesia: -Answer:-return of gag reflex
Hypokalemia s/s: -Answer:--weakness
-irregular pulse
-hypotension
-respiratory distress
-muscle cramping
-decreased muscle tone & hypoactive reflexes
-paresthesias
-mental confusion
Priority intervention for Diabetic ketoacidosis: -Answer:-administer insulin
administer IV fluids
Diabetes foot care stuff to know: -Answer:--wash feet daily w/mild soap &
warm water
-test water temp 1st
,-nails cut straight across
-no barefoot
-lotion, but not between toes
-use socks made of cotton only
Glaucoma s/s: -Answer:--headache
-eye pain
-loss of peripheral vision
-elevated IOP (above 21)
-decreased or blurred vision
-halos around lights
-nonreactive pupils to lights
-photophobia
Hypothyroidism client teaching: -Answer:--no heating blankets
-encourage warm liquids
-cough & deep breath
-increase activity level gradually, allow time for rest
-TSH monitoring
-treatment starts slow
, -take meds 1-2 hrs before breakfast
-lifelong tx, w/ongoing thyroid assessment
Wound care following an open cholecystectomy: -Answer:--hospitalized for 2-
3 days
-T tube may be in place (drainage is initially bloody then brown-green bile)
-report drainage exceeding 1000 mL/day
-keep drainage bag at level of gallbladder
-clamp tube 1-2 hr before & after meals
-expect more than 400 mL of drainage in the 1st 24 hr initially, w/gradual
decrease
-report nausea & pain (indicates obstruction of t-tube)
Automated external defibrillator steps: -Answer:-1. turn it on & place pads on
client
2. make sure no one is touching client
3. hit analyze
4. if shock is needed, AED will do it
Nonpharm interventions for total knee replacement postop client complaining
of pain but refusing pain meds: -Answer:-cold or ice therapy
