ATI RN MEDICAL SURGICAL
PROCTORED EXAM Q&As LATEST
UPDATE2022/2023Verified
ANSWERS RATED A+
Endoscopy (EGD) positioning - ANSWER-left side lying
Before an Endoscopy (EGD): - ANSWER--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
Clinical manifestations of Dehydration: - ANSWER--hyperthermia
-tachycardia
-thready pulse
-hypotension
-orthostatic hypotension
,-decreased CVP
-tachypnea
-hypoxia
-dizziness
-syncope
-weakness
-fatigue
-increased Hct
-increased urine osmolarity (greater than 300)
-increased Na
-increased BUN
-increased protein
Priority action for symptomatic sinus bradycardia: - ANSWER-atropine & isoproterenol
then pacemaker
If suspected central venous access device is infiltrated or extravasation: - ANSWER--
stop infusion & remove cath
-elevate the extremity
-encourage active ROM
-apply warm/cold compresses as prescribed
If suspected central venous access device has a hematoma: - ANSWER--no alcohol
applying
-apply pressure after catheter removal
-warm compress & elevation until bleeding stops
If suspected fluid overload from central venous access device: - ANSWER--stop
infusion
-raise HOB
-measure vitals & O2 sats
-adjust rate after correcting fluid
-administer diuretics as prescribed
If suspected cellulitis from central venous access device: - ANSWER--stop infusion &
remove catheter
-elevate the extremity
-apply warm compresses
-admin abx, analgesics, & antipyretics
If suspected catheter embolus from a central venous access device: - ANSWER--place
tourniquet high on extremity
-prepare for removal under xray or surgery
-save catheter after removal to determine cause
, Unilateral shaking or tremor of one limb; which stage of Parkinson's? - ANSWER-Stage
1
Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of
Parkinson's? - ANSWER-Stage 2
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - ANSWER-Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which
stage of Parkinson's? - ANSWER-Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia.
Which stage of Parkinson's? - ANSWER-Stage 5
HIV/AIDS home care teaching: - ANSWER--no raw foods, veggies, fruits
-no changing cat litter boxes
-good hand hygiene
-avoid infectious people
IBS diet teaching: - ANSWER-high in protein, calories, low in fiber
ACE inhibitors side effects: - ANSWER-A: angioedema
C: cough
E: elevated K+
Planning care for a client receiving enoxaparin for PE: - ANSWER--bleeding
precautions
-assess for contraindications: recent trauma, active bleeding, peptic ulcer disease, hx of
stroke)
-monitor for side effects (bleeding, thrombocytopenia, etc)
Proper blood admin: - ANSWER-1. verify blood type
2. obtain blood samples for crossmatching
3. initiate large bore IV access
4. prime IV line w/0.9% sodium chloride
5. use filter (possibly)
In what order do you open the sterile package? - 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
PROCTORED EXAM Q&As LATEST
UPDATE2022/2023Verified
ANSWERS RATED A+
Endoscopy (EGD) positioning - ANSWER-left side lying
Before an Endoscopy (EGD): - ANSWER--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
Clinical manifestations of Dehydration: - ANSWER--hyperthermia
-tachycardia
-thready pulse
-hypotension
-orthostatic hypotension
,-decreased CVP
-tachypnea
-hypoxia
-dizziness
-syncope
-weakness
-fatigue
-increased Hct
-increased urine osmolarity (greater than 300)
-increased Na
-increased BUN
-increased protein
Priority action for symptomatic sinus bradycardia: - ANSWER-atropine & isoproterenol
then pacemaker
If suspected central venous access device is infiltrated or extravasation: - ANSWER--
stop infusion & remove cath
-elevate the extremity
-encourage active ROM
-apply warm/cold compresses as prescribed
If suspected central venous access device has a hematoma: - ANSWER--no alcohol
applying
-apply pressure after catheter removal
-warm compress & elevation until bleeding stops
If suspected fluid overload from central venous access device: - ANSWER--stop
infusion
-raise HOB
-measure vitals & O2 sats
-adjust rate after correcting fluid
-administer diuretics as prescribed
If suspected cellulitis from central venous access device: - ANSWER--stop infusion &
remove catheter
-elevate the extremity
-apply warm compresses
-admin abx, analgesics, & antipyretics
If suspected catheter embolus from a central venous access device: - ANSWER--place
tourniquet high on extremity
-prepare for removal under xray or surgery
-save catheter after removal to determine cause
, Unilateral shaking or tremor of one limb; which stage of Parkinson's? - ANSWER-Stage
1
Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of
Parkinson's? - ANSWER-Stage 2
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - ANSWER-Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which
stage of Parkinson's? - ANSWER-Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia.
Which stage of Parkinson's? - ANSWER-Stage 5
HIV/AIDS home care teaching: - ANSWER--no raw foods, veggies, fruits
-no changing cat litter boxes
-good hand hygiene
-avoid infectious people
IBS diet teaching: - ANSWER-high in protein, calories, low in fiber
ACE inhibitors side effects: - ANSWER-A: angioedema
C: cough
E: elevated K+
Planning care for a client receiving enoxaparin for PE: - ANSWER--bleeding
precautions
-assess for contraindications: recent trauma, active bleeding, peptic ulcer disease, hx of
stroke)
-monitor for side effects (bleeding, thrombocytopenia, etc)
Proper blood admin: - ANSWER-1. verify blood type
2. obtain blood samples for crossmatching
3. initiate large bore IV access
4. prime IV line w/0.9% sodium chloride
5. use filter (possibly)
In what order do you open the sterile package? - 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
