ATI MED SURG PROCTORED RETAKE EXAM 2026 WITH NGN
1. Seizures and Epilepsy:Seizure precautions (62):During a seizure:Position client on the floor and provide a patent airway, turn
client to side and loosen restrictive clothing
2. Cancer treatment options: Protective Isolation (GGG):IfWBC drops below 1,000, place the client in a private room and
initiate neutropenic precautions.
- Haveclientremaininhisroomunlessbeneedstoleaveforadiagnosticprocedure, in case oftransportplaceamaskonhim
- Protectfrompossiblesourcesofinfection(plants,changewaterinequipmentdaily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoidinvasive procedures (rectaltemps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
3. Infection control:Appropriate room assignment:Standard Precautions:
1. applies to all patients
2. Handwashing
a.alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection sface shields when care may cause splashing or spraying of body fluids
,2
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a.use an N65 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. glovessgowns
3. disposal of infections dressing materials into a single, nonporous bag without touching the outside of the bag
4. TB:Priorityaction for a clientin the emergency department(24G):-Wear an N65 or HEPArespirator
-Place client in negative airflow room and implement airborne precautions
-use barrier protection when the risk of hand or clothing contamination exists
,3
5. Immunizations: Recommended vaccinations for older adult clients (G43):-
Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
6. Pulmonary Embolism: Risk factors for DVT (258): -Long term immobility
- Oral contraceptives
- Pregnancy
- Tobaccouse
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
-Advanced age
7. Disorders of the male reproductive system: Complications of continuous irrigation following Trans-urethral Resection (743):
-Urethral trauma
-Urinary retention
- Bleeding
- Infection
,4
8. Stroke: Caring for a client who has left sided hemiplegia (155): - Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected foot
- Instruct client to dress the affected side first
9. Fractures and immobilization devices: Prevent complications (787): -Assess neurovascular status of the affected body part
for every hour for 24 hours and Q4 hours afterthat
- Maintain body alignment
- avoid lifting or removing weights
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
10. Pain Management: use of non pharmacological methods of pain relief: - Cutaneous (skin) stimulation- TENS,
heat, cold, therapeutic touch and massage