NGN ATI MEDICAL SURGICAL PROCTORED EXAM ACTUAL EXAM 2023/2024

NGN ATI MEDICAL SURGICAL PROCTORED EXAM ACTUAL EXAM 2023/2024 What position would you place a client for an ART line? - ANS-supine or trendelenburg What position would you place a client for an ART line? - ANS-supine or trendelenburg What precautions would you take with a person diagnosed with TB? - ANS-negative airflow room N95 mask on the nurse & the pt only when leaving the room What precautions would you take with a person diagnosed with TB? - ANS-negative airflow room N95 mask on the nurse & the pt only when leaving the room What s/s would you expect a pt with digoxin toxicity to exhibit? - ANS-muscle fatigue & confusion What s/s would you expect a pt with digoxin toxicity to exhibit? - ANS-muscle fatigue & confusion What signs/symptoms would indicate PVD? - ANS-edema, elevated temp What to watch for when on Ethambutol: - ANS-vision changes What to watch for when on Ethambutol: - ANS-vision changes What to watch for when on Isoniazid: - ANS-numb/tingling in the hands & feet What to watch for when on Isoniazid: - ANS-numb/tingling in the hands & feet What to watch for when on Rifampin: - ANS--orange secretions normal -watch for jaundice -interferes with birth control What to watch for when on Rifampin: - ANS--orange secretions normal -watch for jaundice -interferes with birth control What type of needle would you use to access an implanted port? - ANS-noncoring needle What type of needle would you use to access an implanted port? - ANS-noncoring needle what would be an appropriate finding in an EKG strip? - ANS-absent inverted T waves What would be an appropriate nursing intervention for a stage II pressure ulcer in the heel? - ANS-increase IV fluids A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the nurse. What is an expected finding? - ANS-scant blood may be seen for the first 12-24 hrs A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the field (Select all that apply) A. provider drops a sterile instrument onto the near side of the sterile field B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field C. procedure is delayed 1hr because the provider receives an emergency call D. nurse turns to speak to someone who enters through the door behind the nurse E. clients hand brushes against the outer edge of the sterile field - ANS-B, C, D A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the field (Select all that apply) A. provider drops a sterile instrument onto the near side of the sterile field B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field C. procedure is delayed 1hr because the provider receives an emergency call D. nurse turns to speak to someone who enters through the door behind the nurse E. clients hand brushes against the outer edge of the sterile field - ANS-B, C, D A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first: A. closest to body B. right side C. left side D. farthest from body - ANS-D A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first: A. closest to body B. right side C. left side D. farthest from body - ANS-D A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the nurse touch without breaking sterile technique (Select all that apply) A. bottle containing sterile solution B. edge of sterile drape at the base of the field C. inner wrapping of an item on the sterile field D. irrigation syringe on the sterile field E. one gloved hand with the other gloved hand - ANS-C, D, E A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the nurse touch without breaking sterile technique (Select all that apply) A. bottle containing sterile solution B. edge of sterile drape at the base of the field C. inner wrapping of an item on the sterile field D. irrigation syringe on the sterile field E. one gloved hand with the other gloved hand - ANS-C, D, E A pt comes to the hospital with a TB induration of 10mm what would be your following nursing action? - ANS-obtain sputum cultures A pt has a positive TB skin test what would your first action be? - ANS-put a mask on either the pt or yourself A pt has a positive TB skin test what would your first action be? - ANS-put a mask on either the pt or yourself ACE inhibitors side effects: - ANS-A: angioedema C: cough E: elevated K+ Acute hemolytic transfusion reaction s/s: - ANS--chills -fever -low back pain -tachycardia -flushing -hypotension -chest tightening/pain -tachypnea -nausea -anxiety -hemoglobinuria Anaphylactic transfusion reaction s/s: - ANS--wheezing -dyspnea -chest tightness -cyanosis -hypotensio