ATI Med-Surg Exam Practice 2023 with
Complete Solution(ratedA+)!!
S/Sx hypoparathyroidism - ANSWER-involuntary muscle spasms
protamine sulfate - ANSWER-antidote to heparin
monitor aPTT levels for... - ANSWER-heparin
chest petechaie in a pt with a fractured long bone - ANSWER-notify HCP- could be an
indication of fat emboli
antipurinol - ANSWER-antigout medication
-also teach the client to increase exercise & fluids and decrease purines in the diet (red
meats)
EEG - ANSWER--come sleep deprived
-wash hair thoroughly
-eat as usual
-awaken 0200-0300 the morning of the EEG
SLE (Lupus) - ANSWER--methotrexate even during remission
-sunblock of at least 30 everyday
-affects skin, joints, organs and connective tissue
-report fever to HCP immediately (exacerbation)
thrombocytopenia with epistaxis - ANSWER--sitting position, leaning forward
-apply direct, lateral pressure for 10 minutes
-apply ice and cold pressure to the nose & face
-reframe from blowing nose for 24 hrs after nose bleed stops
giving TPN - ANSWER--give D10W or D20W if TPN is temporarily unavailable
-check cap blood glucose level q4hrs
-monitor weight daily
-change TPN tubing q24hrs
basilar skull fracture - ANSWER-clear drainage from the nose or ears
hypoglycemia S/Sx - ANSWER-weakness, hunger, diaphoresis, nausea, shakiness,
confusion
hyperglycemia s/sx - ANSWER-kussmauls respirations, dehydration & decreased skin
turgor, ketonuria
, ABCDE melanoma skin assessment - ANSWER-Asymmetry of shape
Border irregularity
Color variation within one lesion
Diameter greater than 6 mm
Evolving or changing in any feature
facilitate gas exchange - ANSWER-pursed lip breathing during dyspnea
thrombocytopenia (platelet count 48,000) - ANSWER-avoid invasive procedures & IM
injections
assess for bleeding q4hrs
avoid flossing
how is hepatitis A transmitted - ANSWER-fecal-oral route
What is always the FIRST step to take in the nursing process? - ANSWER-Assess the
client
transfusing RBC - ANSWER--assess and document vital signs
-use 20G or larger needle
-get another nurse to verify blood type & Rh on package
-only hang with 0.9% NS
-use IV tubing with a filter
reduce the risk of infective endocarditis - ANSWER-antibiotics before procedures - tell
HCP before dental procedures
isoniazid (for TB) - ANSWER-take on an empty stomach
-1 hr before or 2 hrs after a meal
Sickle Cell Teaching - ANSWER-increase fluids to avoid sickle cell crisis
low cholestrol - ANSWER-chicken breast and veggies
ethambutol - ANSWER-monitor for decreased visual acuity and report to HCP
Avoid "_____" questions - ANSWER-why
how to instill eye drops properly - ANSWER--instill medication into conjunctival sac
-apply pressure to the puncta for 1-2 minutes after to prevent systemic absorption
erythropoiten - ANSWER-increases energy level
pt with advanced COPD is expected to have - ANSWER-increase CO2
pt with radiation therapy - ANSWER-avoid sun exposure
Complete Solution(ratedA+)!!
S/Sx hypoparathyroidism - ANSWER-involuntary muscle spasms
protamine sulfate - ANSWER-antidote to heparin
monitor aPTT levels for... - ANSWER-heparin
chest petechaie in a pt with a fractured long bone - ANSWER-notify HCP- could be an
indication of fat emboli
antipurinol - ANSWER-antigout medication
-also teach the client to increase exercise & fluids and decrease purines in the diet (red
meats)
EEG - ANSWER--come sleep deprived
-wash hair thoroughly
-eat as usual
-awaken 0200-0300 the morning of the EEG
SLE (Lupus) - ANSWER--methotrexate even during remission
-sunblock of at least 30 everyday
-affects skin, joints, organs and connective tissue
-report fever to HCP immediately (exacerbation)
thrombocytopenia with epistaxis - ANSWER--sitting position, leaning forward
-apply direct, lateral pressure for 10 minutes
-apply ice and cold pressure to the nose & face
-reframe from blowing nose for 24 hrs after nose bleed stops
giving TPN - ANSWER--give D10W or D20W if TPN is temporarily unavailable
-check cap blood glucose level q4hrs
-monitor weight daily
-change TPN tubing q24hrs
basilar skull fracture - ANSWER-clear drainage from the nose or ears
hypoglycemia S/Sx - ANSWER-weakness, hunger, diaphoresis, nausea, shakiness,
confusion
hyperglycemia s/sx - ANSWER-kussmauls respirations, dehydration & decreased skin
turgor, ketonuria
, ABCDE melanoma skin assessment - ANSWER-Asymmetry of shape
Border irregularity
Color variation within one lesion
Diameter greater than 6 mm
Evolving or changing in any feature
facilitate gas exchange - ANSWER-pursed lip breathing during dyspnea
thrombocytopenia (platelet count 48,000) - ANSWER-avoid invasive procedures & IM
injections
assess for bleeding q4hrs
avoid flossing
how is hepatitis A transmitted - ANSWER-fecal-oral route
What is always the FIRST step to take in the nursing process? - ANSWER-Assess the
client
transfusing RBC - ANSWER--assess and document vital signs
-use 20G or larger needle
-get another nurse to verify blood type & Rh on package
-only hang with 0.9% NS
-use IV tubing with a filter
reduce the risk of infective endocarditis - ANSWER-antibiotics before procedures - tell
HCP before dental procedures
isoniazid (for TB) - ANSWER-take on an empty stomach
-1 hr before or 2 hrs after a meal
Sickle Cell Teaching - ANSWER-increase fluids to avoid sickle cell crisis
low cholestrol - ANSWER-chicken breast and veggies
ethambutol - ANSWER-monitor for decreased visual acuity and report to HCP
Avoid "_____" questions - ANSWER-why
how to instill eye drops properly - ANSWER--instill medication into conjunctival sac
-apply pressure to the puncta for 1-2 minutes after to prevent systemic absorption
erythropoiten - ANSWER-increases energy level
pt with advanced COPD is expected to have - ANSWER-increase CO2
pt with radiation therapy - ANSWER-avoid sun exposure
