ATI ADULT MEDICAL
SURGICAL PROCTORED
1. Endotracheal tube extubate what would you report immedatiely? - CORRECT
ANSWER -stridor
2. Why is stridor bad? - CORRECT ANSWER -it means that there is an obstruction
or edema in airway
3. What is heart rate like in someone who has a low fluid volume? - CORRECT
ANSWER -higher than usual like 110
4. What is normal unrine gravity? - CORRECT ANSWER -1.000 - 1.030
5. What is positive pressure doing? - CORRECT ANSWER -promote lung expansion
and stabilize chest
6. Would you recomened exercise for a patient who has been discharged with heart
failure? - CORRECT ANSWER -yes
7. How often should exercise be in heart failure patient? - CORRECT ANSWER -
regular routine
8. Should you consume milk with iron supplements? - CORRECT ANSWER -no, can
cause gastro disturbances
,9. Would you take iron with antacids? - CORRECT ANSWER -no, gastro disturbances
10. Would you tell the patient to lower red meat intake with iron deficiency? -
CORRECT ANSWER -no, because they would need to increase
11. What is a common side effect with iron pills? - CORRECT ANSWER -constipation
12. What would you tell them to eat when taking iron pills? - CORRECT ANSWER -
high fiber diet
13. When does pain worsen with compartment syndrome? - CORRECT ANSWER -
when passive movement occurs
14. What does warmth under cast indicate? - CORRECT ANSWER -infection
15. Should patient decrease complex carbs for atherosceleoris? - CORRECT ANSWER
-no
16. What carb should a client with atherosceloris decrease? - CORRECT ANSWER -
simple sugars
17. Is MRSA airborne or contact? - CORRECT ANSWER -contact
18. What does phenytoin do to hepatic enzymes [seizure med]? - CORRECT
ANSWER -it decreases effectiveness
,19. What should you tell the client not to take with ciprofloxacin? - CORRECT
ANSWER -magnesium containing antacids
20. Why wouldn't you take magnesium containing anatacids with cipro? - CORRECT
ANSWER -calcium can decrease absorption of med
21. What is a common side effect of rifampin? - CORRECT ANSWER -color of pee
22. Can you take ciproflaxcin with alcohol? - CORRECT ANSWER -yes
23. After a para-thyroidectomy what would be a priority for the nurse to do? -
CORRECT ANSWER -to put trach tray by bedside [think AIRWAY]
24. What meds increase osteoporosis? - CORRECT ANSWER -Fludrocortisone
25. With enoxaparin what is the main thing the nurse should do? - CORRECT
ANSWER -give dosage same time every day
26. Is restlessness common in hyperthyroidism? - CORRECT ANSWER -yes
27. What would be urgent for hyperthyroidism? - CORRECT ANSWER -high blood
pressure
28. If a client has a weird heart sound what would be the first thing you do? -
CORRECT ANSWER -listen to it again but on the left side [always want least
invasive]
, 29. Why would gentamicin be withheld from a patient? - CORRECT ANSWER -
creatine levels are too high
30. What is normal creatine? - CORRECT ANSWER -0.6 - 1.2
31. What is one of the first vital signs of a hemorrhage? - CORRECT ANSWER -
increased heart rate
32. What med would you give for a febrile reaction? - CORRECT ANSWER -Tylenol
[reduces fever]
33. How long does a drain stay in place for a radical mastectomy? - CORRECT
ANSWER -1 to 3 weeks
34. What drainage amount is needed to get rid of drainage tube for mastectomy? -
CORRECT ANSWER -less than 25 ml
35. What is the first thing to ask if a client reports dyspnea and shortness of breath when
put on O2? - CORRECT ANSWER -if they have COPD
36. Why would it be bad for you to put O2 on a COPD patient? - CORRECT ANSWER
-It can worsen hypercarbia
37. Leukemia client; would their hemoglobin be increased or decreased? - CORRECT
ANSWER -decreased
38. What would be a big sign that a client's nephrostomy tube has popped? -
CORRECT ANSWER -back pain
SURGICAL PROCTORED
1. Endotracheal tube extubate what would you report immedatiely? - CORRECT
ANSWER -stridor
2. Why is stridor bad? - CORRECT ANSWER -it means that there is an obstruction
or edema in airway
3. What is heart rate like in someone who has a low fluid volume? - CORRECT
ANSWER -higher than usual like 110
4. What is normal unrine gravity? - CORRECT ANSWER -1.000 - 1.030
5. What is positive pressure doing? - CORRECT ANSWER -promote lung expansion
and stabilize chest
6. Would you recomened exercise for a patient who has been discharged with heart
failure? - CORRECT ANSWER -yes
7. How often should exercise be in heart failure patient? - CORRECT ANSWER -
regular routine
8. Should you consume milk with iron supplements? - CORRECT ANSWER -no, can
cause gastro disturbances
,9. Would you take iron with antacids? - CORRECT ANSWER -no, gastro disturbances
10. Would you tell the patient to lower red meat intake with iron deficiency? -
CORRECT ANSWER -no, because they would need to increase
11. What is a common side effect with iron pills? - CORRECT ANSWER -constipation
12. What would you tell them to eat when taking iron pills? - CORRECT ANSWER -
high fiber diet
13. When does pain worsen with compartment syndrome? - CORRECT ANSWER -
when passive movement occurs
14. What does warmth under cast indicate? - CORRECT ANSWER -infection
15. Should patient decrease complex carbs for atherosceleoris? - CORRECT ANSWER
-no
16. What carb should a client with atherosceloris decrease? - CORRECT ANSWER -
simple sugars
17. Is MRSA airborne or contact? - CORRECT ANSWER -contact
18. What does phenytoin do to hepatic enzymes [seizure med]? - CORRECT
ANSWER -it decreases effectiveness
,19. What should you tell the client not to take with ciprofloxacin? - CORRECT
ANSWER -magnesium containing antacids
20. Why wouldn't you take magnesium containing anatacids with cipro? - CORRECT
ANSWER -calcium can decrease absorption of med
21. What is a common side effect of rifampin? - CORRECT ANSWER -color of pee
22. Can you take ciproflaxcin with alcohol? - CORRECT ANSWER -yes
23. After a para-thyroidectomy what would be a priority for the nurse to do? -
CORRECT ANSWER -to put trach tray by bedside [think AIRWAY]
24. What meds increase osteoporosis? - CORRECT ANSWER -Fludrocortisone
25. With enoxaparin what is the main thing the nurse should do? - CORRECT
ANSWER -give dosage same time every day
26. Is restlessness common in hyperthyroidism? - CORRECT ANSWER -yes
27. What would be urgent for hyperthyroidism? - CORRECT ANSWER -high blood
pressure
28. If a client has a weird heart sound what would be the first thing you do? -
CORRECT ANSWER -listen to it again but on the left side [always want least
invasive]
, 29. Why would gentamicin be withheld from a patient? - CORRECT ANSWER -
creatine levels are too high
30. What is normal creatine? - CORRECT ANSWER -0.6 - 1.2
31. What is one of the first vital signs of a hemorrhage? - CORRECT ANSWER -
increased heart rate
32. What med would you give for a febrile reaction? - CORRECT ANSWER -Tylenol
[reduces fever]
33. How long does a drain stay in place for a radical mastectomy? - CORRECT
ANSWER -1 to 3 weeks
34. What drainage amount is needed to get rid of drainage tube for mastectomy? -
CORRECT ANSWER -less than 25 ml
35. What is the first thing to ask if a client reports dyspnea and shortness of breath when
put on O2? - CORRECT ANSWER -if they have COPD
36. Why would it be bad for you to put O2 on a COPD patient? - CORRECT ANSWER
-It can worsen hypercarbia
37. Leukemia client; would their hemoglobin be increased or decreased? - CORRECT
ANSWER -decreased
38. What would be a big sign that a client's nephrostomy tube has popped? -
CORRECT ANSWER -back pain
