ATI MISC MED SURG PROCTORED EXAM PRACTICE QUESTIONS & ANSWERS
What is the first action to take with protruding bowels?
Cover the wound with a sterile, saline-moistened dressing.
What is myxedema coma? What are the signs?
Myxedema coma is a loss of brain function as a result of severe, longstanding low
level of th (hypothyroidism). s/s are: Fatigue, lethargy, mental impairment,
depression, cold intolerance change in menstrual cycles, constipation, and
headaches.
m
er as
co
What do you do if a replacement TPN bag is not available?
eH w
Administer 10% dextrose in water to avoid a precipitous drop in the client's blood
o.
glucose lev client's glucose and electrolyte levels can drop dangerously.
rs e
ou urc
What does flushing of the face and chest indicate for a patient with a cervical spinal
cord inju It's a manifestation of autonomic dysreflexia, a neurologic emergency that
o
requires immediat stroke. AD occurs most often in spinal cord-injured individuals
aC s
vi y re
with spinal lesions above the
What does flushing of the face and chest indicate for a patient with a cervical spinal
ed d
cord inju Acute AD is a reaction of the autonomic (involuntary) nervous system to
ar stu
overstimulation. It i hypertension (episodic high blood pressure) associated with
throbbing headaches, profuse sw skin above the level of the lesion, bradycardia,
apprehension and anxiety, which is sometime impairment.
is
Th
Different types of
incontinence null
sh
How long does a glycosylated hemoglobin blood test assess blood glucose for?
(HbA1c) Average blood glucose for the lifespan of the RBC, which is 120 days or 4
months.
What is a normal Hbg range?
https://www.coursehero.com/file/84994662/ATI-MISC-MED-SURG-PROCTORED-EXAM-PRACTICE-QUESTIONS-ANSWERSdocx/
, 11-17 g/dL... if they are post-op and this is low, it could mean post-operative
hemorrhaging.
How long do you need to stay with a patient when blood is being administered?
At least 30 minutes. Most transfusion reactions manifest during the infusio of the
first 50-100
If a patient has pancreatitis and reports having muscle cramps and a tingling
sensation in his should you do?
Hypocalcemia from fatty acids combining w/ calcium ions, a known complication of
pancreat which is an IV form of calcium since the patient will be NPO.
m
er as
co
Does rosiglitazone (Avandia) for type II diabetes affect birth
eH w
control? Yes
o.
rs e
ou urc
What type of juice should the client AVOID when taking verapamil (Calan) for
hypertension?
It is a calcium-channel blocker. It is BAD to drink grapefruit juice because it inhibits
o
intestina medication available for absorption, which could lead to toxicity and/or
aC s
vi y re
hypotension. Orange,
When getting values from an art line, what is the best positioning of the
ed d
client? Supine, HOB up to 45 degrees.
ar stu
What can ginger tea
is
help with? Nausea
Th
Should a patient with IBS increase or decrease their fiber intake?
Increase - to give bulkier, soft stools
sh
What are some teaching points to give to a client with a new subcutaneous insulin
pump?
Change the needle every 3 days (to reduce risk of infection); you will still need to
adjust insu still need to monitor your blood glucose; pumps use rapid or short acting
insulin (NPH is an i
https://www.coursehero.com/file/84994662/ATI-MISC-MED-SURG-PROCTORED-EXAM-PRACTICE-QUESTIONS-ANSWERSdocx/
What is the first action to take with protruding bowels?
Cover the wound with a sterile, saline-moistened dressing.
What is myxedema coma? What are the signs?
Myxedema coma is a loss of brain function as a result of severe, longstanding low
level of th (hypothyroidism). s/s are: Fatigue, lethargy, mental impairment,
depression, cold intolerance change in menstrual cycles, constipation, and
headaches.
m
er as
co
What do you do if a replacement TPN bag is not available?
eH w
Administer 10% dextrose in water to avoid a precipitous drop in the client's blood
o.
glucose lev client's glucose and electrolyte levels can drop dangerously.
rs e
ou urc
What does flushing of the face and chest indicate for a patient with a cervical spinal
cord inju It's a manifestation of autonomic dysreflexia, a neurologic emergency that
o
requires immediat stroke. AD occurs most often in spinal cord-injured individuals
aC s
vi y re
with spinal lesions above the
What does flushing of the face and chest indicate for a patient with a cervical spinal
ed d
cord inju Acute AD is a reaction of the autonomic (involuntary) nervous system to
ar stu
overstimulation. It i hypertension (episodic high blood pressure) associated with
throbbing headaches, profuse sw skin above the level of the lesion, bradycardia,
apprehension and anxiety, which is sometime impairment.
is
Th
Different types of
incontinence null
sh
How long does a glycosylated hemoglobin blood test assess blood glucose for?
(HbA1c) Average blood glucose for the lifespan of the RBC, which is 120 days or 4
months.
What is a normal Hbg range?
https://www.coursehero.com/file/84994662/ATI-MISC-MED-SURG-PROCTORED-EXAM-PRACTICE-QUESTIONS-ANSWERSdocx/
, 11-17 g/dL... if they are post-op and this is low, it could mean post-operative
hemorrhaging.
How long do you need to stay with a patient when blood is being administered?
At least 30 minutes. Most transfusion reactions manifest during the infusio of the
first 50-100
If a patient has pancreatitis and reports having muscle cramps and a tingling
sensation in his should you do?
Hypocalcemia from fatty acids combining w/ calcium ions, a known complication of
pancreat which is an IV form of calcium since the patient will be NPO.
m
er as
co
Does rosiglitazone (Avandia) for type II diabetes affect birth
eH w
control? Yes
o.
rs e
ou urc
What type of juice should the client AVOID when taking verapamil (Calan) for
hypertension?
It is a calcium-channel blocker. It is BAD to drink grapefruit juice because it inhibits
o
intestina medication available for absorption, which could lead to toxicity and/or
aC s
vi y re
hypotension. Orange,
When getting values from an art line, what is the best positioning of the
ed d
client? Supine, HOB up to 45 degrees.
ar stu
What can ginger tea
is
help with? Nausea
Th
Should a patient with IBS increase or decrease their fiber intake?
Increase - to give bulkier, soft stools
sh
What are some teaching points to give to a client with a new subcutaneous insulin
pump?
Change the needle every 3 days (to reduce risk of infection); you will still need to
adjust insu still need to monitor your blood glucose; pumps use rapid or short acting
insulin (NPH is an i
https://www.coursehero.com/file/84994662/ATI-MISC-MED-SURG-PROCTORED-EXAM-PRACTICE-QUESTIONS-ANSWERSdocx/
