ATI MED SURG EXAM ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS |
LATEST VERSION | ALREADY GRADED A+ |
JUST RELEASED
A patient is being prepared for a spinal fusion. While in the holding area,
which action by a member of the
surgical team requires rapid intervention by the charge nurse? ------
CORRECT ANSWER---------------walking into the hallway outside an
operating room without the hair covered
Which nursing action should the operating room (OR) nurse manager
delegate to the registered nurse first
assistant (RNFA) when caring for a surgical patient? ------CORRECT
ANSWER---------------make surgical incision & suture incisions as needed.
Which action included in the perioperative patient plan of care can the
charge nurse delegate to a surgical
technologist? ------CORRECT ANSWER---------------pass sterile instruments
& supplies to the surgeon
When caring for a patient who has received a general anesthetic, the
circulating nurse notes red, raised
wheals on the patients arms. Which action should the nurse take
immediately? ------CORRECT ANSWER---------------notify the anesthesia
care practitioner (ACP) immediately.
,Which actions will the nurse include in the surgical time-out procedure
before surgery (select all that
apply)? ------CORRECT ANSWER---------------- have the patient state name
& DOB
- verify the patient ID band number
- ask the patient to state the surgical procedure
- confirm the hospital chart identification number.
On admission of a patient to the postanesthesia care unit (PACU), the
blood pressure (BP) is 122/72. Thirty
minutes after admission, the BP falls to 114/62, with a pulse of 74 and
warm, dry skin. Which action by the
nurse ismost appropriate? ------CORRECT ANSWER---------------continue to
take vital signs every 15 minutes
In the postanesthesia care unit (PACU), a patients vital signs are blood
pressure 116/72, pulse 74,
respirations 12, and SpO2 91%. The patient is sleepy but awakens easily.
Which action should the nurse take
first? ------CORRECT ANSWER---------------encourage the patient to take
deep breaths.
An experienced nurse orients a new nurse to the postanesthesia care unit
(PACU). Which action by the new
nurse, if observed by the experienced nurse, indicates that the orientation
was successful? ------CORRECT ANSWER---------------the new nurse turns
an unconscious patient to the side upon arrival in the PACU
A patient has a parenteral nutrition infusion of 25% dextrose. A student
nurse asks the nurse why a
peripherally inserted central catheter was inserted. Which response by the
nurse is most appropriate? ------CORRECT ANSWER---------------the 25%
, dextrose is hypertonic & will be more rapidly diluted when given through a
central line.
The nurse is caring for a patient who has a central venous access device
(CVAD). Which action by the
nurse is appropriate? ------CORRECT ANSWER---------------use the push-
pause method to flush the CVAD after giving medications.
An older patient receiving iso-osmolar continuous tube feedings develops
restlessness, agitation, and
weakness. Which laboratory result should the nurse report to the health
care provider immediately? ------CORRECT ANSWER---------------Na+ 154
mEq/L (154 mmol/L)
The nurse assesses a patient who has been hospitalized for 2 days. The
patient has been receiving normal
saline IV at 100 mL/hr, has a nasogastric tube to low suction, and is NPO.
Which assessment finding would be
apriority for the nurse to report to the health care provider? ------CORRECT
ANSWER---------------gradually decreasing level of consciousness (LOC)
A nurse is assessing a newly admitted patient with chronic heart failure
who forgot to take prescribed
medications and seems confused. The patient complains of just blowing up
and has peripheral edema and
shortness of breath. Which assessment should the nurse complete first? ---
---CORRECT ANSWER---------------mental status
A patient with renal failure has been taking aluminum
hydroxide/magnesium hydroxide suspension
QUESTIONS AND CORRECT ANSWERS |
LATEST VERSION | ALREADY GRADED A+ |
JUST RELEASED
A patient is being prepared for a spinal fusion. While in the holding area,
which action by a member of the
surgical team requires rapid intervention by the charge nurse? ------
CORRECT ANSWER---------------walking into the hallway outside an
operating room without the hair covered
Which nursing action should the operating room (OR) nurse manager
delegate to the registered nurse first
assistant (RNFA) when caring for a surgical patient? ------CORRECT
ANSWER---------------make surgical incision & suture incisions as needed.
Which action included in the perioperative patient plan of care can the
charge nurse delegate to a surgical
technologist? ------CORRECT ANSWER---------------pass sterile instruments
& supplies to the surgeon
When caring for a patient who has received a general anesthetic, the
circulating nurse notes red, raised
wheals on the patients arms. Which action should the nurse take
immediately? ------CORRECT ANSWER---------------notify the anesthesia
care practitioner (ACP) immediately.
,Which actions will the nurse include in the surgical time-out procedure
before surgery (select all that
apply)? ------CORRECT ANSWER---------------- have the patient state name
& DOB
- verify the patient ID band number
- ask the patient to state the surgical procedure
- confirm the hospital chart identification number.
On admission of a patient to the postanesthesia care unit (PACU), the
blood pressure (BP) is 122/72. Thirty
minutes after admission, the BP falls to 114/62, with a pulse of 74 and
warm, dry skin. Which action by the
nurse ismost appropriate? ------CORRECT ANSWER---------------continue to
take vital signs every 15 minutes
In the postanesthesia care unit (PACU), a patients vital signs are blood
pressure 116/72, pulse 74,
respirations 12, and SpO2 91%. The patient is sleepy but awakens easily.
Which action should the nurse take
first? ------CORRECT ANSWER---------------encourage the patient to take
deep breaths.
An experienced nurse orients a new nurse to the postanesthesia care unit
(PACU). Which action by the new
nurse, if observed by the experienced nurse, indicates that the orientation
was successful? ------CORRECT ANSWER---------------the new nurse turns
an unconscious patient to the side upon arrival in the PACU
A patient has a parenteral nutrition infusion of 25% dextrose. A student
nurse asks the nurse why a
peripherally inserted central catheter was inserted. Which response by the
nurse is most appropriate? ------CORRECT ANSWER---------------the 25%
, dextrose is hypertonic & will be more rapidly diluted when given through a
central line.
The nurse is caring for a patient who has a central venous access device
(CVAD). Which action by the
nurse is appropriate? ------CORRECT ANSWER---------------use the push-
pause method to flush the CVAD after giving medications.
An older patient receiving iso-osmolar continuous tube feedings develops
restlessness, agitation, and
weakness. Which laboratory result should the nurse report to the health
care provider immediately? ------CORRECT ANSWER---------------Na+ 154
mEq/L (154 mmol/L)
The nurse assesses a patient who has been hospitalized for 2 days. The
patient has been receiving normal
saline IV at 100 mL/hr, has a nasogastric tube to low suction, and is NPO.
Which assessment finding would be
apriority for the nurse to report to the health care provider? ------CORRECT
ANSWER---------------gradually decreasing level of consciousness (LOC)
A nurse is assessing a newly admitted patient with chronic heart failure
who forgot to take prescribed
medications and seems confused. The patient complains of just blowing up
and has peripheral edema and
shortness of breath. Which assessment should the nurse complete first? ---
---CORRECT ANSWER---------------mental status
A patient with renal failure has been taking aluminum
hydroxide/magnesium hydroxide suspension
