MEDICAL SURGICAL
ATI PROCTORED EXAM
2025 WITH ADEQUATE
ANSWERS| VERIFIED
AND CONFIRMED
CORRECT
Modifiable risk factors ( Page 3 ATI ) - ANSWER---->>>1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices
Emergency nursing - Triage - ANSWER---->>>BASED ON ACUITY
1) Emergent- Life threatening situation going on.
2) Urgent - Need to be treated soon but not life threatening.
3) Non urgent- The patient can wait for an extended period of time , without big issues.
Mass casualty event - ANSWER---->>>Class 1 - RED TAG - Immediate threat to life
,Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem
Class II - YELLOW TAG - Major injuries that require immediate treatment but not life threatening.
Examples:
1) Major fracture
Class III - GREEN TAG - Minor injury that does not require immediate attention.
EXAMPLES:
1) Abrasion
2) Laceration
Class IV - BLACK TAG - Expected to die
EXAMPLES:
1) Penetrating head wound
Triage priority setting - ANSWER---->>>1) Red tag
2) Yellow Tag
3) Green tag
,4) Black tag
Priorities: general rule - ANSWER---->>>A - Airway - Secure the airway by head tilt , chin lift maneuver unless a fracture in
cervical spinal. Brain injury or death in 3 - 5 minutes if airway not patent.
B- Breathing - Auscultation of breath sounds, Chest expansion and respiratory effort, Rate and depth of respiration's, Look
for chest trauma, Determine tracheal position, Check for jugular vein distension.
C- Circulation - Heart rate, BP, Peripheral pulses, Cap refill.
D - Disability - Clients level of consciousness with:
1) Glasgow coma scale
a) <<< 8 Comatose state
b) 3 Client totally unresponsive
c) 15 A client within normal limits.
E- Exposure - Hypothermia - Patient in cold icy water:
1) Remove wet clothing
2) Provide blankets
3) Increase the temperature of the room
4) Warm IV fluid going into the patient
IF patient has had accidental or purposeful poisoning:
1) Activated charcoal
2) Gastric lavage
3) Whole bowel irrigation
*** DO NOT INDUCE VOMITING OR SYRUP OF IPECAC
, Call rapid response team when client is rapidly declining.
Cardiac Emergencies - ANSWER---->>>If V fib or ventricular tachycardia you would initiate:
1) Basic life support ( BLS) and CPR
2) Establish IV access
3) Epinephrine is used to get the heart up and moving.
Alpha 1 receptors - ANSWER---->>>Activation Causes the skin , mucus membranes and veins to vasoconstrict.
Help with:
1) Congestion
2) Superficial bleeding
3) In general help raise blood pressure by constricting the veins.
DRUG:
Epinephrine:Triggers the Alpha 1 receptors
Causing vasoconstriction and increase blood pressure.
Epinephrine side effects - ANSWER---->>>Increases blood pressure
1) Hypertensive crisis
2) Dysrhythmia
3) Angina
Dopamine side effects - ANSWER---->>>1) Dysrhythmia
2) Angina
Dobutamine side effects - ANSWER---->>>Increased heart rate
Beta 1 receptors - ANSWER---->>>Help stimulate the heart
ATI PROCTORED EXAM
2025 WITH ADEQUATE
ANSWERS| VERIFIED
AND CONFIRMED
CORRECT
Modifiable risk factors ( Page 3 ATI ) - ANSWER---->>>1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices
Emergency nursing - Triage - ANSWER---->>>BASED ON ACUITY
1) Emergent- Life threatening situation going on.
2) Urgent - Need to be treated soon but not life threatening.
3) Non urgent- The patient can wait for an extended period of time , without big issues.
Mass casualty event - ANSWER---->>>Class 1 - RED TAG - Immediate threat to life
,Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem
Class II - YELLOW TAG - Major injuries that require immediate treatment but not life threatening.
Examples:
1) Major fracture
Class III - GREEN TAG - Minor injury that does not require immediate attention.
EXAMPLES:
1) Abrasion
2) Laceration
Class IV - BLACK TAG - Expected to die
EXAMPLES:
1) Penetrating head wound
Triage priority setting - ANSWER---->>>1) Red tag
2) Yellow Tag
3) Green tag
,4) Black tag
Priorities: general rule - ANSWER---->>>A - Airway - Secure the airway by head tilt , chin lift maneuver unless a fracture in
cervical spinal. Brain injury or death in 3 - 5 minutes if airway not patent.
B- Breathing - Auscultation of breath sounds, Chest expansion and respiratory effort, Rate and depth of respiration's, Look
for chest trauma, Determine tracheal position, Check for jugular vein distension.
C- Circulation - Heart rate, BP, Peripheral pulses, Cap refill.
D - Disability - Clients level of consciousness with:
1) Glasgow coma scale
a) <<< 8 Comatose state
b) 3 Client totally unresponsive
c) 15 A client within normal limits.
E- Exposure - Hypothermia - Patient in cold icy water:
1) Remove wet clothing
2) Provide blankets
3) Increase the temperature of the room
4) Warm IV fluid going into the patient
IF patient has had accidental or purposeful poisoning:
1) Activated charcoal
2) Gastric lavage
3) Whole bowel irrigation
*** DO NOT INDUCE VOMITING OR SYRUP OF IPECAC
, Call rapid response team when client is rapidly declining.
Cardiac Emergencies - ANSWER---->>>If V fib or ventricular tachycardia you would initiate:
1) Basic life support ( BLS) and CPR
2) Establish IV access
3) Epinephrine is used to get the heart up and moving.
Alpha 1 receptors - ANSWER---->>>Activation Causes the skin , mucus membranes and veins to vasoconstrict.
Help with:
1) Congestion
2) Superficial bleeding
3) In general help raise blood pressure by constricting the veins.
DRUG:
Epinephrine:Triggers the Alpha 1 receptors
Causing vasoconstriction and increase blood pressure.
Epinephrine side effects - ANSWER---->>>Increases blood pressure
1) Hypertensive crisis
2) Dysrhythmia
3) Angina
Dopamine side effects - ANSWER---->>>1) Dysrhythmia
2) Angina
Dobutamine side effects - ANSWER---->>>Increased heart rate
Beta 1 receptors - ANSWER---->>>Help stimulate the heart
