ATI RN Medical-Surgical Proctored exam
| | | | |
with correct detailed answers
| | |
Endoscopy |(EGD) |positioning |- | |correct |answers |left |side |lying
Before |an |Endoscopy |(EGD): |- | |correct |answers |-NPO |6-8 |hr
-remove |dentures
Gastroenteritis |care |plan: |- | |correct |answers |-restrict |dairy, |caffeine, |milk
-eat |foods |high |in |potassium |
-increase |fluid |intake |
-contact |precautions
In |what |order |do |you |open |the |sterile |package? |- | |correct |answers |flap |furthest |from |body, |
side |flaps, |then |closest
A |nurse |has |removed |a |sterile |pack |from |its |outside |cover |and |place |it |on |a |clean |work |surface
|in |preparation |for |an |invasive |procedure. |Which |of |the |following |flaps |should |the |nurse |unfold
|first:
A. |closest |to |body
B. |right |side
C. |left |side
D. |farthest |from |body |- | |correct |answers |D
,A |nurse |is |wearing |sterile |gloves |in |prep |for |performing |a |sterile |procedure. |Which |of |the |
following |objects |can |the |nurse |touch |without |breaking |sterile |technique |(Select |all |that |apply)
A. |bottle |containing |sterile |solution
B. |edge |of |sterile |drape |at |the |base |of |the |field
C. |inner |wrapping |of |an |item |on |the |sterile |field
D. |irrigation |syringe |on |the |sterile |field
E. |one |gloved |hand |with |the |other |gloved |hand |- | |correct |answers |C, |D, |E
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 |- | |correct |answers |B, |C, |D
TB |is |suspected, |what |precautionary |actions |to |do? |- | |correct |answers |-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: |- | |correct |answers |-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: |- | |correct |answers |numb/tingling |in |the |hands |& |feet
What |to |watch |for |when |on |Rifampin: |- | |correct |answers |-orange |secretions |normal
-watch |for |jaundice |
-interferes |with |birth |control
What |to |watch |for |when |on |Ethambutol: |- | |correct |answers |vision |changes
Client |teaching |for |genital |herpes: |- | |correct |answers |-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: |- | |correct |
answers |-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: |- | |correct |answers |-
cheese
, -soups
-bread |
-cold |cuts/cured |meats
-pizza |
-eggs |& |omelets
-hot |dogs
-baked |ham
Which |non-opioid |drug |decreases |the |effect |of |aspirin? |- | |correct |answers |ibuprofen
Ketorolac |should |not |be |used |concurrently |with... |- | |correct |answers |other |NSAIDS
Glucocorticoids |increase |the |risk |of |gastric |bleeding |when |taken |with... |- | |correct |answers |non-
opioid |analgesics
To |access |an |implanted |port, |you |must |use |a... |- | |correct |answers |noncoring |(Huber) |needle
When |done |accessing |an |implanted |port... |- | |correct |answers |flush |with |10 |mL |0.9% |sodium |
chloride
Therapeutic |effects |of |furosemide |(Lasix) |- | |correct |answers |-decreases |preload |of |the |heart |
-decreases |potassium |levels |
-increases |urine |output |
-decrease |BP
-decrease |edema
Valsartan |for |HF |expected |outcomes/findings: |- | |correct |answers |-vasodilation
| | | | |
with correct detailed answers
| | |
Endoscopy |(EGD) |positioning |- | |correct |answers |left |side |lying
Before |an |Endoscopy |(EGD): |- | |correct |answers |-NPO |6-8 |hr
-remove |dentures
Gastroenteritis |care |plan: |- | |correct |answers |-restrict |dairy, |caffeine, |milk
-eat |foods |high |in |potassium |
-increase |fluid |intake |
-contact |precautions
In |what |order |do |you |open |the |sterile |package? |- | |correct |answers |flap |furthest |from |body, |
side |flaps, |then |closest
A |nurse |has |removed |a |sterile |pack |from |its |outside |cover |and |place |it |on |a |clean |work |surface
|in |preparation |for |an |invasive |procedure. |Which |of |the |following |flaps |should |the |nurse |unfold
|first:
A. |closest |to |body
B. |right |side
C. |left |side
D. |farthest |from |body |- | |correct |answers |D
,A |nurse |is |wearing |sterile |gloves |in |prep |for |performing |a |sterile |procedure. |Which |of |the |
following |objects |can |the |nurse |touch |without |breaking |sterile |technique |(Select |all |that |apply)
A. |bottle |containing |sterile |solution
B. |edge |of |sterile |drape |at |the |base |of |the |field
C. |inner |wrapping |of |an |item |on |the |sterile |field
D. |irrigation |syringe |on |the |sterile |field
E. |one |gloved |hand |with |the |other |gloved |hand |- | |correct |answers |C, |D, |E
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 |- | |correct |answers |B, |C, |D
TB |is |suspected, |what |precautionary |actions |to |do? |- | |correct |answers |-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: |- | |correct |answers |-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: |- | |correct |answers |numb/tingling |in |the |hands |& |feet
What |to |watch |for |when |on |Rifampin: |- | |correct |answers |-orange |secretions |normal
-watch |for |jaundice |
-interferes |with |birth |control
What |to |watch |for |when |on |Ethambutol: |- | |correct |answers |vision |changes
Client |teaching |for |genital |herpes: |- | |correct |answers |-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: |- | |correct |
answers |-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: |- | |correct |answers |-
cheese
, -soups
-bread |
-cold |cuts/cured |meats
-pizza |
-eggs |& |omelets
-hot |dogs
-baked |ham
Which |non-opioid |drug |decreases |the |effect |of |aspirin? |- | |correct |answers |ibuprofen
Ketorolac |should |not |be |used |concurrently |with... |- | |correct |answers |other |NSAIDS
Glucocorticoids |increase |the |risk |of |gastric |bleeding |when |taken |with... |- | |correct |answers |non-
opioid |analgesics
To |access |an |implanted |port, |you |must |use |a... |- | |correct |answers |noncoring |(Huber) |needle
When |done |accessing |an |implanted |port... |- | |correct |answers |flush |with |10 |mL |0.9% |sodium |
chloride
Therapeutic |effects |of |furosemide |(Lasix) |- | |correct |answers |-decreases |preload |of |the |heart |
-decreases |potassium |levels |
-increases |urine |output |
-decrease |BP
-decrease |edema
Valsartan |for |HF |expected |outcomes/findings: |- | |correct |answers |-vasodilation
