ATI RN MEDICAL SURGICAL (2024- u u u u
2025) PROCTORED EXAM GRADEA+
u u u u u
ACCURATEQUESTIONS u u
AND NASWERS u
Endoscopy (EGD) positioning - >>>Answer left side lying u u u u u u u
Before an Endoscopy (EGD): - >>>Answer -NPO 6-8 hr
u u u u u u u u
-remove dentures u
Gastroenteritis care plan: - >>>Answer -restrict dairy, caffeine, milk u u u u u u u u
-eat foods high in potassium
u u u u
-increase fluid intake u u
-contact precautions u
In what order do you open the sterile package? -
u u u u u u u u u
>>>Answer flap furthest from body, sideflaps, then closest
u u u u u u u u u
Anurse has removed a sterile pack from its outside cover and place it on a clean work surfacein prepa
u u u u u u u u u u u u u u u u u u u u
ration for an invasive procedure. Which of the following flaps should the nurse unfold first:
u u u u u u u u u u u u u u
A. closest to body u u
B. right side u
C. left side u
D. farthest from body - >>>Answer D u u u u u
,Anurse is wearing sterile gloves in prep for performing a sterile procedure. Which of thefollowin
u u u u u u u u u u u u u u u u
g objects can the nurse touch without breaking sterile technique (Select all that apply)
u u u u u u u u u u u u u
A. bottle containing sterile solution u u u
B. edge of sterile drape at the base of the field
u u u u u u u u u
C. inner wrapping of an item on the sterile field
u u u u u u u u
D. irrigation syringe on the sterile field u u u u u
E. one gloved hand with the other gloved hand - >>>Answer C, D, E
u u u u u u u u u u u u
Anurse has prepared a sterile field for assisting a provider with a chest tube insertion. Whichof the f
u u u u u u u u u u u u u u u u u u u
ollowing events should the nurse recognize as contaminating the field (Select all that apply)
u u u u u u u u u u u u u
A. provider drops a sterile instrument onto the near side of the sterile field
u u u u u u u u u u u u
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
u u u u u u u u u u u u u u
C. procedure is delayed 1hr because the provider receives an emergency call
u u u u u u u u u u
D. nurse turns to speak to someone who enters through the door behind the nurse
u u u u u u u u u u u u u
E. clients hand brushes against the outer edge of the sterile field - >>>Answer B, C, D
u u u u u u u u u u u u u u u
TB is suspected, what precautionary actions to do?
u u u u u u u
- >>>Answer -negative airflow room, airborne precautions
u u u u u u
-nurses wear N95 mask, client wears if going out of the room u u u u u u u u u u u
-admin heat & humidified O2 therapy as prescribed u u u u u u u
TB interventions:
u
- >>>Answer -family members should be screened
u u u u u u
-4 meds taken for 6-12 months
u u u u u
-not contagious when they have 3 negative sputum cultures
u u u u u u u u
What to watch for when on Isoniazid: - >>>Answer numb/tingling in the hands & feet
u u u u u u u u u u u u u u
, What to watch for when on Rifampin:
u u u u u u
- >>>Answer -orange secretions normal
u u u u
-watch for jaundice u u
-interferes with birth control u u u
What to watch for when on Ethambutol: - >>>Answer vision changes
u u u u u u u u u u
Client teaching for genital herpes:
u u u u
- >>>Answer -can be transmitted with or w/out blisters
u u u u u u u u
-sexual partners should be informed & screened
u u u u u u
-no cure, just meds to help w/symptoms
u u u u u u
-abstain from intercourse until lesions are completely healed
u u u u u u u
-gently clean areas w/mild soap & water u u u u u u
Caring for a client following a stroke of the right side with left-sided hemipalegia:
u u u u u u u u u u u u u
- >>>Answer-thicken liquids/foods
u u
-high fowlers u
-speech therapist for helping w/eating & speech
u u u u u u
-monitor gag reflex/swallowing abilities u u u
-have suction equipment available
u u u
-occupational therapy u
-support left arm with pillows, slings, etc u u u u u u
High sodium foods clients with HF & Pulmonary edema should avoid:
u u u u u u u u u u
- >>>Answer -cheese
u u
-soups
-bread
-cold cuts/cured meats
u u
-pizza
-eggs & omelets u u
2025) PROCTORED EXAM GRADEA+
u u u u u
ACCURATEQUESTIONS u u
AND NASWERS u
Endoscopy (EGD) positioning - >>>Answer left side lying u u u u u u u
Before an Endoscopy (EGD): - >>>Answer -NPO 6-8 hr
u u u u u u u u
-remove dentures u
Gastroenteritis care plan: - >>>Answer -restrict dairy, caffeine, milk u u u u u u u u
-eat foods high in potassium
u u u u
-increase fluid intake u u
-contact precautions u
In what order do you open the sterile package? -
u u u u u u u u u
>>>Answer flap furthest from body, sideflaps, then closest
u u u u u u u u u
Anurse has removed a sterile pack from its outside cover and place it on a clean work surfacein prepa
u u u u u u u u u u u u u u u u u u u u
ration for an invasive procedure. Which of the following flaps should the nurse unfold first:
u u u u u u u u u u u u u u
A. closest to body u u
B. right side u
C. left side u
D. farthest from body - >>>Answer D u u u u u
,Anurse is wearing sterile gloves in prep for performing a sterile procedure. Which of thefollowin
u u u u u u u u u u u u u u u u
g objects can the nurse touch without breaking sterile technique (Select all that apply)
u u u u u u u u u u u u u
A. bottle containing sterile solution u u u
B. edge of sterile drape at the base of the field
u u u u u u u u u
C. inner wrapping of an item on the sterile field
u u u u u u u u
D. irrigation syringe on the sterile field u u u u u
E. one gloved hand with the other gloved hand - >>>Answer C, D, E
u u u u u u u u u u u u
Anurse has prepared a sterile field for assisting a provider with a chest tube insertion. Whichof the f
u u u u u u u u u u u u u u u u u u u
ollowing events should the nurse recognize as contaminating the field (Select all that apply)
u u u u u u u u u u u u u
A. provider drops a sterile instrument onto the near side of the sterile field
u u u u u u u u u u u u
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
u u u u u u u u u u u u u u
C. procedure is delayed 1hr because the provider receives an emergency call
u u u u u u u u u u
D. nurse turns to speak to someone who enters through the door behind the nurse
u u u u u u u u u u u u u
E. clients hand brushes against the outer edge of the sterile field - >>>Answer B, C, D
u u u u u u u u u u u u u u u
TB is suspected, what precautionary actions to do?
u u u u u u u
- >>>Answer -negative airflow room, airborne precautions
u u u u u u
-nurses wear N95 mask, client wears if going out of the room u u u u u u u u u u u
-admin heat & humidified O2 therapy as prescribed u u u u u u u
TB interventions:
u
- >>>Answer -family members should be screened
u u u u u u
-4 meds taken for 6-12 months
u u u u u
-not contagious when they have 3 negative sputum cultures
u u u u u u u u
What to watch for when on Isoniazid: - >>>Answer numb/tingling in the hands & feet
u u u u u u u u u u u u u u
, What to watch for when on Rifampin:
u u u u u u
- >>>Answer -orange secretions normal
u u u u
-watch for jaundice u u
-interferes with birth control u u u
What to watch for when on Ethambutol: - >>>Answer vision changes
u u u u u u u u u u
Client teaching for genital herpes:
u u u u
- >>>Answer -can be transmitted with or w/out blisters
u u u u u u u u
-sexual partners should be informed & screened
u u u u u u
-no cure, just meds to help w/symptoms
u u u u u u
-abstain from intercourse until lesions are completely healed
u u u u u u u
-gently clean areas w/mild soap & water u u u u u u
Caring for a client following a stroke of the right side with left-sided hemipalegia:
u u u u u u u u u u u u u
- >>>Answer-thicken liquids/foods
u u
-high fowlers u
-speech therapist for helping w/eating & speech
u u u u u u
-monitor gag reflex/swallowing abilities u u u
-have suction equipment available
u u u
-occupational therapy u
-support left arm with pillows, slings, etc u u u u u u
High sodium foods clients with HF & Pulmonary edema should avoid:
u u u u u u u u u u
- >>>Answer -cheese
u u
-soups
-bread
-cold cuts/cured meats
u u
-pizza
-eggs & omelets u u
