ATI MedSurg Comprehensive
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
Diabetic Ketoacidosis - answer✔✔- assessment: dehydration, ketosis, metabolic
acidosis, hyperglycemia
- admin fast acting insulin that can be effective within 10 min, admin IV
- kussmaul resp
Beta blockers (Propanolol) - answer✔✔- monitor: sore throat, vision
changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis, acute
pancreatitis - notify provider: night cough
Factors that affect wound healing - answer✔✔- dehydration (UO)
- infection
- BMI <18.5 or >25
,- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
HIV/AIDS - answer✔✔- positive response to treatment monitored by viral load
- risk for infection: do not drink fluids left out for longer than 60 min, clean
toothbrush in dishwasher weekly, avoid fresh produce, check temp daily
- dx test: ELISA confirmed by western blot/IFA, viral load
Fluid replacement - answer✔✔- monitor BUN
Cerebrovascular accident - answer✔✔- right sided: visual, spatial,
proprioception; poor impulse control/judgment; unilateral neglect - left
sided: language, math, analytical skills
Preventing UTIs - answer✔✔- wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
- cotton underwear
- urinate Q2-4h
Radiation therapy - answer✔✔- do not remove ink markings
- wash area gently with warm water and mild soap
, -
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
Kidney transplants - answer✔✔- hemodialysis sometimes needed following
surgery because kidneys from deceased donors may not function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
Hemodialysis - answer✔✔- expected: weight loss, decrease BP, increase temp
complications: hypocalcemia, bleeding, infection, hypovolemia, anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
Inotropic medications - answer✔✔- dopamine, digoxin, dobutamine, milirinone
- increase contractility and improve CO
- monitor HR (apical), hold if <60 min
Diabetes inspidus - answer✔✔- deficiency in ADH
- inability to concentrate urine, 1.001-1.005
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
Diabetic Ketoacidosis - answer✔✔- assessment: dehydration, ketosis, metabolic
acidosis, hyperglycemia
- admin fast acting insulin that can be effective within 10 min, admin IV
- kussmaul resp
Beta blockers (Propanolol) - answer✔✔- monitor: sore throat, vision
changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis, acute
pancreatitis - notify provider: night cough
Factors that affect wound healing - answer✔✔- dehydration (UO)
- infection
- BMI <18.5 or >25
,- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
HIV/AIDS - answer✔✔- positive response to treatment monitored by viral load
- risk for infection: do not drink fluids left out for longer than 60 min, clean
toothbrush in dishwasher weekly, avoid fresh produce, check temp daily
- dx test: ELISA confirmed by western blot/IFA, viral load
Fluid replacement - answer✔✔- monitor BUN
Cerebrovascular accident - answer✔✔- right sided: visual, spatial,
proprioception; poor impulse control/judgment; unilateral neglect - left
sided: language, math, analytical skills
Preventing UTIs - answer✔✔- wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
- cotton underwear
- urinate Q2-4h
Radiation therapy - answer✔✔- do not remove ink markings
- wash area gently with warm water and mild soap
, -
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
Kidney transplants - answer✔✔- hemodialysis sometimes needed following
surgery because kidneys from deceased donors may not function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
Hemodialysis - answer✔✔- expected: weight loss, decrease BP, increase temp
complications: hypocalcemia, bleeding, infection, hypovolemia, anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
Inotropic medications - answer✔✔- dopamine, digoxin, dobutamine, milirinone
- increase contractility and improve CO
- monitor HR (apical), hold if <60 min
Diabetes inspidus - answer✔✔- deficiency in ADH
- inability to concentrate urine, 1.001-1.005
