ATI Adult Medical Surgical PROCTORED
Endtroacheal tube extubate what would you report immedatiely? Answer- stridor
Why is stridor bad? Answer- it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume? Answer- higher than
usual like 110
What is normal unrine gravity? Answer- 1.000 - 1.030
What is positive pressure doing? Answer- promote lung expansion and stabilize chest
Would you recomened exercise for a pt who has been discharged with heart failure?
Answer- yes
How often should exercise be in heart failure pt? Answer- regular routine
Should you consume milk with iron supplements? Answer- no can cause gastro
disturbance.
Would you take iron with antacids? Answer- no gastro disturb
Would you tell the pt to lower red meat intake with iron deficiency? Answer- no because
they would need increase
What is a common side effect with iron pills? Answer- constipation
What would you tell them to eat with taking iron pills? Answer- high fiber
When does pain worsen with compartement syndrome? Answer- when passive moving
occurs.
What does warmth under cast indicate? Answer- infection
Should pt decrease complex carbs for atherosceleoris? Answer- no
What carb should a client with atherosceloris decrease? Answer- simple sugars
Is MRSA airborne or contact? Answer- contact
,What does phenyotoin do to hepatic enzymes (for seizures the med is)? Answer- it
decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? Answer- magnesium containg
antacids
Why wouldn't you take magnesium containing anatacids with cipro? Answer- calcium
can decrease obsorb of med
What is a common side effect of rifampin? Answer- color of pee
Can you take ciproflaxcin with booze? Answer- yes
After a parathryoidecotmy what would be prioty for nurse? Answer- to put trach tray by
bedside (AIRWAY)
What meds increase osteoporosis? Answer- fludrocortisone
With enoxaparin what is main thing for the med the nurse should do? Answer- give
dosage same time every day
Is restlessness common in hyperthyroidism? Answer- yes
What would be urgent for hyperthyroidism? Answer- high BP
If a pt has a weird heart sound what would be first thing you do? Answer- listen to it
again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? Answer- if creatine levels are too high
What is normal creatine? Answer- .6-1.2
What is one of the first vital signs of a hemmhorage? Answer- increase heart rate
What med would you give for a febrile reaction? Answer- tyneol (reduces fever)
How long does a drain stay in place for a radical mastectomy? Answer- 1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? Answer- less than
25
What is first thing to ask if a pt reports dyspnea and SOB when put on O2? Answer- if
they have COPD
Why would it be bad for you to put O2 on a COPD pt? Answer- It can worsen
hypercarbia
, What is someones HGB look like with leukemia increase or decreased? Answer-
decreased
What would be a big sign that nephrosotmoy tube has popped? Answer- back pain
What is max amount of flexing for total hip? Answer- no more than 90
Why would you place a pillow between a pt legs for hip athroplasy? Answer- so hips
don't get dislodged
What is a holter monitor used for? Answer- if you have an irregular heart rate it can
detect it
What can a pacemake do to a pt heart? Answer- regulate the heart rate
What is a echo used for? Answer- detecting valve dysfunction
What do PPI do for gastric ulcers? Answer- it suppresses gastric acid production
What is good about high fowlers postion? Answer- increases lung expansion and
improves ventilation
What med would you d/c to before going in for allergy testing? Answer- prednisone
If a pt were to state there vision went blurry before a car accident what would you do
first? Answer- monitor neuro
What would be first thing to do if bowel is protruding from stomach? Answer- call for
help
What kind of skin for hypothyroidism? Answer- dry scaly
What does metformin do to glucose? Answer- it decreases the amount of glucose
produced in liver
When should pt take metformin? Answer- with or immediately following meals
If you have hair loss on lower legs what could be problem? Answer- PAD
When is pain happening with PAD? Answer- when resting
How is pain relieved with PAD? Answer- when feet are dangling
After a thoracenteisis what should a nurse tell the pt? Answer- to deep breather to re
expand lungs
Endtroacheal tube extubate what would you report immedatiely? Answer- stridor
Why is stridor bad? Answer- it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume? Answer- higher than
usual like 110
What is normal unrine gravity? Answer- 1.000 - 1.030
What is positive pressure doing? Answer- promote lung expansion and stabilize chest
Would you recomened exercise for a pt who has been discharged with heart failure?
Answer- yes
How often should exercise be in heart failure pt? Answer- regular routine
Should you consume milk with iron supplements? Answer- no can cause gastro
disturbance.
Would you take iron with antacids? Answer- no gastro disturb
Would you tell the pt to lower red meat intake with iron deficiency? Answer- no because
they would need increase
What is a common side effect with iron pills? Answer- constipation
What would you tell them to eat with taking iron pills? Answer- high fiber
When does pain worsen with compartement syndrome? Answer- when passive moving
occurs.
What does warmth under cast indicate? Answer- infection
Should pt decrease complex carbs for atherosceleoris? Answer- no
What carb should a client with atherosceloris decrease? Answer- simple sugars
Is MRSA airborne or contact? Answer- contact
,What does phenyotoin do to hepatic enzymes (for seizures the med is)? Answer- it
decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? Answer- magnesium containg
antacids
Why wouldn't you take magnesium containing anatacids with cipro? Answer- calcium
can decrease obsorb of med
What is a common side effect of rifampin? Answer- color of pee
Can you take ciproflaxcin with booze? Answer- yes
After a parathryoidecotmy what would be prioty for nurse? Answer- to put trach tray by
bedside (AIRWAY)
What meds increase osteoporosis? Answer- fludrocortisone
With enoxaparin what is main thing for the med the nurse should do? Answer- give
dosage same time every day
Is restlessness common in hyperthyroidism? Answer- yes
What would be urgent for hyperthyroidism? Answer- high BP
If a pt has a weird heart sound what would be first thing you do? Answer- listen to it
again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? Answer- if creatine levels are too high
What is normal creatine? Answer- .6-1.2
What is one of the first vital signs of a hemmhorage? Answer- increase heart rate
What med would you give for a febrile reaction? Answer- tyneol (reduces fever)
How long does a drain stay in place for a radical mastectomy? Answer- 1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? Answer- less than
25
What is first thing to ask if a pt reports dyspnea and SOB when put on O2? Answer- if
they have COPD
Why would it be bad for you to put O2 on a COPD pt? Answer- It can worsen
hypercarbia
, What is someones HGB look like with leukemia increase or decreased? Answer-
decreased
What would be a big sign that nephrosotmoy tube has popped? Answer- back pain
What is max amount of flexing for total hip? Answer- no more than 90
Why would you place a pillow between a pt legs for hip athroplasy? Answer- so hips
don't get dislodged
What is a holter monitor used for? Answer- if you have an irregular heart rate it can
detect it
What can a pacemake do to a pt heart? Answer- regulate the heart rate
What is a echo used for? Answer- detecting valve dysfunction
What do PPI do for gastric ulcers? Answer- it suppresses gastric acid production
What is good about high fowlers postion? Answer- increases lung expansion and
improves ventilation
What med would you d/c to before going in for allergy testing? Answer- prednisone
If a pt were to state there vision went blurry before a car accident what would you do
first? Answer- monitor neuro
What would be first thing to do if bowel is protruding from stomach? Answer- call for
help
What kind of skin for hypothyroidism? Answer- dry scaly
What does metformin do to glucose? Answer- it decreases the amount of glucose
produced in liver
When should pt take metformin? Answer- with or immediately following meals
If you have hair loss on lower legs what could be problem? Answer- PAD
When is pain happening with PAD? Answer- when resting
How is pain relieved with PAD? Answer- when feet are dangling
After a thoracenteisis what should a nurse tell the pt? Answer- to deep breather to re
expand lungs
