ATI RN MEDICAL-SURGICAL
PROCTORED FOCUS / ATI RN MEDICAL
SURGICAL PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
What to watch for when on Rifampin: - CORRECT ANSWER-orange
secretions normal -watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT
ANSWER-vision changes
Client teaching for genital herpes: - CORRECT 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: - CORRECT ANSWER--thicken liquids/foods
-high fowlers
Page 1 of 63
,-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
What high sodium foods clients with HF & Pulmonary edema should
avoid: - CORRECT ANSWER--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
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
Page 2 of 63
,B. right side
C. left side
D. farthest from body - CORRECT ANSWER-D
A nurse is wearing sterile gloves in prep for performing a sterile
procedure. Which of the following objects can the nurse tough 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 - CORRECT 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
Page 3 of 63
, C. procedure is delayed 1hr because the provider receives an emergency
call
D. nurse turns to speak to someone who enters through thedoor behind
the nurse
E. clients hand brushes against the outer edge of the sterilefield -
CORRECT ANSWER-B, C, D
Lower back or abdominal discomfort & tenderness over the bladder area
indicates: - CORRECT ANSWER-UTI
Costovertebral pain, flank pain indicates: - CORRECT
ANSWER-pyelonephritis
Meningitis care plan: - CORRECT ANSWER--isolate as soon as it is
suspected
EGD positioning - CORRECT ANSWER-left side lying
Before an EGD: - CORRECT ANSWER--NPO 6-8 hr
-remove dentures
( infectious diarrhea)
-restrict dairy, caffeine
Page 4 of 63
PROCTORED FOCUS / ATI RN MEDICAL
SURGICAL PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
What to watch for when on Rifampin: - CORRECT ANSWER-orange
secretions normal -watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT
ANSWER-vision changes
Client teaching for genital herpes: - CORRECT 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: - CORRECT ANSWER--thicken liquids/foods
-high fowlers
Page 1 of 63
,-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
What high sodium foods clients with HF & Pulmonary edema should
avoid: - CORRECT ANSWER--cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
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
Page 2 of 63
,B. right side
C. left side
D. farthest from body - CORRECT ANSWER-D
A nurse is wearing sterile gloves in prep for performing a sterile
procedure. Which of the following objects can the nurse tough 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 - CORRECT 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
Page 3 of 63
, C. procedure is delayed 1hr because the provider receives an emergency
call
D. nurse turns to speak to someone who enters through thedoor behind
the nurse
E. clients hand brushes against the outer edge of the sterilefield -
CORRECT ANSWER-B, C, D
Lower back or abdominal discomfort & tenderness over the bladder area
indicates: - CORRECT ANSWER-UTI
Costovertebral pain, flank pain indicates: - CORRECT
ANSWER-pyelonephritis
Meningitis care plan: - CORRECT ANSWER--isolate as soon as it is
suspected
EGD positioning - CORRECT ANSWER-left side lying
Before an EGD: - CORRECT ANSWER--NPO 6-8 hr
-remove dentures
( infectious diarrhea)
-restrict dairy, caffeine
Page 4 of 63
