ATI RN ADULT MEDICAL SURGICAL
PROCTORED RETAKE EXAM FINAL STUDY
GUIDE 2026 SOLVED ITEMS PREMIUM REVIEW
◉ Cancer treatment options: Protective Isolation (999) Answer: If
WBC drops below 1,000, place the client in a private room and
initiate neutropenic precautions.
- Have client remain in his room unless be needs to leave for a
diagnostic procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene,
restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
◉ Infection control: Appropriate room assignment Answer:
Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to
contaminate.
,4. Masks, eye protection & face shields when care may cause
splashing or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous
bag without touching the outside of the bag
◉ TB: Priority action for a client in the emergency department (249)
Answer: -Wear an N95 or HEPA respirator
,-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing
contamination exists
◉ Immunizations: Recommended vaccinations for older adult
clients (943) Answer: Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
◉ Pulmonary Embolism: Risk factors for DVT (258) Answer: -Long
term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
, - Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
-Advanced age
◉ Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection (743)
Answer: -Urethral trauma
-Urinary retention
- Bleeding
- Infection
◉ Stroke: Caring for a client who has left sided hemiplegia (155)
Answer: - Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected
extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected
foot
- Instruct client to dress the affected side first
◉ Fractures and immobilization devices: Prevent complications
(787) Answer: -Assess neurovascular status of the affected body part
for every hour for 24 hours and Q4 hours after that
- Maintain body alignment
- avoid lifting or removing weights
PROCTORED RETAKE EXAM FINAL STUDY
GUIDE 2026 SOLVED ITEMS PREMIUM REVIEW
◉ Cancer treatment options: Protective Isolation (999) Answer: If
WBC drops below 1,000, place the client in a private room and
initiate neutropenic precautions.
- Have client remain in his room unless be needs to leave for a
diagnostic procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene,
restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
◉ Infection control: Appropriate room assignment Answer:
Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to
contaminate.
,4. Masks, eye protection & face shields when care may cause
splashing or spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous
bag without touching the outside of the bag
◉ TB: Priority action for a client in the emergency department (249)
Answer: -Wear an N95 or HEPA respirator
,-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing
contamination exists
◉ Immunizations: Recommended vaccinations for older adult
clients (943) Answer: Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
◉ Pulmonary Embolism: Risk factors for DVT (258) Answer: -Long
term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
, - Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
-Advanced age
◉ Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection (743)
Answer: -Urethral trauma
-Urinary retention
- Bleeding
- Infection
◉ Stroke: Caring for a client who has left sided hemiplegia (155)
Answer: - Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected
extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected
foot
- Instruct client to dress the affected side first
◉ Fractures and immobilization devices: Prevent complications
(787) Answer: -Assess neurovascular status of the affected body part
for every hour for 24 hours and Q4 hours after that
- Maintain body alignment
- avoid lifting or removing weights
