MEDSURG RN ATI PROCTORED EXAM GUIDE/COMPREHENSIVE GUIDE 2025 | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) | LATEST EXAM | VERIFIED
ANSWERS | GRADED A+
Manifestations of fecal impaction - (ANSWER)constipation, gas, flatulence, urge to void but no output,
fecal smears, no bowel movement
When doing digital rectal maneuvers WOF - (ANSWER)vasovagal symptoms like bradycardia, dizziness,
and syncope
Nutrition for immunocompromised pt. - (ANSWER)-increase vitamin c
-no raw fruits, or veggies, or uncooked food
-take antacids 2 hours prior or after medications
Nutrition for chemotherapy pt. - (ANSWER)-increase protein
-small frequent meals
-anti nausea meds ATC
-serve food cold to reduce nausea
Nutrition for pt. with cardiovascular disease - (ANSWER)-DASH diet (for weight loss and prevention of
cardiovascular disease)
-increase calcium, potassium
-limit sodium to <2,000 mg/day, low salt diet
-Limit fluid intake
Nutrition for COPD - (ANSWER)-small frequent meals
-mechanical soft diet, if SOB
-increase calories
-manuever the nasal cannula to allow the pt. to eat
Sources of fiber - (ANSWER)plant based, green leafy veggies
,MEDSURG RN ATI PROCTORED EXAM GUIDE/COMPREHENSIVE GUIDE 2025 | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) | LATEST EXAM | VERIFIED
ANSWERS | GRADED A+
**avoid fiber such as potatoes, cereals, and starches
Teaching about managing constipation - (ANSWER)-increase fiber, fluid and activity
-take antihypothyroid medications
Nutrition for crowns disease - (ANSWER)-high protein, high calorie, low fiber
-avoid alcohol, coffee
-increase vitamin and iron supplementation
***help identify foods that trigger symptoms
TPN for crohns disease - (ANSWER)is done to replace nutrition loss
***pt. will be NPO if the bowel is inflamed
What is Crohn's disease? - (ANSWER)inflammatory bowel disorder characterized by abdominal
pain/cramping often in right lower quadrant
s/s of crohns disease - (ANSWER)fever, anorexia, weight loss, diarrhea, high pitched bowel sounds,
steatorrhea
What is skeletal traction? - (ANSWER)traction that uses pulling force to promote/maintain alignment of
the injured area
What should be included in the traction prescription? - (ANSWER)type of traction, amount of weight,
and whether the traction can be removed for nursing care
How often do you check for neuromuscular status for pt. with a traction? - (ANSWER)every hour for 24
hours and every 4 hours after
, MEDSURG RN ATI PROCTORED EXAM GUIDE/COMPREHENSIVE GUIDE 2025 | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) | LATEST EXAM | VERIFIED
ANSWERS | GRADED A+
Nursing care for skeletal traction - (ANSWER)avoid lifting or removing weights, ensure weights hang
freely, notify DR if weights are displaced, ensure no knots, fraying, loosening and improper positioning
every 8-12 hours
Interventions for skeletal traction - (ANSWER)-may use heat or massage as prescribed to treat muscle
spasms
-theraputic touch and relaxation techniques
-PIN SITE CARE AT LEAST 1-2X/DAY (CHLORHEXIDINE USUALLY USED)
-ONE COTTON SWAB IS DESIGNATED FOR EACH PIN
pain management for pt. in bucks traction - (ANSWER)-muscle relaxant is used to relieve muscle spasms
-analgesics, or opioids to control pain
-NSAIDS for inflammation
-stool softener for constipation
How often do you monitor neurovascular status for a cast? - (ANSWER)-every hour for the first 24 hours
and asses pain
promoting comfort for a pt. with a cast - (ANSWER)-Use cloth pillow instead of plastic while the cast is
drying
-allow on finger between skin and cast
-handle plaster cast with palms and not fingers
Teachings for a cast - (ANSWER)- do not place any foreign objects into cast
-if itching= hair drying on cool setting
What is the position to prevent aspiration for a client with dysphagia? - (ANSWER)-high fowlers
QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) | LATEST EXAM | VERIFIED
ANSWERS | GRADED A+
Manifestations of fecal impaction - (ANSWER)constipation, gas, flatulence, urge to void but no output,
fecal smears, no bowel movement
When doing digital rectal maneuvers WOF - (ANSWER)vasovagal symptoms like bradycardia, dizziness,
and syncope
Nutrition for immunocompromised pt. - (ANSWER)-increase vitamin c
-no raw fruits, or veggies, or uncooked food
-take antacids 2 hours prior or after medications
Nutrition for chemotherapy pt. - (ANSWER)-increase protein
-small frequent meals
-anti nausea meds ATC
-serve food cold to reduce nausea
Nutrition for pt. with cardiovascular disease - (ANSWER)-DASH diet (for weight loss and prevention of
cardiovascular disease)
-increase calcium, potassium
-limit sodium to <2,000 mg/day, low salt diet
-Limit fluid intake
Nutrition for COPD - (ANSWER)-small frequent meals
-mechanical soft diet, if SOB
-increase calories
-manuever the nasal cannula to allow the pt. to eat
Sources of fiber - (ANSWER)plant based, green leafy veggies
,MEDSURG RN ATI PROCTORED EXAM GUIDE/COMPREHENSIVE GUIDE 2025 | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) | LATEST EXAM | VERIFIED
ANSWERS | GRADED A+
**avoid fiber such as potatoes, cereals, and starches
Teaching about managing constipation - (ANSWER)-increase fiber, fluid and activity
-take antihypothyroid medications
Nutrition for crowns disease - (ANSWER)-high protein, high calorie, low fiber
-avoid alcohol, coffee
-increase vitamin and iron supplementation
***help identify foods that trigger symptoms
TPN for crohns disease - (ANSWER)is done to replace nutrition loss
***pt. will be NPO if the bowel is inflamed
What is Crohn's disease? - (ANSWER)inflammatory bowel disorder characterized by abdominal
pain/cramping often in right lower quadrant
s/s of crohns disease - (ANSWER)fever, anorexia, weight loss, diarrhea, high pitched bowel sounds,
steatorrhea
What is skeletal traction? - (ANSWER)traction that uses pulling force to promote/maintain alignment of
the injured area
What should be included in the traction prescription? - (ANSWER)type of traction, amount of weight,
and whether the traction can be removed for nursing care
How often do you check for neuromuscular status for pt. with a traction? - (ANSWER)every hour for 24
hours and every 4 hours after
, MEDSURG RN ATI PROCTORED EXAM GUIDE/COMPREHENSIVE GUIDE 2025 | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) | LATEST EXAM | VERIFIED
ANSWERS | GRADED A+
Nursing care for skeletal traction - (ANSWER)avoid lifting or removing weights, ensure weights hang
freely, notify DR if weights are displaced, ensure no knots, fraying, loosening and improper positioning
every 8-12 hours
Interventions for skeletal traction - (ANSWER)-may use heat or massage as prescribed to treat muscle
spasms
-theraputic touch and relaxation techniques
-PIN SITE CARE AT LEAST 1-2X/DAY (CHLORHEXIDINE USUALLY USED)
-ONE COTTON SWAB IS DESIGNATED FOR EACH PIN
pain management for pt. in bucks traction - (ANSWER)-muscle relaxant is used to relieve muscle spasms
-analgesics, or opioids to control pain
-NSAIDS for inflammation
-stool softener for constipation
How often do you monitor neurovascular status for a cast? - (ANSWER)-every hour for the first 24 hours
and asses pain
promoting comfort for a pt. with a cast - (ANSWER)-Use cloth pillow instead of plastic while the cast is
drying
-allow on finger between skin and cast
-handle plaster cast with palms and not fingers
Teachings for a cast - (ANSWER)- do not place any foreign objects into cast
-if itching= hair drying on cool setting
What is the position to prevent aspiration for a client with dysphagia? - (ANSWER)-high fowlers
