ATI Proctored-Medical Surgical UPDATED
ACTUAL Questions and CORRECT
Answers
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - CORRECT
ANSWER - stridor
Why is stridor bad? - CORRECT ANSWER - it means that there is an obstruction or
edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? - CORRECT
ANSWER - usually greater than 110- to compensate for the low bp
What is normal urine gravity? - CORRECT ANSWER - 1.000 - 1.030
What is the role of positive pressure? - CORRECT ANSWER - to promote lung expansion
and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? -
CORRECT ANSWER - yes
How often should exercise be in heart failure pt? - CORRECT ANSWER - regular routine
Should you consume milk with iron supplements? - CORRECT ANSWER - no- can cause
gastric disturbance.
Would you take iron with antacids? - CORRECT ANSWER - no- causes gastric
disturbances
,Would you tell the pt to lower red meat intake with iron deficiency? - CORRECT
ANSWER - no- increase iron rich foods
What is a common side effect with iron pills? - CORRECT ANSWER - constipation
What would you tell them to eat with taking iron pills? - CORRECT ANSWER - high
fiber
When does pain worsen with compartement syndrome? - CORRECT ANSWER - when
passive moving occurs.
What does warmth under cast indicate? - CORRECT ANSWER - infection
Should pt decrease complex carbs for atherosceleoris? - CORRECT ANSWER - no,
increase them
What carb should a client with atherosceloris decrease? - CORRECT ANSWER - simple
sugars
Is MRSA airborne or contact? - CORRECT ANSWER - contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - CORRECT
ANSWER - it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - CORRECT ANSWER -
magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - CORRECT
ANSWER - calcium can decrease absorption of med
,What is a common side effect of rifampin? - CORRECT ANSWER - color of urine-
Can you take ciproflaxcin with alcohol? - CORRECT ANSWER - yes
After a parathryoidectomy what would be the priority for the nurse? - CORRECT
ANSWER - to put trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - CORRECT ANSWER - fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - CORRECT ANSWER - give
dosage same time every day
Is restlessness common in hyperthyroidism? - CORRECT ANSWER - yes
What would be urgent for hyperthyroidism? - CORRECT ANSWER - high BP
If a pt has a weird heart sound what would be first thing you do? - CORRECT ANSWER -
listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - CORRECT ANSWER - if creatine levels
are too high
What is normal creatine? - CORRECT ANSWER - .6-1.2
What is one of the first vital signs of a hemorrhage? - CORRECT ANSWER - increase
heart rate
What med would you give for a febrile reaction? - CORRECT ANSWER - tylenol
(reduces fever)
, How long does a drain stay in place for a radical mastectomy? - CORRECT ANSWER -1
to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - CORRECT
ANSWER - less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - CORRECT
ANSWER - if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - CORRECT ANSWER - It can
worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - CORRECT
ANSWER - decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? - CORRECT
ANSWER - back pain
What is max amount of flexion for total hip replacement? - CORRECT ANSWER - no
more than 90 degrees
Why would you place a pillow between a pt legs for hip athroplasy? - CORRECT
ANSWER - so the hips don't get dislocated
What is a holter monitor used for? - CORRECT ANSWER - detecting irregular heart rate
and rhythms
What is the role of a pacemaker? - CORRECT ANSWER - regulate the heart rate
ACTUAL Questions and CORRECT
Answers
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - CORRECT
ANSWER - stridor
Why is stridor bad? - CORRECT ANSWER - it means that there is an obstruction or
edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? - CORRECT
ANSWER - usually greater than 110- to compensate for the low bp
What is normal urine gravity? - CORRECT ANSWER - 1.000 - 1.030
What is the role of positive pressure? - CORRECT ANSWER - to promote lung expansion
and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? -
CORRECT ANSWER - yes
How often should exercise be in heart failure pt? - CORRECT ANSWER - regular routine
Should you consume milk with iron supplements? - CORRECT ANSWER - no- can cause
gastric disturbance.
Would you take iron with antacids? - CORRECT ANSWER - no- causes gastric
disturbances
,Would you tell the pt to lower red meat intake with iron deficiency? - CORRECT
ANSWER - no- increase iron rich foods
What is a common side effect with iron pills? - CORRECT ANSWER - constipation
What would you tell them to eat with taking iron pills? - CORRECT ANSWER - high
fiber
When does pain worsen with compartement syndrome? - CORRECT ANSWER - when
passive moving occurs.
What does warmth under cast indicate? - CORRECT ANSWER - infection
Should pt decrease complex carbs for atherosceleoris? - CORRECT ANSWER - no,
increase them
What carb should a client with atherosceloris decrease? - CORRECT ANSWER - simple
sugars
Is MRSA airborne or contact? - CORRECT ANSWER - contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - CORRECT
ANSWER - it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - CORRECT ANSWER -
magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - CORRECT
ANSWER - calcium can decrease absorption of med
,What is a common side effect of rifampin? - CORRECT ANSWER - color of urine-
Can you take ciproflaxcin with alcohol? - CORRECT ANSWER - yes
After a parathryoidectomy what would be the priority for the nurse? - CORRECT
ANSWER - to put trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - CORRECT ANSWER - fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - CORRECT ANSWER - give
dosage same time every day
Is restlessness common in hyperthyroidism? - CORRECT ANSWER - yes
What would be urgent for hyperthyroidism? - CORRECT ANSWER - high BP
If a pt has a weird heart sound what would be first thing you do? - CORRECT ANSWER -
listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - CORRECT ANSWER - if creatine levels
are too high
What is normal creatine? - CORRECT ANSWER - .6-1.2
What is one of the first vital signs of a hemorrhage? - CORRECT ANSWER - increase
heart rate
What med would you give for a febrile reaction? - CORRECT ANSWER - tylenol
(reduces fever)
, How long does a drain stay in place for a radical mastectomy? - CORRECT ANSWER -1
to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - CORRECT
ANSWER - less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - CORRECT
ANSWER - if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - CORRECT ANSWER - It can
worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - CORRECT
ANSWER - decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? - CORRECT
ANSWER - back pain
What is max amount of flexion for total hip replacement? - CORRECT ANSWER - no
more than 90 degrees
Why would you place a pillow between a pt legs for hip athroplasy? - CORRECT
ANSWER - so the hips don't get dislocated
What is a holter monitor used for? - CORRECT ANSWER - detecting irregular heart rate
and rhythms
What is the role of a pacemaker? - CORRECT ANSWER - regulate the heart rate
