NGN ATI ADVANCED MED SURG PROCTORED 2019 ACTUAL EXAM
Advanced Med-Surg Proctored ATI Review
(2025 UPDATED VERSIONS) WITH QUESTIONS AND 100% CORRECT
Study online at https://quizlet.com/_1pt4ap
ANSWERS
1. Arterial Blood ABG's via arterial puncture or arterial line: allows the most accurate method of
Gas assessing respiratory function.
2. Steps for collect- a. Perform Allen test if no arterial line
ing ABG's b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory immediately
d. document amount and method of oxygen delivered for accurate results
e. apply direct pressure to puncture site at least 5 min (longer for clients at risk
for bleeding)
3. Bronchoscopy visualizes the larynx, trachea, bronchi; obtains tissue biopsy; and removes foreign
bodies.
4. Steps for a bron- a. obtain informed consent
choscopy proce- b. maintain NPO 8 to 12 hr.
dure c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as atropine (to reduce oral secre-
tions), sedation, and/or anti-anxiety.
f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of consciousness
5. Mantoux test Positive test indicates exposure to tuberculosis. Diagnosis must be confirmed with
sputum culture for presence of acid-fast bacillus (AFB).
6. Mantoux test a. administer 0.1 mL of purified protein derivation intradermal to upper half inner
steps surface of forearm (insert needle bevel up)
b. Assess for reaction in 48 to 72 hr following injection; induration (hardening)
of 10 mm or greater is considered a positive test; 5 mm may be considered
significant if immunocompromised.
, Advanced Med-Surg Proctored ATI Review
Study online at https://quizlet.com/_1pt4ap
7. QuantiFERON-TB Identify the presence of Mycobacterium tuberculosis infection by measuring the
Gold test immune response to the TB bacteria in whole blood.
(QFT-GT) and
T-SPOT.TB
8. Thoracentesis Surgical perforation of the pleural space to obtain specimen, to remove fluid or
air, or to instill medication.
9. Steps for Thora- a. informed consent
centesis b. educate client: remain still, feeling of pressure, positioning
c. position upright
d. monitor respiratory status and vital signs
e. label specimens
f. Document client response, amount, color and viscosity of fluid (maximum
amount of fluid to be removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
10. Asthma Chronic inflammatory disorder of the airways resulting in intermittent and re-
versible airflow obstruction of the bronchioles.
11. Contributing fac- -Extrinsic: antigen-antibody reaction triggered by food, medications, or inhaled
tors of asthma substances
-Intrinsic: pathophysiological abnormalities within the respiratory tract
-Older clients: beta receptors are less responsive to agonist and trigger bron-
chospasms.
12. Manifestations of -Sudden, severe dyspnea with use of accessory muscles
asthma -sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
, Advanced Med-Surg Proctored ATI Review
Study online at https://quizlet.com/_1pt4ap
-cyanosis (late sign)
-barrel chest
13. Diagnostic pro- -ABGs
cedures for asth- -sputum cultures
ma -pulmonary function tests
14. Nursing inter- -remain with the client during the attack
ventions for asth- -position in high-fowler's
ma -assess lung sounds and pulse oximetry
-administer oxygen therapy
-maintain oxygen access
15. Medications for Administer bronchodilators before anti-inflammatory
athma 1. Bronchodilators
-short-acting inhaled: albuterol; for rapid relief
-Methylxanthines: theophylline; monitor therapeutic range for toxicity.
2. Anti-inflammatory
-corticosteriods: fluticasone and prednisone
-Leukotriene antagonist: montelukast
3. Combination agents
-Ipratropium and albuterol (Combivent)
-Fluticasone and salmeterol (Advair)
16. Therapeutic -respiratory treatments
measures for -oxygen administration
asthma
17. Client Education -avoidance of allergens and triggers
for asthma -proper use of inhaler and peak flow monitoring
18. Status asthmati- life-threatening episode of airway obstruction this is often unresponsive to treat-
cus ment
Advanced Med-Surg Proctored ATI Review
(2025 UPDATED VERSIONS) WITH QUESTIONS AND 100% CORRECT
Study online at https://quizlet.com/_1pt4ap
ANSWERS
1. Arterial Blood ABG's via arterial puncture or arterial line: allows the most accurate method of
Gas assessing respiratory function.
2. Steps for collect- a. Perform Allen test if no arterial line
ing ABG's b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory immediately
d. document amount and method of oxygen delivered for accurate results
e. apply direct pressure to puncture site at least 5 min (longer for clients at risk
for bleeding)
3. Bronchoscopy visualizes the larynx, trachea, bronchi; obtains tissue biopsy; and removes foreign
bodies.
4. Steps for a bron- a. obtain informed consent
choscopy proce- b. maintain NPO 8 to 12 hr.
dure c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as atropine (to reduce oral secre-
tions), sedation, and/or anti-anxiety.
f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of consciousness
5. Mantoux test Positive test indicates exposure to tuberculosis. Diagnosis must be confirmed with
sputum culture for presence of acid-fast bacillus (AFB).
6. Mantoux test a. administer 0.1 mL of purified protein derivation intradermal to upper half inner
steps surface of forearm (insert needle bevel up)
b. Assess for reaction in 48 to 72 hr following injection; induration (hardening)
of 10 mm or greater is considered a positive test; 5 mm may be considered
significant if immunocompromised.
, Advanced Med-Surg Proctored ATI Review
Study online at https://quizlet.com/_1pt4ap
7. QuantiFERON-TB Identify the presence of Mycobacterium tuberculosis infection by measuring the
Gold test immune response to the TB bacteria in whole blood.
(QFT-GT) and
T-SPOT.TB
8. Thoracentesis Surgical perforation of the pleural space to obtain specimen, to remove fluid or
air, or to instill medication.
9. Steps for Thora- a. informed consent
centesis b. educate client: remain still, feeling of pressure, positioning
c. position upright
d. monitor respiratory status and vital signs
e. label specimens
f. Document client response, amount, color and viscosity of fluid (maximum
amount of fluid to be removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
10. Asthma Chronic inflammatory disorder of the airways resulting in intermittent and re-
versible airflow obstruction of the bronchioles.
11. Contributing fac- -Extrinsic: antigen-antibody reaction triggered by food, medications, or inhaled
tors of asthma substances
-Intrinsic: pathophysiological abnormalities within the respiratory tract
-Older clients: beta receptors are less responsive to agonist and trigger bron-
chospasms.
12. Manifestations of -Sudden, severe dyspnea with use of accessory muscles
asthma -sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
, Advanced Med-Surg Proctored ATI Review
Study online at https://quizlet.com/_1pt4ap
-cyanosis (late sign)
-barrel chest
13. Diagnostic pro- -ABGs
cedures for asth- -sputum cultures
ma -pulmonary function tests
14. Nursing inter- -remain with the client during the attack
ventions for asth- -position in high-fowler's
ma -assess lung sounds and pulse oximetry
-administer oxygen therapy
-maintain oxygen access
15. Medications for Administer bronchodilators before anti-inflammatory
athma 1. Bronchodilators
-short-acting inhaled: albuterol; for rapid relief
-Methylxanthines: theophylline; monitor therapeutic range for toxicity.
2. Anti-inflammatory
-corticosteriods: fluticasone and prednisone
-Leukotriene antagonist: montelukast
3. Combination agents
-Ipratropium and albuterol (Combivent)
-Fluticasone and salmeterol (Advair)
16. Therapeutic -respiratory treatments
measures for -oxygen administration
asthma
17. Client Education -avoidance of allergens and triggers
for asthma -proper use of inhaler and peak flow monitoring
18. Status asthmati- life-threatening episode of airway obstruction this is often unresponsive to treat-
cus ment
