ATI MEDICAL SURGICAL TEST BANK
GRADED A LATEST WITH 450
QUESTIONS AND ANSWERS
Which non-opioid drug decreases the effect of aspirin? - ANSWER//ibuprofen
Ketorolac should not be used concurrently with... - ANSWER//other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... -
ANSWER//non-opioid analgesics
To access an implanted port, you must use a... - ANSWER//noncoring (Huber)
needle
When done accessing an implanted port... - ANSWER//flush with 10 mL 0.9%
sodium chloride
Therapeutic effects of furosemide (Lasix) - ANSWER//-decreases preload of the
heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - ANSWER//-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - ANSWER//-
decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - ANSWER//1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
,Which foods should the client on Warfarin avoid? - ANSWER//dark leafy green
veggies
Client teaching for anticoagulant therapy: - ANSWER//-bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension: - ANSWER//-furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
Contraindications for Nadolol: - ANSWER//-asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
Treatment for diabetes insipidus: - ANSWER//-daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
Meds for DI, what to look out for/do: - ANSWER//-adjust based on urine output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
Protein requirement of an adult: g of protein per kg - ANSWER//0.8 g
,Caring for a client who has pancreatitis: - ANSWER//-keep NPO
-NG tube to suction gastric contents
-low fat, high protein, high carb diet
Risk factors:
-high fat diet
-excessive alcohol consumption
-age
Expected lab findings for a client with pancreatitis: - ANSWER//-increased
amylase & lipase
-increased WBC
-decreased platelets
-increased glucose
-increased liver enzymes & bilirubin
-elevated ESR
-decreased calcium & magnesium
What med do you give for symptomatic bradycardia? What electrical management?
- ANSWER//med=atropine
elec= pacemaker insertion
What med/meds do you give for AFib? What electrical management? -
ANSWER//meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
What med/meds do you give for SVT? What electrical management? -
ANSWER//meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
What med/meds do you give for V-tach w/a pulse? What electrical management? -
ANSWER//meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
What med/meds do you give for V-tach w/out a pulse or V-fib? What electrical
management? - ANSWER//meds= amiodarone, lidocaine, & epi
elec= defibrillation
V-tach - ANSWER//V-tach
V-fib - ANSWER//V-fib
, SVT - ANSWER//SVT
brady - ANSWER//brady
AV block - ANSWER//AV block
If a pt is complaining of pain and there is no irrigation fluid coming out of the
catheter what will the priority nursing action be? - ANSWER//irrigate catheter with
saline solution
If the pt has had their prostate removed and the irrigating 3 way catheter shows
bright red clotted blood being released from the end what should you do? -
ANSWER//increase the flow rate
What assessment finding would be a cause for concern in an immobile pt? -
ANSWER//diminished pedal pulses
redness/edema in legs
How would you care for a pt with a stage III pressure ulcer? - ANSWER//Apply
proteolytic enzymes
What would be an appropriate nursing intervention for a stage II pressure ulcer in
the heel? - ANSWER//increase IV fluids
pillow/sheet under ankle
What foods would you teach a pt suffering from cholescystitis to eliminate from
their diet at home? - ANSWER//fried eggs
What assessment finding would lead you to believe a pt suffers from Hypovolemia?
- ANSWER//increased blood osmolarity
What lab finding would you expect in a pt receiving chemotherapy? -
ANSWER//decreased WBC
Which of the following would lead you to believe that a client understands his
teachings about using his ACE inhibitors? - ANSWER//decrease potassium and
salt intake
What would you include in your education of a client receiving opioids? -
ANSWER//increased fiber in the diet
What nursing interventions would you implement to address adverse effects of
opioids? - ANSWER//laxatives and enemas
GRADED A LATEST WITH 450
QUESTIONS AND ANSWERS
Which non-opioid drug decreases the effect of aspirin? - ANSWER//ibuprofen
Ketorolac should not be used concurrently with... - ANSWER//other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... -
ANSWER//non-opioid analgesics
To access an implanted port, you must use a... - ANSWER//noncoring (Huber)
needle
When done accessing an implanted port... - ANSWER//flush with 10 mL 0.9%
sodium chloride
Therapeutic effects of furosemide (Lasix) - ANSWER//-decreases preload of the
heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - ANSWER//-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - ANSWER//-
decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - ANSWER//1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
,Which foods should the client on Warfarin avoid? - ANSWER//dark leafy green
veggies
Client teaching for anticoagulant therapy: - ANSWER//-bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension: - ANSWER//-furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
Contraindications for Nadolol: - ANSWER//-asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
Treatment for diabetes insipidus: - ANSWER//-daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
Meds for DI, what to look out for/do: - ANSWER//-adjust based on urine output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
Protein requirement of an adult: g of protein per kg - ANSWER//0.8 g
,Caring for a client who has pancreatitis: - ANSWER//-keep NPO
-NG tube to suction gastric contents
-low fat, high protein, high carb diet
Risk factors:
-high fat diet
-excessive alcohol consumption
-age
Expected lab findings for a client with pancreatitis: - ANSWER//-increased
amylase & lipase
-increased WBC
-decreased platelets
-increased glucose
-increased liver enzymes & bilirubin
-elevated ESR
-decreased calcium & magnesium
What med do you give for symptomatic bradycardia? What electrical management?
- ANSWER//med=atropine
elec= pacemaker insertion
What med/meds do you give for AFib? What electrical management? -
ANSWER//meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
What med/meds do you give for SVT? What electrical management? -
ANSWER//meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
What med/meds do you give for V-tach w/a pulse? What electrical management? -
ANSWER//meds= amiodarone, adenosine, verapamil
elec= synchronized cardioversion
What med/meds do you give for V-tach w/out a pulse or V-fib? What electrical
management? - ANSWER//meds= amiodarone, lidocaine, & epi
elec= defibrillation
V-tach - ANSWER//V-tach
V-fib - ANSWER//V-fib
, SVT - ANSWER//SVT
brady - ANSWER//brady
AV block - ANSWER//AV block
If a pt is complaining of pain and there is no irrigation fluid coming out of the
catheter what will the priority nursing action be? - ANSWER//irrigate catheter with
saline solution
If the pt has had their prostate removed and the irrigating 3 way catheter shows
bright red clotted blood being released from the end what should you do? -
ANSWER//increase the flow rate
What assessment finding would be a cause for concern in an immobile pt? -
ANSWER//diminished pedal pulses
redness/edema in legs
How would you care for a pt with a stage III pressure ulcer? - ANSWER//Apply
proteolytic enzymes
What would be an appropriate nursing intervention for a stage II pressure ulcer in
the heel? - ANSWER//increase IV fluids
pillow/sheet under ankle
What foods would you teach a pt suffering from cholescystitis to eliminate from
their diet at home? - ANSWER//fried eggs
What assessment finding would lead you to believe a pt suffers from Hypovolemia?
- ANSWER//increased blood osmolarity
What lab finding would you expect in a pt receiving chemotherapy? -
ANSWER//decreased WBC
Which of the following would lead you to believe that a client understands his
teachings about using his ACE inhibitors? - ANSWER//decrease potassium and
salt intake
What would you include in your education of a client receiving opioids? -
ANSWER//increased fiber in the diet
What nursing interventions would you implement to address adverse effects of
opioids? - ANSWER//laxatives and enemas
