ATI Adult Medical Surgical PROCTORED EXAM 500 VERIFIED QUESTIONS AND ANSWERS (2022-23)

ATI Adult Medical Surgical PROCTORED EXAM 500 VERIFIED QUESTIONS AND ANSWERS (2022-23) 1. Endtroacheal tube extubate what would you report immedatiely? - stridor 2. Why is stridor bad? - it means that there is an obstruction or edema in airway 3. What is heart rate like in someone who has a low fluid volume? - higher than usual like 110 4. What is normal unrine gravity? - 1.000 - 1.030 5. What is positive pressure doing? - promote lung expansion and stabilize chest 6. Would you recomened exercise for a pt who has been discharged with heart failure? - yes 7. How often should exercise be in heart failure pt? - regular routine 8. Should you consume milk with iron supplements? - no can cause gastro disturbance. 9. Would you take iron with antacids? - no gastro disturb 10. Would you tell the pt to lower red meat intake with iron deficiency? - no because they would need increase 11. What is a common side effect with iron pills? - constipation 12. What would you tell them to eat with taking iron pills? - high fiber 13. When does pain worsen with compartement syndrome? - when passive moving occurs. 14. What does warmth under cast indicate? - infection 15. Should pt decrease complex carbs for atherosceleoris? - no 16. What carb should a client with atherosceloris decrease? - simple sugars 17. Is MRSA airborne or contact? - contact 18. What does phenyotoin do to hepatic enzymes (for seizures the med is)? - it decreases effectiveness 19. What should you tell the pt not to take with ciprofloxacin? - magnesium containg antacids 20. Why wouldn't you take magnesium containing anatacids with cipro? - calcium can decrease obsorb of med 21. What is a common side effect of rifampin? - color of pee 22. Can you take ciproflaxcin with booze? - yes 23. After a parathryoidecotmy what would be prioty for nurse? - to put trach tray by bedside (AIRWAY) 24. What meds increase osteoporosis? - fludrocortisone 25. With enoxaparin what is main thing for the med the nurse should do? - give dosage same time every day 26. Is restlessness common in hyperthyroidism? - yes 27. What would be urgent for hyperthyroidism? - high BP 28. If a pt has a weird heart sound what would be first thing you do? - listen to it again but on the left side (least invasive) 29. Why would gentamicin be withheld from a pt? - if creatine levels are too high 30. What is normal creatine? - .6-1.2 31. What is one of the first vital signs of a hemmhorage? - increase heart rate 32. What med would you give for a febrile reaction? - tyneol (reduces fever) 33. How long does a drain stay in place for a radical mastectomy? - 1 to 3 week 34. What drainage amount to get rid of drainage tube for mastectomy? - less than 25 35. What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - if they have COPD 36. Why would it be bad for you to put O2 on a COPD pt? - It can worsen hypercarbia 37. What is someones HGB look like with leukemia increase or decreased? - decreased 38. What would be a big sign that nephrosotmoy tube has popped? - back pain 39. What is max amount of flexing for total hip? - no more than 90 40. Why would you place a pillow between a pt legs for hip athroplasy? - so hips don't get dislodged 41. What is a holter monitor used for? - if you have an irregular heart rate it can detect it 42. What can a pacemake do to a pt heart? - regulate the heart rate 43. What is a echo used for? - detecting valve dysfunction 44. What do PPI do for gastric ulcers? - it suppresses gastric acid production 45. What is good about high fowlers postion? - increases lung expansion and improves ventilation 46. What med would you d/c to before going in for allergy testing? - prednisone 47. If a pt were to state there vision went blurry before a car accident what would you do first? - monitor neuro 48. What would be first thing to do if bowel is protruding from stomach? - call for help 49. What kind of skin for hypothyroidism? - dry scaly 50. What does metformin do to glucose? - it decreases the amount of glucose produced in liver 51. When should pt take metformin? - with or immediately following meals 52. If you have hair loss on lower legs what could be problem? - PAD 53. When is pain happening with PAD? - when resting 54. How is pain relieved with PAD? - when feet are dangling 55. After a thoracenteisis what should a nurse tell the pt? - to deep breather to re expand lungs 56. What would be an indication of osteomyelitis what lab? - increase sedimentation rate 57. What is a blood problem that can occur with someone taking feverfew. - platlet aggregation 58. What med does not go with feverfew? - naproxen 59. What should be SaO2? - above 90% 60. What vital sign could drop with dig toxicity? - HR 61. With a burn pt what do you do after securing airway and O2? - give them IV fluids 62. Why would you keep IV patent with someone that has seizures? - so you can give med to stop it. 63. Would you apply O2 or give epinephrine first with an anaphylactic reaction? - give O2 64. Why does kidney failure happen what electrolyte? - it cant excrete potassium 65. What would be manifestation of chronic glomerulonephritis? - hyperkalemia 66. How should a pt breath in when administering meter dosage inhaler? - slowly and deeply 67. How long should pt hold breath after inhaling meter dosage inhaler? - 10 seconds after inhaling 68. How often should you wait between puffs for inhaler? - at least one minute 69. What should be first thing to do with a pt with a seizure? - turn them on their side. 70. What 2 meds cause ringing in ears? - aminoglycocides and asprin 71. What is the point of giving erhtypoetin therapy? - to increase levels of energy by increasing HCT 72. What is needed sputum wise with a pt with TB? - samples are needed every 2 to 4 weeks until there are three negatives 73. What is direct mode of transmission for C diff? - contact 74. What electrolyte could be screwed up with long term mechanical vent? - hyponatremia 75. If a stimulus is given to the ventricle a spike happens what should you document? - depolarization has occurred 76. What is normal HGB? - Delete this answer is in another one DELETE 77. If a pt cant pee after surgery what should be first thing to do? - bladder scan 78. Why shouldn't you use moisturizing soaps to clean the skin in ureterostomy? - because it makes it not adhere to the skin 79. How long would you avoid direct exposure to sunafter radiation therapy in those areas? - at least one year 80. Why would you give lidocaine? - ventricular dsyrthiimias 81. Why would you defib someone? - ventricaular tachycardia or Vfib 82. Why would you perform synchronized cardiovert? - superventricular tachycardia 83. What is aphasia? - lack of communication 84. What is prioty finding in pt with cerebrovascular accident? - dsypahgia because of apsirations 85. What nut has a high amount of source of calcium? - almonds 86. What should you increase with IRB? - fiber 87. How much water to drink to promote normal bowel function in IRB? - 2L of water 88. What should a client avoid with IRB? (What substance) - caffeine 89. Why would decreasing weight be good for stress incontinence? - because it decreases abdominal pressure 90. How often should a pt with risk for UTI pee? - q.2 to q4 91. Why should you increase asorbic acid for UTI's? - it decrease risk of UTI 92. What vital sign increases with hypoxia? - heart rate 93. What is normal PLT count? - 94. What is normal WBC count? - what is normal RBC?, 95. What should be position for Aline? - 60 degree HOB supine 96. What should the nurse place around the flush solution of an a-line? - pressure bag 97. Should you give antibiotics through a line? - no 98. What should you use aline for? - monitor BP and obtaining ABGs 99. What increased electrolyte causes facial twitching? - hyperkalemia 100. What is decreased peristalsis a manifestation of? - hypokalemia 101. What glucose reading for DKA indicates an improvement? - reading less than 300 102. What nursing action helps with managing drainage of a laparotomy? - compressing the resivor creates a vacum that draws fluid out of the wound. 103. Should people with venous insuffenciys exercise? - yes they should 104. Should venous insuffenciy people avoid sitting and standing for long periods? - yes because of watching out for DVT's 105. Should you wear compression socks every day with venous insuffcency? - yes 106. What is a key sign of lupus? - butterfly rash 107. What can plasmapheresis cause? (what electrolyte imbalance) - hypocalcemia so monitor electrolyte levels 108. What should you give if you cant find TPN right off? - adminter dextrose 10% in water until new bag arrives 109. What side of the brain of stroke for anxiety? - left 110. What side of brain stroke for aphasia? - left 111. What side of the brain stroke for impulsive behavior? - right 112. What side for feelings of guilt in a stroke? - left 113. What should AIDS pt's take daily vital wise? - temp 114. What temp for an AIDS pt of an infection? - greater than 100.0 115. Should you admin iron fast or slow iv? - slowly 116. Why should you monitor vital signs with iron? (what problem can occur to circulatory) - can progress to circulatory collapse with parenteral admin 117. What med to treat iron toxicity? - deferoxamine (desferal) 118. Should you use iron oral and parenteral at the same time? - no 119. How far apart should you give anatacids and tetracyclines with iron? - at least two hours because of absorption 120. What increases absoprotion for iron? - vitamin C 121. Would you take caffeine with iron supplements? - no 122. When should you take iron supps? (before or after meals and how long) - 1 hour before meals 123. Can you dilute liquid iron? - yes 124. How long does iron therapy last for? - 1 to 2 months 125. Where is b12 produced? - in bone marrow 126. Loss of leukocytes lead to what? - infection 127. What dose b12 is necessary to convert? - folic acids 128. What electrolyte could decrease because of increase RBCs r/t b12? - hypokalemia 129. What electrolyte acts as a diuretic - magnesium 130. Magnesium relaxes so it could cause what? - muscle weakness and resp. depression 131. What is big thing that Ma huang can cause(3)? - HTN tachy and MI 132. When taking an liquid iron supplement what can happen to oral and what should you do to get rid of it? - it can stain teeth so rinse after med is taken. 133. Chronic or high use of kava can cause what? - liver damage 134. Why would a prego women take folic acid? - to prevent neural tube defects in the fetus 135. Excess booze consumption can lead to poor dietary intake of this? - folic acid 136. How would you infuse potassium to prevent vein irriation? - with a large bore needle 137. What herbel med is used to treat frequency of migranes? - feverfew 138. What herbel med should not be taken with warfarin? - gingko biloba 139. What would be reported if the urine output after surgery is less than what in 2 hours? - less than 30 140. How often after surgery should you do deep breathing? - q1 141. What would provide as a splint to an abdomninal incison? - pillow or folded blanket between legs 142. How often should you reposition post op pt? - q2 143. How often to assist with spirometer post op? - q2 144. When will the pt remain on NPO after surgery? - until gag reflex is intact 145. What would you irrigate NG suction tubes with? - saline 146. How do you prevent thromboembolisms from occurring? - compression devices 147. What med type to prevent thromboembolisims? - antiplatelets 148. Would you place a pillow under the knees post op? - no because it screws up venous return 149. If somone is hypotensive or in shock what do you do with legs and the head? - elevate legs low the head of bed 150. When is pain relief given post op? - given after assessing recovery status 151. If you see increases of drainage post op what may it be a sign of? - hemmoharge 152. When would sutures or staples be removed post op? - 5- 10 days after 153. What would be the diet for wound healing post op? (3 things) - increase calories protein and vitamin C 154. If a client is unresponsive what would you do what way would you lay them? - turn them on there side for reduced injury from aspiration 155. How much urine does a adult produce a day? - 1500 to 2000mL 156. An increase in what electrolyte decreases urination? - sodium 157. What color does urine turn with phenazopyrdine? - orange or red 158. What color does urine turn with amitriptyline? - green blue 159. What color does urine turn with levodopa? - dark 160. What allergy contradictes contrast medium? - shellfish iodine 161. What is a renal scan used for? - video renal blood flow and anatomy without contrast 162. What does a urodynamic testing do? - test for bladder muscle function 163. Less than 30mL for more than how many hours is a concern? - 2 hours. 164. How should pt take phenazopyrdaine? - with food 165. What may happen to skin with phenazopyrdine? - skin may turn yellow 166. If an indwelling cath is in and the pt feels there bladder is full and needs to urinate what is the problem? - that the cath is kinked or clogged 167. If a nurse needs a 24 hr urine sample how would they collect it? - they would discard the first voiding 168. If a pt is on a urine schedule and needs to go what should the nurse tell them? - that holding it in would be good until next schedule 169. How often should pt themselves shift weight? - q15 170. What side should you position crutches when risking from chiar? - on the unaffected side. 171. For hot or cold items how often should you remove application? - usually 15 to 30 minutes of once applied 172. What does the Valsalva maneuver do? - it increases the workload of the heart but not peripheral formation