ATI RN MEDICAL SURGICAL 2024 PROCTORED EXAM WITH
100+ QUESTIONS AND COMPLETE SOLUTIONS
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - Answer Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which
stage of Parkinson's? - Answer Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia.
Which stage of Parkinson's? - Answer Stage 5
HIV/AIDS home care teaching: - Answer -no raw foods, veggies, fruits
-no changing cat litter boxes
-good hand hygiene
-avoid infectious people
IBS diet teaching: - Answer high in protein, calories, low in fiber
ACE inhibitors side effects: - Answer A: angioedema
C: cough
E: elevated K+
Planning care for a client receiving enoxaparin for PE: - Answer -bleeding
precautions
-assess for contraindications: recent trauma, active bleeding, peptic ulcer disease, hx of
stroke)
-monitor for side effects (bleeding, thrombocytopenia, etc)
Proper blood admin: - Answer 1. verify blood type
2. obtain blood samples for crossmatching
3. initiate large bore IV access
4. prime IV line w/0.9% sodium chloride
5. use filter (possibly)
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the field
(Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - Answer B, C, D
,A nurse has removed a sterile pack from its outside cover and place it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - Answer D
Endoscopy (EGD) positioning - Answer left side lying
Before an Endoscopy (EGD): - Answer -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - Answer -restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - Answer flap furthest from body, side
flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - Answer D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse touch without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - Answer C, D, E
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the field
(Select all that apply)
, A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - Answer B, C, D
TB is suspected, what precautionary actions to do? - Answer -negative airflow room,
airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - Answer -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - Answer numb/tingling in the hands & feet
What to watch for when on Rifampin: - Answer -orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - Answer vision changes
Client teaching for genital herpes: - Answer -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: -
Answer -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: - Answer -
cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
100+ QUESTIONS AND COMPLETE SOLUTIONS
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - Answer Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which
stage of Parkinson's? - Answer Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia.
Which stage of Parkinson's? - Answer Stage 5
HIV/AIDS home care teaching: - Answer -no raw foods, veggies, fruits
-no changing cat litter boxes
-good hand hygiene
-avoid infectious people
IBS diet teaching: - Answer high in protein, calories, low in fiber
ACE inhibitors side effects: - Answer A: angioedema
C: cough
E: elevated K+
Planning care for a client receiving enoxaparin for PE: - Answer -bleeding
precautions
-assess for contraindications: recent trauma, active bleeding, peptic ulcer disease, hx of
stroke)
-monitor for side effects (bleeding, thrombocytopenia, etc)
Proper blood admin: - Answer 1. verify blood type
2. obtain blood samples for crossmatching
3. initiate large bore IV access
4. prime IV line w/0.9% sodium chloride
5. use filter (possibly)
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the field
(Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - Answer B, C, D
,A nurse has removed a sterile pack from its outside cover and place it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - Answer D
Endoscopy (EGD) positioning - Answer left side lying
Before an Endoscopy (EGD): - Answer -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - Answer -restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - Answer flap furthest from body, side
flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - Answer D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse touch without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - Answer C, D, E
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the field
(Select all that apply)
, A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - Answer B, C, D
TB is suspected, what precautionary actions to do? - Answer -negative airflow room,
airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - Answer -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - Answer numb/tingling in the hands & feet
What to watch for when on Rifampin: - Answer -orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - Answer vision changes
Client teaching for genital herpes: - Answer -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: -
Answer -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: - Answer -
cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
