ATI RN MEDICAL-SURGICAL
PROCTORED FOCUS EXAM |
QUESTIONS & ANSWERS (VERIFIED) |
LATEST UPDATE | GRADED A+
EGD positioning
Correct Answer: left side lying
Before an EGD:
Correct Answer: -NPO 6-8 hr
-remove dentures
( infectious diarrhea)
-restrict dairy, caffeine
-eat foods high in potassium
-increase fluid intake
-contact precautions
Correct Answer: Gastroenteritis care plan:
In what order do you open the sterile package?
1
,Correct Answer: 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 Answer: D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse tough 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 Answer: C, D, E
2
,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 Answer: B, C, D
TB is suspected, what to do?
Correct Answer: -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 Answer: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
Rifampin
Isoniazid adverse effects
3
, Correct Answer: tingling in hand and feet
What to watch for when on Rifampin:
Correct Answer: -orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol:
Correct Answer: vision changes
Client teaching for genital herpes:
Correct Answer: -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 Answer: -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
4
PROCTORED FOCUS EXAM |
QUESTIONS & ANSWERS (VERIFIED) |
LATEST UPDATE | GRADED A+
EGD positioning
Correct Answer: left side lying
Before an EGD:
Correct Answer: -NPO 6-8 hr
-remove dentures
( infectious diarrhea)
-restrict dairy, caffeine
-eat foods high in potassium
-increase fluid intake
-contact precautions
Correct Answer: Gastroenteritis care plan:
In what order do you open the sterile package?
1
,Correct Answer: 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 Answer: D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse tough 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 Answer: C, D, E
2
,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 Answer: B, C, D
TB is suspected, what to do?
Correct Answer: -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 Answer: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
Rifampin
Isoniazid adverse effects
3
, Correct Answer: tingling in hand and feet
What to watch for when on Rifampin:
Correct Answer: -orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol:
Correct Answer: vision changes
Client teaching for genital herpes:
Correct Answer: -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 Answer: -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
4
