ATI RN ADULT MEDICAL-SURGICAL CMS
PROCTORED EXAM WITH NGN [ADVANCED
MED SURG] WITH QUESTIONS AND WELL
VERIFIED ANSWERS [GRADED A+] REAL
EXAM 100%
Endoscopy (EGD) positioning Correct Answer: left side lying
Before an Endoscopy (EGD): Correct Answer: -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: Correct Answer: -restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? Correct Answer: flap furthest
from body, side flaps, then closest
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
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 touch 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
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the
nurse
E. clients hand brushes against the outer edge of the sterile field Correct
Answer: B, C, D
TB is suspected, what precautionary actions to do? Correct Answer: -
negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: Correct Answer: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
,What to watch for when on Isoniazid: Correct Answer: numb/tingling in the
hands & feet
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
-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
High sodium foods clients with HF & Pulmonary edema should avoid: Correct
Answer: -cheese
-soups
-bread j
, -cold cuts/cured meats
j j
-pizza j
-eggs & omelets j j
-hot dogs j
-baked ham j
Which non-opioid drug decreases the effect of aspirin? Correct Answer:
j j j j j j j j j j
ibuprofen
j
Ketorolac should not be used concurrently with... Correct Answer: other
j j j j j j j j jj
NSAIDS
j
Glucocorticoids increase the risk of gastric bleeding when taken with... Correct j j j j j j j j j j
Answer: non-opioid analgesics
j jj j
To access an implanted port, you must use a... Correct Answer: noncoring
j j j j j j j j j j jj
(Huber) needle
j j
When done accessing an implanted port... Correct Answer: flush with 10 mL
j j j j j j j jj j j j
0.9% sodium chloride
j j j
Therapeutic effects of furosemide (Lasix) Correct Answer: -decreases preload j j j j j j jj j
of the heart
j j j j
-decreases potassium levels j j j
-increases urine output j j j
-decrease BP j
-decrease edema j
Valsartan for HF expected outcomes/findings: Correct Answer: -vasodilation
j j j j j j jj
-excretion of sodium & water j j j j j
PROCTORED EXAM WITH NGN [ADVANCED
MED SURG] WITH QUESTIONS AND WELL
VERIFIED ANSWERS [GRADED A+] REAL
EXAM 100%
Endoscopy (EGD) positioning Correct Answer: left side lying
Before an Endoscopy (EGD): Correct Answer: -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: Correct Answer: -restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? Correct Answer: flap furthest
from body, side flaps, then closest
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
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 touch 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
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the
nurse
E. clients hand brushes against the outer edge of the sterile field Correct
Answer: B, C, D
TB is suspected, what precautionary actions to do? Correct Answer: -
negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: Correct Answer: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
,What to watch for when on Isoniazid: Correct Answer: numb/tingling in the
hands & feet
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
-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
High sodium foods clients with HF & Pulmonary edema should avoid: Correct
Answer: -cheese
-soups
-bread j
, -cold cuts/cured meats
j j
-pizza j
-eggs & omelets j j
-hot dogs j
-baked ham j
Which non-opioid drug decreases the effect of aspirin? Correct Answer:
j j j j j j j j j j
ibuprofen
j
Ketorolac should not be used concurrently with... Correct Answer: other
j j j j j j j j jj
NSAIDS
j
Glucocorticoids increase the risk of gastric bleeding when taken with... Correct j j j j j j j j j j
Answer: non-opioid analgesics
j jj j
To access an implanted port, you must use a... Correct Answer: noncoring
j j j j j j j j j j jj
(Huber) needle
j j
When done accessing an implanted port... Correct Answer: flush with 10 mL
j j j j j j j jj j j j
0.9% sodium chloride
j j j
Therapeutic effects of furosemide (Lasix) Correct Answer: -decreases preload j j j j j j jj j
of the heart
j j j j
-decreases potassium levels j j j
-increases urine output j j j
-decrease BP j
-decrease edema j
Valsartan for HF expected outcomes/findings: Correct Answer: -vasodilation
j j j j j j jj
-excretion of sodium & water j j j j j
