ATI RN MEDICAL-SURGICAL PROCTORED 2025
QUESTION AND ANSWERS
EndoscopyJ(EGD)JpositioningJ-JcorrectJanswer-leftJsideJlying
BeforeJanJEndoscopyJ(EGD):J-JcorrectJanswer--NPOJ6-8Jhr
-removeJdentures
GastroenteritisJcareJplan:J-JcorrectJanswer--restrictJdairy,Jcaffeine,Jmilk
-eatJfoodsJhighJinJpotassiumJ
-increaseJfluidJintakeJ
-contactJprecautions
InJwhatJorderJdoJyouJopenJtheJsterileJpackage?J-JcorrectJanswer-
flapJfurthestJfromJbody,JsideJflaps,JthenJclosest
AJnurseJhasJremovedJaJsterileJpackJfromJitsJoutsideJcoverJandJplaceJitJonJaJcleanJworkJsurfaceJinJpreparationJf
orJanJinvasiveJprocedure.JWhichJofJtheJfollowingJflapsJshouldJtheJnurseJunfoldJfirst:
A.JclosestJtoJbody
B.JrightJside
C.JleftJside
D.JfarthestJfromJbodyJ-JcorrectJanswer-D
AJnurseJisJwearingJsterileJglovesJinJprepJforJperformingJaJsterileJprocedure.JWhichJofJtheJfollowingJobjectsJc
anJtheJnurseJtouchJwithoutJbreakingJsterileJtechniqueJ(SelectJallJthatJapply)
A.JbottleJcontainingJsterileJsolution
B.JedgeJofJsterileJdrapeJatJtheJbaseJofJtheJfield
C.JinnerJwrappingJofJanJitemJonJtheJsterileJfield
D.JirrigationJsyringeJonJtheJsterileJfield
,E.JoneJglovedJhandJwithJtheJotherJglovedJhandJ-JcorrectJanswer-C,JD,JE
AJnurseJhasJpreparedJaJsterileJfieldJforJassistingJaJproviderJwithJaJchestJtubeJinsertion.JWhichJofJtheJfollowin
gJeventsJshouldJtheJnurseJrecognizeJasJcontaminatingJtheJfieldJ(SelectJallJthatJapply)
A.JproviderJdropsJaJsterileJinstrumentJontoJtheJnearJsideJofJtheJsterileJfield
B.JnurseJmoistensJaJcottonJballJwithJsterileJnormalJsalineJandJplacesJitJonJsterileJfield
C.JprocedureJisJdelayedJ1hrJbecauseJtheJproviderJreceivesJanJemergencyJcall
D.JnurseJturnsJtoJspeakJtoJsomeoneJwhoJentersJthroughJtheJdoorJbehindJtheJnurse
E.JclientsJhandJbrushesJagainstJtheJouterJedgeJofJtheJsterileJfieldJ-JcorrectJanswer-B,JC,JD
TBJisJsuspected,JwhatJprecautionaryJactionsJtoJdo?J-JcorrectJanswer--
negativeJairflowJroom,JairborneJprecautions
-nursesJwearJN95Jmask,JclientJwearsJifJgoingJoutJofJtheJroom
-adminJheatJ&JhumidifiedJO2JtherapyJasJprescribed
TBJinterventions:J-JcorrectJanswer--familyJmembersJshouldJbeJscreenedJ
-4JmedsJtakenJforJ6-12Jmonths
-notJcontagiousJwhenJtheyJhaveJ3JnegativeJsputumJcultures
WhatJtoJwatchJforJwhenJonJIsoniazid:J-JcorrectJanswer-numb/tinglingJinJtheJhandsJ&Jfeet
WhatJtoJwatchJforJwhenJonJRifampin:J-JcorrectJanswer--orangeJsecretionsJnormal
-watchJforJjaundiceJ
-interferesJwithJbirthJcontrol
WhatJtoJwatchJforJwhenJonJEthambutol:J-JcorrectJanswer-visionJchanges
ClientJteachingJforJgenitalJherpes:J-JcorrectJanswer--canJbeJtransmittedJwithJorJw/outJblisters
-sexualJpartnersJshouldJbeJinformedJ&Jscreened
-noJcure,JjustJmedsJtoJhelpJw/symptoms
, -abstainJfromJintercourseJuntilJlesionsJareJcompletelyJhealed
-gentlyJcleanJareasJw/mildJsoapJ&Jwater
CaringJforJaJclientJfollowingJaJstrokeJofJtheJrightJsideJwithJleft-sidedJhemipalegia:J-JcorrectJanswer--
thickenJliquids/foods
-highJfowlers
-speechJtherapistJforJhelpingJw/eatingJ&Jspeech
-monitorJgagJreflex/swallowingJabilities
-haveJsuctionJequipmentJavailable
-occupationalJtherapyJ
-supportJleftJarmJwithJpillows,Jslings,Jetc
HighJsodiumJfoodsJclientsJwithJHFJ&JPulmonaryJedemaJshouldJavoid:J-JcorrectJanswer--cheese
-soups
-breadJ
-coldJcuts/curedJmeats
-pizzaJ
-eggsJ&Jomelets
-hotJdogs
-bakedJham
WhichJnon-opioidJdrugJdecreasesJtheJeffectJofJaspirin?J-JcorrectJanswer-ibuprofen
KetorolacJshouldJnotJbeJusedJconcurrentlyJwith...J-JcorrectJanswer-otherJNSAIDS
GlucocorticoidsJincreaseJtheJriskJofJgastricJbleedingJwhenJtakenJwith...J-JcorrectJanswer-non-
opioidJanalgesics
ToJaccessJanJimplantedJport,JyouJmustJuseJa...J-JcorrectJanswer-noncoringJ(Huber)Jneedle
WhenJdoneJaccessingJanJimplantedJport...J-JcorrectJanswer-flushJwithJ10JmLJ0.9%JsodiumJchloride
QUESTION AND ANSWERS
EndoscopyJ(EGD)JpositioningJ-JcorrectJanswer-leftJsideJlying
BeforeJanJEndoscopyJ(EGD):J-JcorrectJanswer--NPOJ6-8Jhr
-removeJdentures
GastroenteritisJcareJplan:J-JcorrectJanswer--restrictJdairy,Jcaffeine,Jmilk
-eatJfoodsJhighJinJpotassiumJ
-increaseJfluidJintakeJ
-contactJprecautions
InJwhatJorderJdoJyouJopenJtheJsterileJpackage?J-JcorrectJanswer-
flapJfurthestJfromJbody,JsideJflaps,JthenJclosest
AJnurseJhasJremovedJaJsterileJpackJfromJitsJoutsideJcoverJandJplaceJitJonJaJcleanJworkJsurfaceJinJpreparationJf
orJanJinvasiveJprocedure.JWhichJofJtheJfollowingJflapsJshouldJtheJnurseJunfoldJfirst:
A.JclosestJtoJbody
B.JrightJside
C.JleftJside
D.JfarthestJfromJbodyJ-JcorrectJanswer-D
AJnurseJisJwearingJsterileJglovesJinJprepJforJperformingJaJsterileJprocedure.JWhichJofJtheJfollowingJobjectsJc
anJtheJnurseJtouchJwithoutJbreakingJsterileJtechniqueJ(SelectJallJthatJapply)
A.JbottleJcontainingJsterileJsolution
B.JedgeJofJsterileJdrapeJatJtheJbaseJofJtheJfield
C.JinnerJwrappingJofJanJitemJonJtheJsterileJfield
D.JirrigationJsyringeJonJtheJsterileJfield
,E.JoneJglovedJhandJwithJtheJotherJglovedJhandJ-JcorrectJanswer-C,JD,JE
AJnurseJhasJpreparedJaJsterileJfieldJforJassistingJaJproviderJwithJaJchestJtubeJinsertion.JWhichJofJtheJfollowin
gJeventsJshouldJtheJnurseJrecognizeJasJcontaminatingJtheJfieldJ(SelectJallJthatJapply)
A.JproviderJdropsJaJsterileJinstrumentJontoJtheJnearJsideJofJtheJsterileJfield
B.JnurseJmoistensJaJcottonJballJwithJsterileJnormalJsalineJandJplacesJitJonJsterileJfield
C.JprocedureJisJdelayedJ1hrJbecauseJtheJproviderJreceivesJanJemergencyJcall
D.JnurseJturnsJtoJspeakJtoJsomeoneJwhoJentersJthroughJtheJdoorJbehindJtheJnurse
E.JclientsJhandJbrushesJagainstJtheJouterJedgeJofJtheJsterileJfieldJ-JcorrectJanswer-B,JC,JD
TBJisJsuspected,JwhatJprecautionaryJactionsJtoJdo?J-JcorrectJanswer--
negativeJairflowJroom,JairborneJprecautions
-nursesJwearJN95Jmask,JclientJwearsJifJgoingJoutJofJtheJroom
-adminJheatJ&JhumidifiedJO2JtherapyJasJprescribed
TBJinterventions:J-JcorrectJanswer--familyJmembersJshouldJbeJscreenedJ
-4JmedsJtakenJforJ6-12Jmonths
-notJcontagiousJwhenJtheyJhaveJ3JnegativeJsputumJcultures
WhatJtoJwatchJforJwhenJonJIsoniazid:J-JcorrectJanswer-numb/tinglingJinJtheJhandsJ&Jfeet
WhatJtoJwatchJforJwhenJonJRifampin:J-JcorrectJanswer--orangeJsecretionsJnormal
-watchJforJjaundiceJ
-interferesJwithJbirthJcontrol
WhatJtoJwatchJforJwhenJonJEthambutol:J-JcorrectJanswer-visionJchanges
ClientJteachingJforJgenitalJherpes:J-JcorrectJanswer--canJbeJtransmittedJwithJorJw/outJblisters
-sexualJpartnersJshouldJbeJinformedJ&Jscreened
-noJcure,JjustJmedsJtoJhelpJw/symptoms
, -abstainJfromJintercourseJuntilJlesionsJareJcompletelyJhealed
-gentlyJcleanJareasJw/mildJsoapJ&Jwater
CaringJforJaJclientJfollowingJaJstrokeJofJtheJrightJsideJwithJleft-sidedJhemipalegia:J-JcorrectJanswer--
thickenJliquids/foods
-highJfowlers
-speechJtherapistJforJhelpingJw/eatingJ&Jspeech
-monitorJgagJreflex/swallowingJabilities
-haveJsuctionJequipmentJavailable
-occupationalJtherapyJ
-supportJleftJarmJwithJpillows,Jslings,Jetc
HighJsodiumJfoodsJclientsJwithJHFJ&JPulmonaryJedemaJshouldJavoid:J-JcorrectJanswer--cheese
-soups
-breadJ
-coldJcuts/curedJmeats
-pizzaJ
-eggsJ&Jomelets
-hotJdogs
-bakedJham
WhichJnon-opioidJdrugJdecreasesJtheJeffectJofJaspirin?J-JcorrectJanswer-ibuprofen
KetorolacJshouldJnotJbeJusedJconcurrentlyJwith...J-JcorrectJanswer-otherJNSAIDS
GlucocorticoidsJincreaseJtheJriskJofJgastricJbleedingJwhenJtakenJwith...J-JcorrectJanswer-non-
opioidJanalgesics
ToJaccessJanJimplantedJport,JyouJmustJuseJa...J-JcorrectJanswer-noncoringJ(Huber)Jneedle
WhenJdoneJaccessingJanJimplantedJport...J-JcorrectJanswer-flushJwithJ10JmLJ0.9%JsodiumJchloride