ATI SWIFT RIVER MED SURG EXAM
QUESTIONS AND ANSWERS
Mark Robinson #2 - ANSWER -Hang a new primed bag of NSS to infuse at a slow rate
Obtain a provider prescription for an antihistamine
Monitor vital signs every 5 min
Diet history of high-fat, low-fiber diet
Client's age
Being a long-term smoker
Heavy alcohol consumption
Trey Johnson #1 - ANSWER -Maslow's Hierarchy of Needs- High Priority
Airway, Breathing, Circulation- Low Priority
Safety and Risk Reduction- Low Priority
Urgent vs Non-urgent- Low Priority
Chronic vs Acute/Stable vs Unstable- Low Priority
Pain
Comfort
Client Education
Measure abdominal girth
Obtain daily weights
Prepare the client for a paracentesis
Collect a blood specimen for a comprehensive metabolic panel
Prepare the client for an esophagogastroduodenoscopy
Weight the client before and after the procedure
Have the client void prior to the procedure
Measure drainage amount retrieved from the paracentesis
Monitor the puncture sight for leakage
Administer cefotaxime 1 g IV every 12 hr
Administer remdesivir 100 mg IV daily
Administer nafcillin 1000 mg IV every 6 hr
Administer voriconazole 380 mg IV every 12 hr
Mark Robinson #1 - ANSWER -Maslow's Hierarchy of Needs- High Priority
Airway, Breathing, Circulation- Low Priority
Safety and Risk Reduction- High Priority
Urgent vs Non-urgent- Low Priority
Chronic vs Acute/Stable vs Unstable- Low Priority
, Safety: Injury Prevention
Health Promotion: Client Education
Physiological: Perfusion
Physiological: Gas Exchange
Initiate a large-bore peripheral IV
Administer 1000 mL NSS over 1 hr
Collect a blood specimen for a blood type and crossmatch
Administer a sodium biphosphate enema
Collect a blood specimen for a carcinoembryonic antigen study
Collect a stool sample for a fecal immunochemical test
Obtain a diet history from the client
The provider may obtain a tissue biopsy during the procedure
The client may have some cramping and flatulence following the procedure
Verify the blood product with the provider's prescription
Verify the blood with another RN prior to administration
Stay with the client for the first 15-30 min of the infusion
Trey Johnson #2 - ANSWER -Fector hepaticus
Asterixis
Elevated BUN and creatinine levels
Speech problems
Mental status changes
"I must eat a low sodium diet to keep my intake less than 2 g per day"
"I should record my weight daily"
"I should ask my provider before using any cold medications"
Sarah Getts #1 - ANSWER -Maslow's Hierarchy of Needs- High Priority
Airway, Breathing, Circulation- Low Priority
Safety and Risk Reduction- High Priority
Urgent vs Non-urgent- High Priority
Chronic vs Acute/Stable vs Unstable- High Priority
Physiological: Comfort
Physiological: Nutrition
Physiological: Metabolism
Physiological: Gas Exchange
Physiological: Elimination
Physiological: Acid Base
Heart rate and rhythm
Respiratory assessment
QUESTIONS AND ANSWERS
Mark Robinson #2 - ANSWER -Hang a new primed bag of NSS to infuse at a slow rate
Obtain a provider prescription for an antihistamine
Monitor vital signs every 5 min
Diet history of high-fat, low-fiber diet
Client's age
Being a long-term smoker
Heavy alcohol consumption
Trey Johnson #1 - ANSWER -Maslow's Hierarchy of Needs- High Priority
Airway, Breathing, Circulation- Low Priority
Safety and Risk Reduction- Low Priority
Urgent vs Non-urgent- Low Priority
Chronic vs Acute/Stable vs Unstable- Low Priority
Pain
Comfort
Client Education
Measure abdominal girth
Obtain daily weights
Prepare the client for a paracentesis
Collect a blood specimen for a comprehensive metabolic panel
Prepare the client for an esophagogastroduodenoscopy
Weight the client before and after the procedure
Have the client void prior to the procedure
Measure drainage amount retrieved from the paracentesis
Monitor the puncture sight for leakage
Administer cefotaxime 1 g IV every 12 hr
Administer remdesivir 100 mg IV daily
Administer nafcillin 1000 mg IV every 6 hr
Administer voriconazole 380 mg IV every 12 hr
Mark Robinson #1 - ANSWER -Maslow's Hierarchy of Needs- High Priority
Airway, Breathing, Circulation- Low Priority
Safety and Risk Reduction- High Priority
Urgent vs Non-urgent- Low Priority
Chronic vs Acute/Stable vs Unstable- Low Priority
, Safety: Injury Prevention
Health Promotion: Client Education
Physiological: Perfusion
Physiological: Gas Exchange
Initiate a large-bore peripheral IV
Administer 1000 mL NSS over 1 hr
Collect a blood specimen for a blood type and crossmatch
Administer a sodium biphosphate enema
Collect a blood specimen for a carcinoembryonic antigen study
Collect a stool sample for a fecal immunochemical test
Obtain a diet history from the client
The provider may obtain a tissue biopsy during the procedure
The client may have some cramping and flatulence following the procedure
Verify the blood product with the provider's prescription
Verify the blood with another RN prior to administration
Stay with the client for the first 15-30 min of the infusion
Trey Johnson #2 - ANSWER -Fector hepaticus
Asterixis
Elevated BUN and creatinine levels
Speech problems
Mental status changes
"I must eat a low sodium diet to keep my intake less than 2 g per day"
"I should record my weight daily"
"I should ask my provider before using any cold medications"
Sarah Getts #1 - ANSWER -Maslow's Hierarchy of Needs- High Priority
Airway, Breathing, Circulation- Low Priority
Safety and Risk Reduction- High Priority
Urgent vs Non-urgent- High Priority
Chronic vs Acute/Stable vs Unstable- High Priority
Physiological: Comfort
Physiological: Nutrition
Physiological: Metabolism
Physiological: Gas Exchange
Physiological: Elimination
Physiological: Acid Base
Heart rate and rhythm
Respiratory assessment
