ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
2020 ACTUAL QUESTIONS WITH SOLUTIONS/A+ GRADE
What does phenyotoin do to hepatic enzymes (for seizures the med is)? - (correct
answer) it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - (correct answer)
magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - (correct
answer) calcium can decrease absorb of med
What is a common side effect of rifampin? - (correct answer) color of pee
Can you take ciproflaxcin with booze? - (correct answer) yes
After a parathryoidecotmy what would be prioty for nurse? - (correct answer) to put
trach tray by bedside (AIRWAY)
What meds increase osteoporosis? - (correct answer) fludrocortisone
With enoxaparin what is main thing for the med the nurse should do? - (correct
answer) give dosage same time every day
Is restlessness common in hyperthyroidism? - (correct answer) yes
What would be urgent for hyperthyroidism? - (correct answer) high BP
If a pt has a weird heart sound what would be first thing you do? - (correct answer)
listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - (correct answer) if creatine levels
are too high
Endtroacheal tube extubate what would you report immedatiely? - (correct answer)
stridor
Why is stridor bad? - (correct 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? - (correct answer)
higher than usual like 110
What is normal unrine gravity? - (correct answer) 1.000 - 1.030
,What is positive pressure doing? - (correct answer) promote lung expansion and
stabilize chest
Would you recomened exercise for a pt who has been discharged with heart failure? -
(correct answer) yes
How often should exercise be in heart failure pt? - (correct answer) regular routine
Should you consume milk with iron supplements? - (correct answer) no can cause
gastro disturbance.
Would you take iron with antacids? - (correct answer) no gastro disturb
Would you tell the pt to lower red meat intake with iron deficiency? - (correct answer)
no because they would need increase
What is a common side effect with iron pills? - (correct answer) constipation
What would you tell them to eat with taking iron pills? - (correct answer) high fiber
When does pain worsen with compartement syndrome? - (correct answer) when
passive moving occurs.
What does warmth under cast indicate? - (correct answer) infection
Should pt decrease complex carbs for atherosceleoris? - (correct answer) no
What carb should a client with atherosceloris decrease? - (correct answer) simple
sugars
Is MRSA airborne or contact? - (correct answer) contact
What is normal creatine? - (correct answer) .6-1.2
What is one of the first vital signs of a hemmhorage? - (correct answer) increase
heart rate
What med would you give for a febrile reaction? - (correct answer) tyneol (reduces
fever)
How long does a drain stay in place for a radical mastectomy? - (correct answer) 1
to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - (correct answer)
less than 25
, What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - (correct
answer) if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - (correct answer) It can
worsen hypercarbia
What is someones HGB look like with leukemia increase or decreased? - (correct
answer) decreased
What would be a big sign that nephrosotmoy tube has popped? - (correct answer)
back pain
What is max amount of flexing for total hip? - (correct answer) no more than 90
Why would you place a pillow between a pt legs for hip athroplasy? - (correct answer)
so hips don't get dislodged
What is a holter monitor used for? - (correct answer) if you have an irregular heart
rate it can detect it
What can a pacemake do to a pt heart? - (correct answer) regulate the heart rate
What is a echo used for? - (correct answer) detecting valve dysfunction
What do PPI do for gastric ulcers? - (correct answer) it suppresses gastric acid
production
What is good about high fowlers postion? - (correct answer) increases lung
expansion and improves ventilation
What med would you d/c to before going in for allergy testing? - (correct answer)
prednisone
If a pt were to state there vision went blurry before a car accident what would you do
first? - (correct answer) monitor neuro
What would be first thing to do if bowel is protruding from stomach? - (correct
answer) call for help
What kind of skin for hypothyroidism? - (correct answer) dry scaly
What does metformin do to glucose? - (correct answer) it decreases the amount of
glucose produced in liver
When should pt take metformin? - (correct answer) with or immediately following
meals
2020 ACTUAL QUESTIONS WITH SOLUTIONS/A+ GRADE
What does phenyotoin do to hepatic enzymes (for seizures the med is)? - (correct
answer) it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - (correct answer)
magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - (correct
answer) calcium can decrease absorb of med
What is a common side effect of rifampin? - (correct answer) color of pee
Can you take ciproflaxcin with booze? - (correct answer) yes
After a parathryoidecotmy what would be prioty for nurse? - (correct answer) to put
trach tray by bedside (AIRWAY)
What meds increase osteoporosis? - (correct answer) fludrocortisone
With enoxaparin what is main thing for the med the nurse should do? - (correct
answer) give dosage same time every day
Is restlessness common in hyperthyroidism? - (correct answer) yes
What would be urgent for hyperthyroidism? - (correct answer) high BP
If a pt has a weird heart sound what would be first thing you do? - (correct answer)
listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - (correct answer) if creatine levels
are too high
Endtroacheal tube extubate what would you report immedatiely? - (correct answer)
stridor
Why is stridor bad? - (correct 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? - (correct answer)
higher than usual like 110
What is normal unrine gravity? - (correct answer) 1.000 - 1.030
,What is positive pressure doing? - (correct answer) promote lung expansion and
stabilize chest
Would you recomened exercise for a pt who has been discharged with heart failure? -
(correct answer) yes
How often should exercise be in heart failure pt? - (correct answer) regular routine
Should you consume milk with iron supplements? - (correct answer) no can cause
gastro disturbance.
Would you take iron with antacids? - (correct answer) no gastro disturb
Would you tell the pt to lower red meat intake with iron deficiency? - (correct answer)
no because they would need increase
What is a common side effect with iron pills? - (correct answer) constipation
What would you tell them to eat with taking iron pills? - (correct answer) high fiber
When does pain worsen with compartement syndrome? - (correct answer) when
passive moving occurs.
What does warmth under cast indicate? - (correct answer) infection
Should pt decrease complex carbs for atherosceleoris? - (correct answer) no
What carb should a client with atherosceloris decrease? - (correct answer) simple
sugars
Is MRSA airborne or contact? - (correct answer) contact
What is normal creatine? - (correct answer) .6-1.2
What is one of the first vital signs of a hemmhorage? - (correct answer) increase
heart rate
What med would you give for a febrile reaction? - (correct answer) tyneol (reduces
fever)
How long does a drain stay in place for a radical mastectomy? - (correct answer) 1
to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - (correct answer)
less than 25
, What is first thing to ask if a pt reports dyspnea and SOB when put on O2? - (correct
answer) if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - (correct answer) It can
worsen hypercarbia
What is someones HGB look like with leukemia increase or decreased? - (correct
answer) decreased
What would be a big sign that nephrosotmoy tube has popped? - (correct answer)
back pain
What is max amount of flexing for total hip? - (correct answer) no more than 90
Why would you place a pillow between a pt legs for hip athroplasy? - (correct answer)
so hips don't get dislodged
What is a holter monitor used for? - (correct answer) if you have an irregular heart
rate it can detect it
What can a pacemake do to a pt heart? - (correct answer) regulate the heart rate
What is a echo used for? - (correct answer) detecting valve dysfunction
What do PPI do for gastric ulcers? - (correct answer) it suppresses gastric acid
production
What is good about high fowlers postion? - (correct answer) increases lung
expansion and improves ventilation
What med would you d/c to before going in for allergy testing? - (correct answer)
prednisone
If a pt were to state there vision went blurry before a car accident what would you do
first? - (correct answer) monitor neuro
What would be first thing to do if bowel is protruding from stomach? - (correct
answer) call for help
What kind of skin for hypothyroidism? - (correct answer) dry scaly
What does metformin do to glucose? - (correct answer) it decreases the amount of
glucose produced in liver
When should pt take metformin? - (correct answer) with or immediately following
meals
