ATI RN MEDICAL-SURGICAL PROCTORED 2019
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!!
,GI Endoscopy (EGD) positioning - ANSWER left side lying
GI Before an Endoscopy (EGD): - ANSWER -NPO 6-8 hr
-remove dentures
GI 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
, RESP 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
RESP TB interventions: - ANSWER -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
MED Glucocorticoids increase the risk of gastric bleeding when taken with... - ANSWER
non-opioid analgesics
To access an implanted port, you must use a... - ANSWER noncoring (Huber) needle
When done accessing an implanted port... - ANSWER flush with 10 mL 0.9% sodium
chloride
MED Therapeutic effects of furosemide (Lasix) - ANSWER -decreases preload of the
heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
MED Expected findings of meds that increase urinary output (diuretics): - ANSWER -
decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
MED Contraindications for Nadolol: - ANSWER -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!!
,GI Endoscopy (EGD) positioning - ANSWER left side lying
GI Before an Endoscopy (EGD): - ANSWER -NPO 6-8 hr
-remove dentures
GI 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
, RESP 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
RESP TB interventions: - ANSWER -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
MED Glucocorticoids increase the risk of gastric bleeding when taken with... - ANSWER
non-opioid analgesics
To access an implanted port, you must use a... - ANSWER noncoring (Huber) needle
When done accessing an implanted port... - ANSWER flush with 10 mL 0.9% sodium
chloride
MED Therapeutic effects of furosemide (Lasix) - ANSWER -decreases preload of the
heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
MED Expected findings of meds that increase urinary output (diuretics): - ANSWER -
decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
MED Contraindications for Nadolol: - ANSWER -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
