ATI Proctored-Medical Surgical
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - Answer--stridor
Why is stridor bad? - Answer--it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? - Answer--usually
greater than 110- to compensate for the low bp
What is normal urine gravity? - Answer--1.000 - 1.030
What is the role of positive pressure? - Answer--to promote lung expansion and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? - Answer--yes
How often should exercise be in heart failure pt? - Answer--regular routine
Should you consume milk with iron supplements? - Answer--no- can cause gastric disturbance.
Would you take iron with antacids? - Answer--no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - Answer--no- increase iron rich
foods
,What is a common side effect with iron pills? - Answer--constipation
What would you tell them to eat with taking iron pills? - Answer--high fiber
When does pain worsen with compartement syndrome? - Answer--when passive moving occurs.
What does warmth under cast indicate? - Answer--infection
Should pt decrease complex carbs for atherosceleoris? - Answer--no, increase them
What carb should a client with atherosceloris decrease? - Answer--simple sugars
Is MRSA airborne or contact? - Answer--contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - Answer--it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - Answer--magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - Answer--calcium can decrease
absorption of med
What is a common side effect of rifampin? - Answer--color of urine-
If the urine output after surgery is less than------ in 2 hours, you should report to the physician. - Answer-
-less than 30
,How often after surgery should you do deep breathing? - Answer--q1
What would provide as a splint to an abdomninal incison? - Answer--pillow or folded blanket between
legs
How often should you reposition post op pt? - Answer--q2
How often to assist with spirometer post op? - Answer--q2
Can you take ciproflaxcin with alcohol? - Answer--yes
After a parathryoidectomy what would be the priority for the nurse? - Answer--to put trach tray by
bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - Answer--fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - Answer--give dosage same time every day
Is restlessness common in hyperthyroidism? - Answer--yes
What would be urgent for hyperthyroidism? - Answer--high BP
If a pt has a weird heart sound what would be first thing you do? - Answer--listen to it again but on the
left side (least invasive)
Why would gentamicin be withheld from a pt? - Answer--if creatine levels are too high
, What is normal creatine? - Answer--.6-1.2
What is one of the first vital signs of a hemorrhage? - Answer--increase heart rate
What med would you give for a febrile reaction? - Answer--tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - Answer--1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - Answer--less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - Answer--if they have
COPD
Why would it be bad for you to put O2 on a COPD pt? - Answer--It can worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - Answer--decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? - Answer--back pain
What is max amount of flexion for total hip replacement? - Answer--no more than 90 degrees
Why would you place a pillow between a pt legs for hip athroplasy? - Answer--so the hips don't get
dislocated
What is a holter monitor used for? - Answer--detecting irregular heart rate and rhythms
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - Answer--stridor
Why is stridor bad? - Answer--it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? - Answer--usually
greater than 110- to compensate for the low bp
What is normal urine gravity? - Answer--1.000 - 1.030
What is the role of positive pressure? - Answer--to promote lung expansion and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? - Answer--yes
How often should exercise be in heart failure pt? - Answer--regular routine
Should you consume milk with iron supplements? - Answer--no- can cause gastric disturbance.
Would you take iron with antacids? - Answer--no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - Answer--no- increase iron rich
foods
,What is a common side effect with iron pills? - Answer--constipation
What would you tell them to eat with taking iron pills? - Answer--high fiber
When does pain worsen with compartement syndrome? - Answer--when passive moving occurs.
What does warmth under cast indicate? - Answer--infection
Should pt decrease complex carbs for atherosceleoris? - Answer--no, increase them
What carb should a client with atherosceloris decrease? - Answer--simple sugars
Is MRSA airborne or contact? - Answer--contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - Answer--it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - Answer--magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - Answer--calcium can decrease
absorption of med
What is a common side effect of rifampin? - Answer--color of urine-
If the urine output after surgery is less than------ in 2 hours, you should report to the physician. - Answer-
-less than 30
,How often after surgery should you do deep breathing? - Answer--q1
What would provide as a splint to an abdomninal incison? - Answer--pillow or folded blanket between
legs
How often should you reposition post op pt? - Answer--q2
How often to assist with spirometer post op? - Answer--q2
Can you take ciproflaxcin with alcohol? - Answer--yes
After a parathryoidectomy what would be the priority for the nurse? - Answer--to put trach tray by
bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - Answer--fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - Answer--give dosage same time every day
Is restlessness common in hyperthyroidism? - Answer--yes
What would be urgent for hyperthyroidism? - Answer--high BP
If a pt has a weird heart sound what would be first thing you do? - Answer--listen to it again but on the
left side (least invasive)
Why would gentamicin be withheld from a pt? - Answer--if creatine levels are too high
, What is normal creatine? - Answer--.6-1.2
What is one of the first vital signs of a hemorrhage? - Answer--increase heart rate
What med would you give for a febrile reaction? - Answer--tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - Answer--1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - Answer--less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - Answer--if they have
COPD
Why would it be bad for you to put O2 on a COPD pt? - Answer--It can worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - Answer--decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? - Answer--back pain
What is max amount of flexion for total hip replacement? - Answer--no more than 90 degrees
Why would you place a pillow between a pt legs for hip athroplasy? - Answer--so the hips don't get
dislocated
What is a holter monitor used for? - Answer--detecting irregular heart rate and rhythms
