ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
What would you do for wound Evisceration ( removal of internal organs) , Emergency management? -
(answer)Saline cover wound
What would you do for an ASTHMA emergency management of a bee sting allergies? - (answer)Epi Pen
Seizures and Epilepsy: Seizure precautions - (answer)During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
Cancer treatment options: Protective Isolation - (answer)If WBC drops below 1,000, place the client in a
private room and initiate neutropenic precautions.
- Have client remain in his room unless he needs to leave for a diagnostic procedure, in that case
transport patient and place a mask on him.
- Protect from possible sources of infection (plants, change water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
,ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
Infection control: Appropriate room assignment - (answer)Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and water )
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag without touching the outside of
the bag
TB: Priority action for a client in the emergency department - (answer)-Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne precautions
,ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
-use barrier protection when the risk of hand or clothing contamination exists
Immunizations: Recommended vaccinations for older adult clients - (answer)Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT - (answer)- Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
Disorders of the male reproductive system: Complications of continuous irrigation following Trans-
urethral Resection - (answer)- Urethral trauma
- Urinary retention
- Bleeding
- Infection
, ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
Non-modifiable risk factors ( Page 3 ATI ) - (answer)1) Age
2) Gender
3) Genetics
4) Developmental level
Modifiable risk factors ( Page 3 ATI ) - (answer)1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices
Emergency nursing - Triage - (answer)BASED ON ACUITY
1) Emergent- Life threatening situation going on.
2) Urgent - Need to be treated soon but not life threatening.
3) Non urgent- The patient can wait for an extended period of time , without big issues.
Mass casualty event - (answer)Class 1 - RED TAG - Immediate threat to life
Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem
What would you do for wound Evisceration ( removal of internal organs) , Emergency management? -
(answer)Saline cover wound
What would you do for an ASTHMA emergency management of a bee sting allergies? - (answer)Epi Pen
Seizures and Epilepsy: Seizure precautions - (answer)During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
Cancer treatment options: Protective Isolation - (answer)If WBC drops below 1,000, place the client in a
private room and initiate neutropenic precautions.
- Have client remain in his room unless he needs to leave for a diagnostic procedure, in that case
transport patient and place a mask on him.
- Protect from possible sources of infection (plants, change water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
,ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
Infection control: Appropriate room assignment - (answer)Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and water )
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag without touching the outside of
the bag
TB: Priority action for a client in the emergency department - (answer)-Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne precautions
,ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
-use barrier protection when the risk of hand or clothing contamination exists
Immunizations: Recommended vaccinations for older adult clients - (answer)Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT - (answer)- Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
Disorders of the male reproductive system: Complications of continuous irrigation following Trans-
urethral Resection - (answer)- Urethral trauma
- Urinary retention
- Bleeding
- Infection
, ATI Proctored-Medical Surgical EXAM QUESTIONS AND ANSWERS
Non-modifiable risk factors ( Page 3 ATI ) - (answer)1) Age
2) Gender
3) Genetics
4) Developmental level
Modifiable risk factors ( Page 3 ATI ) - (answer)1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices
Emergency nursing - Triage - (answer)BASED ON ACUITY
1) Emergent- Life threatening situation going on.
2) Urgent - Need to be treated soon but not life threatening.
3) Non urgent- The patient can wait for an extended period of time , without big issues.
Mass casualty event - (answer)Class 1 - RED TAG - Immediate threat to life
Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem
