ATI RN MED SURG EXAMINATION STUDY
GUIDE 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ Diabetes.
Answer: - assessment: polyuria, polydipsia, polyphagia, neuropathy
- sick day care: take insulin even if unable to eat regular diet,
monitor BG Q4h
- notify provider: ketones in urine, BG >250
◉ Oxygen therapy.
Answer: - nonrebreather: 80-95% O2
- venturi mask: delivers exact O2 flow, 24-50%
- simple face mask: short term, 40-60%. increased risk for skin
breakdown
- partial nonrebreather: for pt who can maintain adequate O2
saturation with mix of RA/O2
◉ Nitroglycerin.
Answer: - store in original container as it is inactivated by heat, light,
moisture
- place under tongue or between cheek/gums and let it dissolve
, - take regardless of food intake at onset of angina
- relief should begin 1-3 min after admin; take another if pain
persists in 5 min
- lay down after taking, risk for hypotension
◉ Cardiac catheterization.
Answer: - apply firm pressure to prevent bleeding, hematoma
formation
- monitor VS, coagulation studies
◉ Thoracic aortic aneurysm.
Answer: - assessment: dysphagia, SOB, hoarseness
◉ Tension pneumothorax.
Answer: - assessment: deviation of trachea, severe resp distress,
reduced lung sounds
◉ Flail chest.
Answer: - inability of injured side of chest to expand adequately
upon inhalation and contract upon exhalation
- paradoxical chest movement:
- other assessment: SOB, tachycardia, hypotension
- prepare pt for positive pressure ventilation
GUIDE 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ Diabetes.
Answer: - assessment: polyuria, polydipsia, polyphagia, neuropathy
- sick day care: take insulin even if unable to eat regular diet,
monitor BG Q4h
- notify provider: ketones in urine, BG >250
◉ Oxygen therapy.
Answer: - nonrebreather: 80-95% O2
- venturi mask: delivers exact O2 flow, 24-50%
- simple face mask: short term, 40-60%. increased risk for skin
breakdown
- partial nonrebreather: for pt who can maintain adequate O2
saturation with mix of RA/O2
◉ Nitroglycerin.
Answer: - store in original container as it is inactivated by heat, light,
moisture
- place under tongue or between cheek/gums and let it dissolve
, - take regardless of food intake at onset of angina
- relief should begin 1-3 min after admin; take another if pain
persists in 5 min
- lay down after taking, risk for hypotension
◉ Cardiac catheterization.
Answer: - apply firm pressure to prevent bleeding, hematoma
formation
- monitor VS, coagulation studies
◉ Thoracic aortic aneurysm.
Answer: - assessment: dysphagia, SOB, hoarseness
◉ Tension pneumothorax.
Answer: - assessment: deviation of trachea, severe resp distress,
reduced lung sounds
◉ Flail chest.
Answer: - inability of injured side of chest to expand adequately
upon inhalation and contract upon exhalation
- paradoxical chest movement:
- other assessment: SOB, tachycardia, hypotension
- prepare pt for positive pressure ventilation
