{"id":117111,"date":"2023-08-27T19:58:21","date_gmt":"2023-08-27T19:58:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117111"},"modified":"2023-08-27T19:58:23","modified_gmt":"2023-08-27T19:58:23","slug":"ati-med-surg-proctored-exam-2023over-2000-questions-and-answers-verified-latest","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/27\/ati-med-surg-proctored-exam-2023over-2000-questions-and-answers-verified-latest\/","title":{"rendered":"ATI Med surg- proctored Exam 2023|OVER 2000 Questions and Answers Verified | Latest"},"content":{"rendered":"\n<p>ATI Med Surg Practice Test A 2019<br>A home health nurse is assigned to a client who was recently discharged from a<br>rehabilitation center after experiencing a right-hemispheric stroke. Which of the<br>following neurologic deficits should the nurse expect to find when assessing the<br>client? ( select all that apply) &#8211; CORRECT ANSWER Visual spatial deficits,<br>Left hemianopsia ( blindness in the left half of the visual field), One-sided neglect<br>A nurse is reviewing the health record of a client who is scheduled for allergy skin<br>testing. The nurse should postpone the testing and report to the provider which<br>of the following findings? &#8211; CORRECT ANSWER Current medications<br>A nurse is caring for a group of clients. The nurse should plan to make a referral to<br>physical therapy for which of the following clients? &#8211; CORRECT ANSWER A<br>client who is receiving preoperative teaching for a right knee arthroplasty<br>A nurse is caring for a client who is having a seizure. Which of the following<br>interventions is the nurse&#8217;s priority? &#8211; CORRECT ANSWER Turn the client to<br>the side<\/p>\n\n\n\n<p>nurse is caring for a client who is 12 hr postoperative following a total hip<br>arthroplasty. Which of the following actions should the nurse take? &#8211; CORRECT<br>ANSWER Place a pillow between the client&#8217;s leg<br>A nurse is preparing to admit a client who has dysphagia. The nurse should plan to<br>place which of the following items at the client&#8217;s bedside? &#8211; CORRECT ANSWER<br>Suction machine<br>A nurse is planning teaching for a client who has bladder cancer and is to undergo<br>a cutaneous diversion procedure to establish a ureterostomy. Which of the<br>following statements should the nurse include in the teaching? &#8211; CORRECT<br>ANSWER &#8220;You should cut the opening of the skin barrier one-eight inch<br>wider than the stoma&#8221;<br>A nurse in an emergency department is caring for a client who reports vomiting<br>and diarrhea for the past 3 days. Which of the following findings should indicate<br>to the nurse that the client is experiencing fluid volume deficit? &#8211; CORRECT<br>ANSWER Heart rate 110\/min<\/p>\n\n\n\n<p>A nurse is planning care for a client who is undergoing brachytherapy via a sealed<br>vaginal implant to treat endometrial cancer.Which of the following actions should<br>the nurse include in the client&#8217;s plan of care? &#8211; CORRECT ANSWER Wear a<br>lead apron while providing care to the client<br>A nurse is planning to provide discharge teaching for the family of an older adult<br>client who has hemianopsia and is at risk for falls. Which of the following<br>instructions should the nurse include? &#8211; CORRECT ANSWER Remind the<br>client to scan their complete range of vision during ambulation<br>A nurse is planning care to decrease psychosocial health issues for a client who is<br>starting dialysis treatments for chronic kidney disease. Which of the following<br>interventions should the nurse include in the plan? &#8211; CORRECT ANSWER<br>Tell the client that it is possible to return to similar previous levels of activity<br>A nurse is caring for a client who has a closed head injury and has an<br>intraventricular catheter placed. Which of the following findings indicates that the<br>client is experiencing increased intracranial pressure (ICP) &#8211; CORRECT ANSWER<br>Sleepiness exhibited by the client, Widening pulse pressure, Decerebrated<br>posturing<\/p>\n\n\n\n<p>Med Surg B, RN Adult Med<br>Surg A, ATI MED SURG, ATI<br>A, ATI B, ATI C<br>537 QUESTIONS WITH<br>ANSWER<br>A nurse is providing teaching to a client who has a new prescription for psyllium.<br>Which of the following information should the nurse include in the teaching? &#8211;<br>CORRECT ANSWER Drink 240 mL (8 oz) of water after administration<br>A nurse is caring for a client who has DKA. Which of the following findings should<br>indicate to the nurse that the client&#8217;s condition is improving? &#8211; CORRECT<br>ANSWER Glucose 272 mg\/dL<br>A nurse is admitting a client who has active TB. Which of the following types of<br>transmission precautions should the nurse initiate? &#8211; CORRECT ANSWER<br>Airborne<br>A nurse is providing teaching to a client who has asthma about the use of a<br>metered-dose inhaler. The nurse should identify that which of the following client<\/p>\n\n\n\n<p>actions indicates an understanding of the teaching? &#8211; CORRECT ANSWER<br>Holding breath for 10 secs after inhaling<br>A nurse is assessing a client who is at risk for the development of pernicious<br>anemia resulting from peptic ulcer disease. Which of the following images depicts<br>a condition caused by pernicious anemia? &#8211; CORRECT ANSWER image of<br>a smooth red tongue<br>A nurse on a medsurg unit is reviewing the medical record of an older adult client<br>who is receiving IV fluid therapy. Which of the following client information should<br>indicate to the nurse that the client requires re-evaluation of the IV therapy<br>prescription? &#8211; CORRECT ANSWER BUN<br>A nurse is assessing a client following the completion of hemodialysis. Which of<br>the following findings is the nurse&#8217;s priority to report to the provider? &#8211;<br>CORRECT ANSWER Restlessness<br>A nurse is receiving report on a client who is postop following an open repair of<br>Zenker&#8217;s diverticulum. The nurse should anticipate the surgical incision to be in<br>which of the following locations? &#8211; CORRECT ANSWER A<br>A nurse is teaching a group of newly licensed nurses about pain management for<br>older adult clients. Which of the following statements by a newly licensed nurse<br>indicates an understanding of the teaching? &#8211; CORRECT ANSWER<br>Ibuprofen can cause gastrointestinal bleeding in older adult clients<\/p>\n\n\n\n<p>A nurse is planning a health promotional presentation for a group of African<br>American clients at a community center. Which of the following disorders<br>presents the greatest risk to this group? &#8211; CORRECT ANSWER<br>Hypertension<br>A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The<br>amount available is oral solution 125 mg\/5mL. how many mL should the nurse<br>administer? &#8211; CORRECT ANSWER 24 mL<br>A nurse is checking the ECG rhythm strip for a client who has temporary<br>pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.<br>Which of the following actions should the nurse take? &#8211; CORRECT ANSWER<br>Document that depolarization has occurred<br>A nurse is providing discharge instructions to a client who has active TB. Which of<br>the following information should the nurse include in the instructions? &#8211;<br>CORRECT ANSWER Sputum specimens are necessary every 2 to 4 weeks<br>until there are 3 negative cultures<br>A nurse is providing preop teaching for a client who is scheduled for a<br>mastectomy. Which of the following statements should the nurse make? &#8211;<br>CORRECT ANSWER I will refer you to community resources that can<br>provide support<br>A nurse is assessing a client who is postop following a TURP and notes clots in the<br>clients indwelling urinary catheter and a decrease in urinary output. Which of the<\/p>\n\n\n\n<p>following actions should the nurse take? &#8211; CORRECT ANSWER Irrigate the<br>indwelling urinary catheter<br>A nurse is assessing a client who has peripheral arterial disease. Which of the<br>following findings should the nurse expect? &#8211; CORRECT ANSWER Hair loss<br>on the lower legs<br>A nurse is planning discharge teaching for a client who has an external fixation<br>device for a fracture of the lower extremity. Which of the following instructions<br>should the nurse include in the plan of care? &#8211; CORRECT ANSWER Use<br>crutches with rubber tips<br>A nurse is reviewing the lab results of a client who has aplastic anemia. Which of<br>the following findings indicates a potential complication? &#8211; CORRECT ANSWER<br>WBC count 2,000\/mm<br>A nurse is caring for a client who has hypothyroidism. Which of the following<br>manifestations should the nurse expect? &#8211; CORRECT ANSWER<br>constipation<br>A nurse is caring for a client who is receiving TPN and is NPO. When reviewing the<br>chart, the nurse notes the following prescription: capillary blood glucose AC and<br>HS. Which of the following acions should the nurse take? &#8211; CORRECT ANSWER<br>Contact the provider to clarify the prescription<\/p>\n\n\n\n<p>ATI FINAL Medical<br>Surgical<br>100 QUESTIONS WITH<br>ANSWER<br>A nurse is caring for a client who is receiving chemotherapy and requests<br>information about acupuncture to relieve some of the side effects. which of the<br>following findings should the nurse identify as a contraindication to receiving this<br>alternative therapy? &#8211; CORRECT ANSWER Lymphedema<br>A nurse is preparing to administer lactated Ringer&#8217;s via continuos IV infusion at<br>200 ml\/hr. The IV tubing has a drop factor of 10 drops\/mL. How many gtt\/min<br>should the nurse set the IV ump to administer? &#8211; CORRECT ANSWER<br>33<br>A nurse is providing discharge teaching to a client who has a new prescription for<br>sublingual nitroglycerin. Which of the following client statements indicates an<\/p>\n\n\n\n<p>understanding of the teaching? &#8211; CORRECT ANSWER I should lie<br>down when I take this medication<br>A nurse is providing discharge teaching to an older adult client following total hip<br>arthroplasty. Which of the following instructions should the nurse include in the<br>teaching. &#8211; CORRECT ANSWER Install a raised toilet seat in your<br>bathroom<br>A nurse is planning care for a client following a cardiac catheterization. which of<br>the following actions should the nurse take. &#8211; CORRECT ANSWER<br>Maintain the client&#8217;s affected extremity in extension<br>A nurse is caring for a client who has a lower extremity fracture and a prescription<br>for crutches. which of the following client statements indicates that the client is<br>adapting to their role change? &#8211; CORRECT ANSWER I will need to<br>have my partner take over shopping for groceries and cooking the meals for us<br>A nurse is providing teaching to a client who has an impaired immune system due<br>to chemotherapy. which of the following information should the nurse include in<br>the teaching? &#8211; CORRECT ANSWER Change your pet&#8217;s litter box<br>daily<br>a nurse is caring for a client who has a contusion and reports thirst. The client&#8217;s<br>urinary output was 4,000 ml over past 24 hr. the nurse should anticipate a<br>prescription for which of the following IV medications? &#8211; CORRECT ANSWER<br>Desmopressin<\/p>\n\n\n\n<p>A nurse in a clinic receives a phone call from a client who recently started therapy<br>with an ACE inhibitor and reports nagging dry cough. Which of the following<br>responses by the<br>nurse is appropriate? &#8211; CORRECT ANSWER Sucking on a lozenge<br>may reduce the frequency of your cough<br>A nurse is taking an admission history from a client who reports Raynaud&#8217;s<br>disease. Which of the following assessment findings should the nurse identify as a<br>parenteral trigger for exacerbation of Raynaud&#8217;s? &#8211; CORRECT ANSWER<br>Using nicotine transdermal patch<br>A nurse is caring for a client who has a central venous device and notes the tubing<br>has become disconnected. the client develops dyspnea and tachycardia. Which of<br>the following actions should the nurse take first? &#8211; CORRECT ANSWER<br>A nurse is completing an assessment of an older client and notes reddened areas<br>over the bony prominences, but the client&#8217;s skin is intact. which of the following<br>interventions should the nurse include in the plan of care? &#8211; CORRECT ANSWER<br>Support bony prominences with pillows<br>A home health nurse is making an initial visit to a client who has multiple<br>sclerosis. Which of the following actions is the priority for the nurse to take? &#8211;<br>CORRECT ANSWER<\/p>\n\n\n\n<p>Med surg- proctored ATI<br>125 QUESTIONS WITH<br>ANSWER<br>An older adult is brought to an emergency department by a family member.<br>Which of the following assessment findings should cause the nurse to suspect<br>that the client has hypertonic dehydration? &#8211; CORRECT ANSWER Urine<br>Specific gravity 1.045<br>A urine specific gravity greater than 1.030 indicates a decrease in urine volume<br>and an increase in osmolarity, which is a manifestation of hypertonic dehydration.<br>A nurse in a community clinic is caring for a client who reports an increase in the<br>frequency of migraine headaches. To help reduce the risk for migraine headaches,<br>which of the following foods should the nurse recommend the client avoid? &#8211;<br>CORRECT ANSWER Aged cheese<br>Foods that contain tyramine, such as aged cheese and sausage, can trigger<br>migraine headaches.<br>A nurse is planning teaching for a client who has bladder cancer and is to undergo<br>a cutaneous diversion procedure to establish a ureterostomy. Which of the<\/p>\n\n\n\n<p>following statements should the nurse include in the teaching? &#8211; CORRECT<br>ANSWER &#8220;You should cut the opening of the skin barrier one-eight inch<br>wider than the stoma.&#8221;<br>The client should cut the opening of the skin barrier 0.3 cm (1\/8in) wider than the<br>stoma to minimize irritation of the skin from exposure to urine.<br>A nurse is providing teaching to a client who has hypothyroidism and is receiving<br>levothyroxine. The nurse should instruct the client that which of the following<br>supplements can interfere with the effectiveness of the medication? &#8211; CORRECT<br>ANSWER Calcium<br>Calcium limits the development of osteoporosis in clients who are<br>postmenopausal and works as an antacid. Calcium supplements can interfere with<br>the metabolism of a number of medications, including levothyroxine. The nurse<br>should instruct the client to avoid taking calcium within 4 hr of levothyroxine<br>administration.<br>A nurse is conducting an admission history for a client who is to undergo a CT scan<br>with an IV contrast agent. The nurse should identify that which of the following<br>findings requires further assessment? &#8211; CORRECT ANSWER History of<br>asthma<br>A client who has a history of asthma has a greater risk of reacting to the contrast<br>dye used during the procedure. Other conditions that can result in a reaction to<br>contrast media include allergies to foods, such as shellfish, eggs, milk, and<br>chocolate.<br>A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of<br>the following findings should the nurse identify as a component of Cushing&#8217;s<br>triad? &#8211; CORRECT ANSWER Bradycardia<\/p>\n\n\n\n<p>A client who has increased intracranial pressure from a traumatic brain injury can<br>develop bradycardia, which is one component of Cushing&#8217;s triad. The other<br>components of Cushing&#8217;s triad are severe hypertension and a widened pulse<br>pressure.<br>A nurse is planning to irrigate and dress a clean, granulating wound for a client<br>who has a pressure injury. Which of the following actions should the nurse take? &#8211;<br>CORRECT ANSWER Use a 30-mL syringe<br>The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter<br>to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a<br>wound. To maintain healthy granulation tissue, the wound irrigation should be<br>delivered at between 4 and 15 psi.<br>A nurse in an emergency department is reviewing the provider&#8217;s prescriptions for<br>a client who sustained a rattlesnake bite to the lower leg. Which of the following<br>prescriptions should the expect? &#8211; CORRECT ANSWER Administer an<br>opioid analgesic to the client.<br>The nurse should expect a prescription for an opioid analgesic to promote<br>comfort following a rattlesnake bite.<br>A nurse is reviewing the health record of a client who is scheduled for allergy skin<br>testing. The nurse should postpone the testing and report to the provider which<br>of the following findings? (Click on the &#8220;Exhibit&#8221; button for additional information<br>about the client). &#8211; CORRECT ANSWER Current medications<br>The nurse should review the client&#8217;s medication record and identify medications,<br>including ACE inhibitors, beta blockers, theophylline, nifedipine, and<br>glucocorticoids, such as prednisone, that can alter the allergy skin test results.<\/p>\n\n\n\n<p>These medications can diminish the client&#8217;s reaction to the allergens. The nurse<br>should notify the provider and instruct the client to discontinue prednisone for 2<br>weeks before allergy skin testing.<br>A nurse is a caring for a client who is on bed rest and has a new prescription for<br>enoxaparin subcutaneous. Which of the following actions should the nurse take? &#8211;<br>CORRECT ANSWER Inject the medication into the anterolateral abdominal<br>wall.<br>The nurse should inject the medication into the anterolateral or posterolateral<br>abdominal wall to enhance medication absorption and prevent hematoma<br>formation.<br>A nurse is caring for a client who has a stage III pressure injury. Which if the<br>following findings contribute to delayed wound healing? &#8211; CORRECT ANSWER<br>Urine output 25 mL\/hr<br>Urinary output reflects fluid status. Inadequate urine output can indicate<br>dehydration, which can delay wound healing.<br>A nurse is caring for a client who has a new prescription for total parenteral<br>nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has<br>500kcal\/L. The IV pump should be set at how many mL\/hr? (Rounding to the<br>nearest whole number.) &#8211; CORRECT ANSWER 167 mL\/hr<br>A nurse is teaching a client who has a family history of colorectal cancer. To help<br>mitigate this risk, which of the following dietary alterations should the nurse<br>recommend? &#8211; CORRECT ANSWER Add cabbage to the diet.<\/p>\n\n\n\n<p>MedSurg 2023 proctored ATI<br>133 QUESTIONS WITH<br>AN SWER<br>A nurse is reinforcing teaching with a client who has HIV and is being discharged<br>to home. Which of the following instructions should the nurse include in the<br>teaching? &#8211; CORRECT ANSWER Take temperature once a day<br>A nurse is caring for a client who is postoperative following a tracheostomy, and<br>has copious and tenacious secretions. Which of the following is an acceptable<br>method for the nurse to use to thin this client&#8217;s secretions? &#8211; CORRECT ANSWER<br>Provide humidified oxygen<br>Following admission, a client with a vascular occlusion of the right lower<br>extremity calls the nurse and reports difficulty sleeping because of cold feet.<br>Which of the following nursing actions should the nurse take to promote the<br>client&#8217;s comfort? &#8211; CORRECT ANSWER Obtain a pair of slipper socks for the<br>client<\/p>\n\n\n\n<p>A nurse is caring for a client is who is 4 hr postoperative following a transurethral<br>resection of the prostate (TURP). Which of the following is the priority finding for<br>the nurse report to the provider? &#8211; CORRECT ANSWER Thick, red-colored<br>urine<br>A nurse is caring for a client who has a temperature of 39.7\u00b0 C (103.5\u00b0 F) and has a<br>prescription for a hypothermia blanket. The nurse should monitor the client for<br>which of the following adverse effects of the hypothermia blanket? &#8211; CORRECT<br>ANSWER Shivering<br>A nurse is reinforcing teaching about exercise with a client who has type 1<br>diabetes mellitus. Which of the following statements by the client indicates an<br>understanding of the teaching? &#8211; CORRECT ANSWER &#8220;I will not exercise if my<br>urine is positive for ketones.&#8221;<br>A nurse notes a small section of bowel protruding from the abdominal incision of<br>a client who is postoperative. After calling for assistance, which of the following<br>actions should the nurse take first? &#8211; CORRECT ANSWER Cover the client&#8217;s<br>wound with a moist, sterile dressing<br>A nurse is collecting data from a client who has alcohol use disorder and is<br>experiencing metabolic acidosis. Which of the following manifestations should the<br>nurse expect? &#8211; CORRECT ANSWER Hyperventilation<br>A nurse is reinforcing discharge teaching with a client following a cataract<br>extraction. Which of the following should the nurse include in the teaching? &#8211;<br>CORRECT ANSWER Avoid bending at the waist<\/p>\n\n\n\n<p>A nurse is caring for a client who has heart failure and has been taking digoxin<br>0.25 mg daily. The client refuses breakfast and reports nausea. Which of the<br>following actions should the nurse take first? &#8211; CORRECT ANSWER Check the<br>client&#8217;s vital signs<br>A nurse is caring for a client who is 3 days postoperative following a<br>cholecystectomy. The nurse suspects the client&#8217;s wound is infected because the<br>drainage from the dressing is yellow and thick. Which of the following findings<br>should the nurse report as the type of drainage found? &#8211; CORRECT ANSWER<br>Purulent<br>A nurse is reinforcing discharge teaching to a client following arthroscopic<br>surgery. To prevent postoperative complications which of the following actions<br>should be reinforced during the teaching? &#8211; CORRECT ANSWER Administer<br>an opioid analgesic to the client 30 min prior to initiating CPM exercises<br>A nurse is collecting data from a client who has emphysema. Which of the<br>following findings should the nurse expect? (Select all that apply.) &#8211; CORRECT<br>ANSWER Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations<br>A nurse is caring for a client who sustained a basal skull fracture. When<br>performing morning hygiene care, the nurse notices a thin stream of clear<br>drainage coming from out of the client&#8217;s right nostril. Which of the following<br>actions should the nurse take first? &#8211; CORRECT ANSWER Test the drainage<br>for glucose<\/p>\n\n\n\n<p>ATI Proctored-Medical<br>Surgical<br>458 QUESTIONS WITH<br>ANSWER<br>In extubating an Endtroacheal tube, what needs to be reported immedatiely? &#8211;<br>CORRECT ANSWER stridor<br>Why is stridor bad? &#8211; CORRECT ANSWER it means that there is an<br>obstruction or edema in airway<br>What is common in heart rate in a patient with low fluid volume (hypovolemia)? &#8211;<br>CORRECT ANSWER usually greater than 110- to compensate for the low<br>bp<\/p>\n\n\n\n<p>What is normal urine gravity? &#8211; CORRECT ANSWER 1.000 &#8211; 1.030<br>What is the role of positive pressure? &#8211; CORRECT ANSWER to promote<br>lung expansion and stabilize chest<br>Would you recommend exercise for a pt who has been discharged with heart<br>failure? &#8211; CORRECT ANSWER yes<br>How often should exercise be in heart failure pt? &#8211; CORRECT ANSWER<br>regular routine<br>Should you consume milk with iron supplements? &#8211; CORRECT ANSWER<br>no- can cause gastric disturbance.<\/p>\n\n\n\n<p>Would you take iron with antacids? &#8211; CORRECT ANSWER no- causes<br>gastric disturbances<br>Would you tell the pt to lower red meat intake with iron deficiency? &#8211; CORRECT<br>ANSWER no- increase iron rich foods<br>What is a common side effect with iron pills? &#8211; CORRECT ANSWER<br>constipation<br>What would you tell them to eat with taking iron pills? &#8211; CORRECT ANSWER<br>high fiber<br>When does pain worsen with compartement syndrome? &#8211; CORRECT ANSWER<br>when passive moving occurs.<br>What does warmth under cast indicate? &#8211; CORRECT ANSWER infection<\/p>\n\n\n\n<p>Should pt decrease complex carbs for atherosceleoris? &#8211; CORRECT ANSWER<br>no, increase them<br>What carb should a client with atherosceloris decrease? &#8211; CORRECT ANSWER<br>simple sugars<br>Is MRSA airborne or contact? &#8211; CORRECT ANSWER contact<br>What does phenyotoin do to hepatic enzymes (for seizures meds)? &#8211; CORRECT<br>ANSWER it decreases effectiveness<br>What should you tell the pt not to take with ciprofloxacin? &#8211; CORRECT ANSWER<br>magnesium containg antacids<\/p>\n\n\n\n<p>ATI RN MedicalSurgical Proctored<br>Focus<br>183 QUESTIONS WITH<br>ANSWER<br>EGD positioning &#8211; CORRECT ANSWER left side lying<br>Before an EGD: &#8211; CORRECT ANSWER -NPO 6-8 hr<br>-remove dentures<br>Gastroenteritis care plan: &#8211; CORRECT ANSWER -restrict dairy,<br>caffeine, milk<br>-eat foods high in potassium<br>-increase fluid intake<br>-contact precautions<\/p>\n\n\n\n<p>In what order do you open the sterile package? &#8211; CORRECT ANSWER<br>flap furthest from body, side flaps, then closest<br>A nurse has removed a sterile pack from its outside cover and place it on a clean<br>work surface in preparation for an invasive procedure. Which of the following<br>flaps should the nurse unfold first:<br>A. closest to body<br>B. right side<br>C. left side<br>D. farthest from body &#8211; CORRECT ANSWER D<br>A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which<br>of the following objects can the nurse tough without breaking sterile technique<br>(Select all that apply)<br>A. bottle containing sterile solution<br>B. edge of sterile drape at the base of the field<br>C. inner wrapping of an item on the sterile field<br>D. irrigation syringe on the sterile field<br>E. one gloved hand with the other gloved hand &#8211; CORRECT ANSWER<br>C, D, E<br>A nurse has prepared a sterile field for assisting a provider with a chest tube<br>insertion. Which of the following events should the nurse recognize as<br>contaminating the field (Select all that apply)<br>A. provider drops a sterile instrument onto the near side of the sterile field<br>B. nurse moistens a cotton ball with sterile normal saline and places it on sterile<br>field<\/p>\n\n\n\n<p>C. procedure is delayed 1hr because the provider receives an emergency call<br>D. nurse turns to speak to someone who enters through the door behind the<br>nurse<br>E. clients hand brushes against the outer edge of the sterile field &#8211; CORRECT<br>ANSWER B, C, D<br>TB is suspected, what to do? &#8211; CORRECT ANSWER -negative airflow<br>room, airborne precautions<br>-nurses wear N95 mask, client wears if going out of the room<br>-admin heat &amp; humidified O2 therapy as prescribed<br>TB interventions: &#8211; CORRECT ANSWER -family members should be<br>screened<br>-4 meds taken for 6-12 months<br>-not contagious when they have 3 negative sputum cultures<br>What to watch for when on Isoniazid: &#8211; CORRECT ANSWER<br>numb\/tingling in the hands &amp; feet<br>What to watch for when on Rifampin: &#8211; CORRECT ANSWER -orange<br>secretions normal<br>-watch for jaundice<br>-interferes with birth control<br>What to watch for when on Ethambutol: &#8211; CORRECT ANSWER<br>vision changes<\/p>\n\n\n\n<p>Client teaching for genital herpes: &#8211; CORRECT ANSWER -can be<br>transmitted with or w\/out blisters<br>-sexual partners should be informed &amp; screened<br>-no cure, just meds to help w\/symptoms<br>-abstain from intercourse until lesions are completely healed<br>-gently clean areas w\/mild soap &amp; water<br>Caring for a client following a stroke of the right side with left-sided hemipalegia: &#8211;<br>CORRECT ANSWER -thicken liquids\/foods<br>-high fowlers<br>-speech therapist for helping w\/eating &amp; speech<br>-monitor gag reflex\/swallowing abilities<br>-have suction equipment available<br>-occupational therapy<br>-support left arm with pillows, slings, etc<br>High sodium foods clients with HF &amp; Pulmonary edema should avoid: &#8211; CORRECT<br>ANSWER -cheese<br>-soups<br>-bread<br>-cold cuts\/cured meats<br>-pizza<br>-eggs &amp; omelets<br>-hot dogs<br>-baked ham<br>Which non-opioid drug decreases the effect of aspirin? &#8211; CORRECT ANSWER<br>ibuprofen<\/p>\n\n\n\n<p>Med-Surg Proctored ATI<br>Review<br>151 QUESTIONS WITH<br>ANSWER<br>Arterial Blood Gas- &#8211; CORRECT ANSWER ABG&#8217;s via arterial puncture or<br>arterial line: allows the most accurate method of assessing respiratory function.<br>Steps for collecting ABG&#8217;s- &#8211; CORRECT ANSWER a. Perform Allen test if<br>no arterial line<br>b. sample is drawn into heparinized syringe<br>c. keep on ice and transport to laboratory immediately<br>d. document amount and method of oxygen delivered for accurate results<br>e. apply direct pressure to puncture site at least 5 min (longer for clients at risk<br>for bleeding)<br>Bronchoscopy- &#8211; CORRECT ANSWER visualizes the larynx, trachea,<br>bronchi; obtains tissue biopsy; and removes foreign bodies.<\/p>\n\n\n\n<p>Steps for a bronchoscopy procedure- &#8211; CORRECT ANSWER a. obtain<br>informed consent<br>b. maintain NPO 8 to 12 hr.<br>c. Provide local anesthetic throat spray<br>d. position upright<br>e. administer medications as prescribed, such as atropine (to reduce oral<br>secretions), sedation, and\/or anti-anxiety.<br>f. label specimen<br>g. observe postprocedure<br>-gag reflex<br>-bleeding<br>-respiratory status, vital signs, and level of consciousness<br>Mantoux test- &#8211; CORRECT ANSWER Positive test indicates exposure to<br>tuberculosis. Diagnosis must be confirmed with sputum culture for presence of<br>acid-fast bacillus (AFB).<br>Mantoux test steps- &#8211; CORRECT ANSWER a. administer 0.1 mL of purified<br>protein derivation intradermal to upper half inner surface of forearm (insert<br>needle bevel up)<br>b. Assess for reaction in 48 to 72 hr following injection; induration (hardening) of<br>10 mm or greater is considered a positive test; 5 mm may be considered<br>significant if immunocompromised.<br>QuantiFERON-TB Gold test (QFT-GT) and T-SPOT.TB- &#8211; CORRECT ANSWER<br>Identify the presence of Mycobacterium tuberculosis infection by measuring the<br>immune response to the TB bacteria in whole blood.<\/p>\n\n\n\n<p>Thoracentesis- &#8211; CORRECT ANSWER Surgical perforation of the pleural<br>space to obtain specimen, to remove fluid or air, or to instill medication.<br>Steps for Thoracentesis- &#8211; CORRECT ANSWER a. informed consent<br>b. educate client: remain still, feeling of pressure, positioning<br>c. position upright<br>d. monitor respiratory status and vital signs<br>e. label specimens<br>f. Document client response, amount, color and viscosity of fluid (maximum<br>amount of fluid to be removed at a time is 1L).<br>g. Chest tube at bedside<br>h. Obtain CXR before and after procedure<br>Asthma- &#8211; CORRECT ANSWER Chronic inflammatory disorder of the<br>airways resulting in intermittent and reversible airflow obstruction of the<br>bronchioles.<br>Contributing factors of asthma- &#8211; CORRECT ANSWER -Extrinsic: antigenantibody reaction triggered by food, medications, or inhaled substances<br>-Intrinsic: pathophysiological abnormalities within the respiratory tract<br>-Older clients: beta receptors are less responsive to agonist and trigger<br>bronchospasms.<br>Manifestations of asthma- &#8211; CORRECT ANSWER -Sudden, severe dyspnea<br>with use of accessory muscles<br>-sitting up, leaning forward<br>-diaphoresis and anxiety<\/p>\n\n\n\n<p>-wheezing, gasping<br>-coughing<br>-cyanosis (late sign)<br>-barrel chest<br>Diagnostic procedures for asthma- &#8211; CORRECT ANSWER -ABGs<br>-sputum cultures<br>-pulmonary function tests<br>Nursing interventions for asthma- &#8211; CORRECT ANSWER -remain with the<br>client during the attack<br>-position in high-fowler&#8217;s<br>-assess lung sounds and pulse oximetry<br>-administer oxygen therapy<br>-maintain oxygen access<br>Medications for athma- &#8211; CORRECT ANSWER Administer bronchodilators<br>before anti-inflammatory<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Bronchodilators<br>-short-acting inhaled: albuterol; for rapid relief<br>-Methylxanthines: theophylline; monitor therapeutic range for toxicity.<\/li>\n\n\n\n<li>Anti-inflammatory<br>-corticosteriods: fluticasone and prednisone<br>-Leukotriene antagonist: montelukast<\/li>\n\n\n\n<li>Combination agents<br>-Ipratropium and albuterol (Combivent)<br>-Fluticasone and salmeterol (Advair)<\/li>\n<\/ol>\n\n\n\n<p>ati proctor med surg,<br>ATI<br>234 QUESTIONS WITH<br>ANSWER<br>Wound Evisceration, Emergency management &#8211; CORRECT ANSWER 1.<br>Saline cover wound<br>Asthma emergency management of bee sting allergies &#8211; CORRECT ANSWER<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Epi Pen<br>Hypocalcemia &#8211; CORRECT ANSWER 1. Paresthesia fingers and lips<\/li>\n\n\n\n<li>Tetany<\/li>\n\n\n\n<li>Muscle Twitching<\/li>\n<\/ol>\n\n\n\n<p>Peripheral Vascular Disease, Data Collection &#8211; CORRECT ANSWER 1.<br>Bruit over femoral and aortic arteries<br>Peripheral Arterial Disease, Monitoring Circulation &#8211; CORRECT ANSWER<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Walk 8 times a day<\/li>\n\n\n\n<li>Avoid Cold<\/li>\n\n\n\n<li>Monitor q 8 hours<\/li>\n\n\n\n<li>Skin care with warm water<\/li>\n\n\n\n<li>Mild Soap<br>Meningitis Expected findings &#8211; CORRECT ANSWER -Nuchal Ridgity<br>-Red Macular Rash<br>-photophobia<br>-HA<br>-Avoid raising legs above level of the heart<br>-Avoid crossing legs, hip flexion<br>Head injury ICP expected finding * &#8211; CORRECT ANSWER 1. Early sign<br>Restlessness<\/li>\n\n\n\n<li>Late sign Dilated Pupils<br>Diabetes Management Hypoglycemia* &#8211; CORRECT ANSWER 1. Clammy<br>Pale Skin<\/li>\n\n\n\n<li>Irrability<\/li>\n\n\n\n<li>Weakness<\/li>\n\n\n\n<li>Tremors<\/li>\n<\/ol>\n\n\n\n<p>Urinary Tract Infection Reinforcing Teaching &#8211; CORRECT ANSWER 1.<br>Void 3-4 hours<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Wipe front to the back<\/li>\n\n\n\n<li>Drink plenty of fluids<\/li>\n\n\n\n<li>Wear cotton underwear<\/li>\n\n\n\n<li>Avoid bubble baths<br>Urinary Elimination Needs and Specimen Collection Catheterization for Residual<br>Urine &#8211; CORRECT ANSWER 1. Alcohol clean side port to Withdraw<br>Amputation Discharge Teaching &#8211; CORRECT ANSWER 1. Prone position,<br>6x a day for 20-30 min<br>Mechanical Ventilation Planning Care &#8211; CORRECT ANSWER 1. Asses cuff<br>pressure every 8 hours<br>Systemic Lupus Erythematosus (Medrol Meds) &#8211; CORRECT ANSWER 1.<br>Should Limit Contact With People With Possible Infection<\/li>\n\n\n\n<li>Avoid Large Group Of People<br>Right Sided Heart Failure &#8211; CORRECT ANSWER 1. Jungular Vein<br>Distention<\/li>\n\n\n\n<li>Ascending Dependent Edema<\/li>\n\n\n\n<li>Weight Gain<\/li>\n\n\n\n<li>Hepatomegaly (Liver Enlargement)<\/li>\n<\/ol>\n\n\n\n<p>Left Sided Heart Failure &#8211; CORRECT ANSWER 1. Pnea, SOB<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Crackles<\/li>\n\n\n\n<li>Oliguria<\/li>\n\n\n\n<li>Frothy Sputum<\/li>\n\n\n\n<li>Displaced Apical Pulse (Hypertrophy)<br>Benign Hypertrophy &#8211; CORRECT ANSWER 1. While Catheter in place,<br>will feel the urge to void<\/li>\n\n\n\n<li>Calculate urine output every 2 hours<\/li>\n\n\n\n<li>Should get up in a chair ASAP<\/li>\n\n\n\n<li>Avoid heavy lifting<\/li>\n\n\n\n<li>Avoid Sex\/Intercourse 2-6 weeks<\/li>\n\n\n\n<li>Expected output 150-200 ml every 3-4 hours<br>Cerebrovascular Accident &#8211; CORRECT ANSWER 1. Eat in upright position<br>\/ Swallow with head and neck flexed slightly forward<\/li>\n\n\n\n<li>Place food in back of mouth on unaffected side<\/li>\n\n\n\n<li>Avoid extreme flexion or extension of the neck<\/li>\n\n\n\n<li>Give sour\/tart food<\/li>\n\n\n\n<li>Meet with Speech Therapist<br>Hyperglycemia &#8211; CORRECT ANSWER 1. Flushed Skin<\/li>\n\n\n\n<li>Fruity Breath<\/li>\n\n\n\n<li>Rapid Breathing<\/li>\n\n\n\n<li>Thirst<br>Disaster Planning and Emergency Management Responding to a fire &#8211;<br>CORRECT ANSWER 1. remove Patient First<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>ATI Med Surg Practice Test A 2019A home health nurse is assigned to a client who was recently discharged from arehabilitation center after experiencing a right-hemispheric stroke. Which of thefollowing neurologic deficits should the nurse expect to find when assessing theclient? ( select all that apply) &#8211; CORRECT ANSWER Visual spatial deficits,Left hemianopsia ( blindness [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117111","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117111"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117111\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}