Medical surgical ATI proctored exam
2019 A
What would you do for wound Evisceration ( removal of internal
organs) , Emergency management? - ANSWER>>>Saline cover
wound
What would you do for an ASTHMA emergency management of a bee
sting allergies? - ANSWER>>>Epi Pen
Seizures and Epilepsy: Seizure precautions - ANSWER>>>During a
seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
Cancer treatment options: Protective Isolation - ANSWER>>>If WBC
drops below 1,000, place the client in a private room and initiate
neutropenic precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and place a mask
on him.
- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict
ill visitors
,- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
Infection control: Appropriate room assignment -
ANSWER>>>Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap
and water )
3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause
splashing or spraying of body fluids
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 N95 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. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous
bag without touching the outside of the bag
TB: Priority action for a client in the emergency department -
ANSWER>>>-Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne
precautions
,-use barrier protection when the risk of hand or clothing contamination
exists
Immunizations: Recommended vaccinations for older adult clients -
ANSWER>>>Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT - ANSWER>>>- Long term
immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection -
ANSWER>>>- Urethral trauma
- Urinary retention
- Bleeding
- Infection
Non-modifiable risk factors ( Page 3 ATI ) - ANSWER>>>1) Age
2) Gender
3) Genetics
4) Developmental level
, Modifiable risk factors ( Page 3 ATI ) - ANSWER>>>1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices
Emergency nursing - Triage - ANSWER>>>BASED ON ACUITY
1) Emergent- Life threatening situation going on.
2) Urgent - Need to be treated soon but not life threatening.
3) Non urgent- The patient can wait for an extended period of time ,
without big issues.
Mass casualty event - ANSWER>>>Class 1 - RED TAG - Immediate
threat to life
Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem
Class II - YELLOW TAG - Major injuries that require immediate
treatment but not life threatening.
Examples:
1) Major fracture
Class III - GREEN TAG - Minor injury that does not require immediate
attention.
EXAMPLES:
1) Abrasion
2) Laceration
2019 A
What would you do for wound Evisceration ( removal of internal
organs) , Emergency management? - ANSWER>>>Saline cover
wound
What would you do for an ASTHMA emergency management of a bee
sting allergies? - ANSWER>>>Epi Pen
Seizures and Epilepsy: Seizure precautions - ANSWER>>>During a
seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
Cancer treatment options: Protective Isolation - ANSWER>>>If WBC
drops below 1,000, place the client in a private room and initiate
neutropenic precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and place a mask
on him.
- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict
ill visitors
,- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
Infection control: Appropriate room assignment -
ANSWER>>>Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap
and water )
3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause
splashing or spraying of body fluids
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 N95 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. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous
bag without touching the outside of the bag
TB: Priority action for a client in the emergency department -
ANSWER>>>-Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne
precautions
,-use barrier protection when the risk of hand or clothing contamination
exists
Immunizations: Recommended vaccinations for older adult clients -
ANSWER>>>Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT - ANSWER>>>- Long term
immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection -
ANSWER>>>- Urethral trauma
- Urinary retention
- Bleeding
- Infection
Non-modifiable risk factors ( Page 3 ATI ) - ANSWER>>>1) Age
2) Gender
3) Genetics
4) Developmental level
, Modifiable risk factors ( Page 3 ATI ) - ANSWER>>>1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices
Emergency nursing - Triage - ANSWER>>>BASED ON ACUITY
1) Emergent- Life threatening situation going on.
2) Urgent - Need to be treated soon but not life threatening.
3) Non urgent- The patient can wait for an extended period of time ,
without big issues.
Mass casualty event - ANSWER>>>Class 1 - RED TAG - Immediate
threat to life
Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem
Class II - YELLOW TAG - Major injuries that require immediate
treatment but not life threatening.
Examples:
1) Major fracture
Class III - GREEN TAG - Minor injury that does not require immediate
attention.
EXAMPLES:
1) Abrasion
2) Laceration
