ATI Adult Medical Surgical
PROCTORED
1. End-troacheal tube extubate what would you report immediately? - stridor
2. Why is stridor bad? - it means that there is an obstruction or edema in airway
3. What is heart rate like in someone who has a low fluid volume? - higher than usual like
110
4. What is normal unrine gravity? - 1.000 - 1.030
5. What is positive pressure doing? - promote lung expansion and stabilize chest
6. Would you recomened exercise for a pt who has been discharged with heart failure? -
yes
7. How often should exercise be in heart failure pt? - regular routine
8. Should you consume milk with iron supplements? - no can cause gastro disturbance.
9. Would you take iron with antacids? - no gastro disturb
10. Would you tell the pt to lower red meat intake with iron deficiency? - no because they
would need increase
,11. What is a common side effect with iron pills? - constipation
12. What would you tell them to eat with taking iron pills? - high fiber
13. When does pain worsen with compartement syndrome? - when passive moving occurs.
14. What does warmth under cast indicate? - infection
15. Should pt decrease complex carbs for atherosceleoris? - no
16. What carb should a client with atherosceloris decrease? - simple sugars
17. Is MRSA airborne or contact? - contact
18. What does phenyotoin do to hepatic enzymes (for seizures the med is)? - it decreases
effectiveness
19. What should you tell the pt not to take with ciprofloxacin? - magnesium containg
antacids
20. Why wouldn't you take magnesium containing anatacids with cipro? - calcium can
decrease obsorb of med
21. What is a common side effect of rifampin? - color of pee
22. Can you take ciproflaxcin with booze? - yes
23. After a parathryoidecotmy what would be prioty for nurse? - to put trach tray by
bedside (AIRWAY)
,24. What meds increase osteoporosis? - fludrocortisone
25. With enoxaparin what is main thing for the med the nurse should do? - give dosage
same time every day
26. Is restlessness common in hyperthyroidism? - yes
27. What would be urgent for hyperthyroidism? - high BP
28. If a pt has a weird heart sound what would be first thing you do? - listen to it again but
on the left side (least invasive)
29. Why would gentamicin be withheld from a pt? - if creatine levels are too high
30. What is normal creatine? - .6-1.2
31. What is one of the first vital signs of a hemmhorage? - increase heart rate
32. What med would you give for a febrile reaction? - tyneol (reduces fever)
33. How long does a drain stay in place for a radical mastectomy? - 1 to 3 week
34. What drainage amount to get rid of drainage tube for mastectomy? - less than 25
35. What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - if they have
COPD
36. Why would it be bad for you to put O2 on a COPD pt? - It can worsen hypercarbia
37. What is someones HGB look like with leukemia increase or decreased? - decreased
, 38. What would be a big sign that nephrosotmoy tube has popped? - back pain
39. What is max amount of flexing for total hip? - no more than 90
40. Why would you place a pillow between a pt legs for hip athroplasy? - so hips don't get
dislodged
41. What is a holter monitor used for? - if you have an irregular heart rate it can detect it
42. What can a pacemake do to a pt heart? - regulate the heart rate
43. What is a echo used for? - detecting valve dysfunction
44. What do PPI do for gastric ulcers? - it suppresses gastric acid production
45. What is good about high fowlers postion? - increases lung expansion and improves
ventilation
46. What med would you d/c to before going in for allergy testing? - prednisone
47. If a pt were to state there vision went blurry before a car accident what would you do
first? - monitor neuro
48. What would be first thing to do if bowel is protruding from stomach? - call for help
49. What kind of skin for hypothyroidism? - dry scaly
50. What does metformin do to glucose? - it decreases the amount of glucose produced in
liver
PROCTORED
1. End-troacheal tube extubate what would you report immediately? - stridor
2. Why is stridor bad? - it means that there is an obstruction or edema in airway
3. What is heart rate like in someone who has a low fluid volume? - higher than usual like
110
4. What is normal unrine gravity? - 1.000 - 1.030
5. What is positive pressure doing? - promote lung expansion and stabilize chest
6. Would you recomened exercise for a pt who has been discharged with heart failure? -
yes
7. How often should exercise be in heart failure pt? - regular routine
8. Should you consume milk with iron supplements? - no can cause gastro disturbance.
9. Would you take iron with antacids? - no gastro disturb
10. Would you tell the pt to lower red meat intake with iron deficiency? - no because they
would need increase
,11. What is a common side effect with iron pills? - constipation
12. What would you tell them to eat with taking iron pills? - high fiber
13. When does pain worsen with compartement syndrome? - when passive moving occurs.
14. What does warmth under cast indicate? - infection
15. Should pt decrease complex carbs for atherosceleoris? - no
16. What carb should a client with atherosceloris decrease? - simple sugars
17. Is MRSA airborne or contact? - contact
18. What does phenyotoin do to hepatic enzymes (for seizures the med is)? - it decreases
effectiveness
19. What should you tell the pt not to take with ciprofloxacin? - magnesium containg
antacids
20. Why wouldn't you take magnesium containing anatacids with cipro? - calcium can
decrease obsorb of med
21. What is a common side effect of rifampin? - color of pee
22. Can you take ciproflaxcin with booze? - yes
23. After a parathryoidecotmy what would be prioty for nurse? - to put trach tray by
bedside (AIRWAY)
,24. What meds increase osteoporosis? - fludrocortisone
25. With enoxaparin what is main thing for the med the nurse should do? - give dosage
same time every day
26. Is restlessness common in hyperthyroidism? - yes
27. What would be urgent for hyperthyroidism? - high BP
28. If a pt has a weird heart sound what would be first thing you do? - listen to it again but
on the left side (least invasive)
29. Why would gentamicin be withheld from a pt? - if creatine levels are too high
30. What is normal creatine? - .6-1.2
31. What is one of the first vital signs of a hemmhorage? - increase heart rate
32. What med would you give for a febrile reaction? - tyneol (reduces fever)
33. How long does a drain stay in place for a radical mastectomy? - 1 to 3 week
34. What drainage amount to get rid of drainage tube for mastectomy? - less than 25
35. What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - if they have
COPD
36. Why would it be bad for you to put O2 on a COPD pt? - It can worsen hypercarbia
37. What is someones HGB look like with leukemia increase or decreased? - decreased
, 38. What would be a big sign that nephrosotmoy tube has popped? - back pain
39. What is max amount of flexing for total hip? - no more than 90
40. Why would you place a pillow between a pt legs for hip athroplasy? - so hips don't get
dislodged
41. What is a holter monitor used for? - if you have an irregular heart rate it can detect it
42. What can a pacemake do to a pt heart? - regulate the heart rate
43. What is a echo used for? - detecting valve dysfunction
44. What do PPI do for gastric ulcers? - it suppresses gastric acid production
45. What is good about high fowlers postion? - increases lung expansion and improves
ventilation
46. What med would you d/c to before going in for allergy testing? - prednisone
47. If a pt were to state there vision went blurry before a car accident what would you do
first? - monitor neuro
48. What would be first thing to do if bowel is protruding from stomach? - call for help
49. What kind of skin for hypothyroidism? - dry scaly
50. What does metformin do to glucose? - it decreases the amount of glucose produced in
liver
