ATI ADULT MEDICAL SURGICAL PROCTORED(QUESTIONS AND
ANSWERS)2023/2024 LATEST
Endotracheal tube extubate what would you report immedatiely?
stridor
Why is stridor bad?
it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume?
higher than usual like 110
What is normal unrine gravity?
1.000 - 1.030
What is positive pressure doing?
promote lung expansion and stabilize chest
Would you recomened exercise for a patient who has been discharged with heart failure?
yes
How often should exercise be in heart failure patient?
regular routine
Should you consume milk with iron supplements?
no, can cause gastro disturbances
Would you take iron with antacids?
no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency?
no, because they would need to increase
What is a common side effect with iron pills?
constipation
What would you tell them to eat when taking iron pills?
high fiber diet
When does pain worsen with compartment syndrome?
when passive movement occurs
What does warmth under cast indicate?
infection
,Should patient decrease complex carbs for atherosceleoris?
no
What carb should a client with atherosceloris decrease?
simple sugars
Is MRSA airborne or contact?
contact
What does phenytoin do to hepatic enzymes [seizure med]?
it decreases effectiveness
What should you tell the client not to take with ciprofloxacin?
magnesium containing antacids
Why wouldn't you take magnesium containing anatacids with cipro?
calcium can decrease absorption of med
What is a common side effect of rifampin?
color of pee
Can you take ciproflaxcin with alcohol?
yes
After a para-thyroidectomy what would be a priority for the nurse to do?
to put trach tray by bedside [think AIRWAY]
What meds increase osteoporosis?
Fludrocortisone
With enoxaparin what is the main thing the nurse should do?
give dosage same time every day
Is restlessness common in hyperthyroidism?
yes
What would be urgent for hyperthyroidism?
high blood pressure
If a client has a weird heart sound what would be the first thing you do?
listen to it again but on the left side [always want least invasive]
,Why would gentamicin be withheld from a patient?
creatine levels are too high
What is normal creatine?
0.6 - 1.2
What is one of the first vital signs of a hemorrhage?
increased heart rate
What med would you give for a febrile reaction?
Tylenol [reduces fever]
How long does a drain stay in place for a radical mastectomy?
1 to 3 weeks
What drainage amount is needed to get rid of drainage tube for mastectomy?
less than 25 ml
What is the first thing to ask if a client reports dyspnea and shortness of breath when put on O2?
if they have COPD
Why would it be bad for you to put O2 on a COPD patient?
It can worsen hypercarbia
Leukemia client; would their hemoglobin be increased or decreased?
decreased
What would be a big sign that a client's nephrostomy tube has popped?
back pain
What is max amount of flexing for total hip replacement?
no more than 90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty?
so hips don't get dislodged
What is a holter monitor used for?
if you have an irregular heart rate it can detect it
What can a pacemaker do to a patient's heart?
regulate the heart rate
, What is an echo used for?
detecting valve dysfunction
What do PPI's do for gastric ulcers?
it suppresses gastric acid production
What is good about high fowlers postion?
increases lung expansion and improves ventilation
What med would you discontinue before going in for allergy testing?
prednisone
If a client were to state their vision went blurry before a car accident what would you do first?
monitor neuro
What would be the first thing to do if bowel is protruding from stomach?
CALL FOR HELP
What kind of skin for hypothyroidism?
dry scaly
What does metformin do to glucose?
it decreases the amount of glucose produced in liver
When should client take metformin?
with or immediately following meals
If you have hair loss on lower legs what could be problem?
Peripheral artery disease [PAD]
When is pain happening with PAD?
when resting
How is pain relieved with PAD?
when feet are dangling
After a thoracentesis, what should a nurse tell the client?
to deep breathe which re expands the lungs
What lab would be an indication of osteomyelitis?
increased sedimentation rate [ESR]: blood test that reveals inflammatory activity in the body
What is a blood problem that can occur with someone taking feverfew.
ANSWERS)2023/2024 LATEST
Endotracheal tube extubate what would you report immedatiely?
stridor
Why is stridor bad?
it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume?
higher than usual like 110
What is normal unrine gravity?
1.000 - 1.030
What is positive pressure doing?
promote lung expansion and stabilize chest
Would you recomened exercise for a patient who has been discharged with heart failure?
yes
How often should exercise be in heart failure patient?
regular routine
Should you consume milk with iron supplements?
no, can cause gastro disturbances
Would you take iron with antacids?
no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency?
no, because they would need to increase
What is a common side effect with iron pills?
constipation
What would you tell them to eat when taking iron pills?
high fiber diet
When does pain worsen with compartment syndrome?
when passive movement occurs
What does warmth under cast indicate?
infection
,Should patient decrease complex carbs for atherosceleoris?
no
What carb should a client with atherosceloris decrease?
simple sugars
Is MRSA airborne or contact?
contact
What does phenytoin do to hepatic enzymes [seizure med]?
it decreases effectiveness
What should you tell the client not to take with ciprofloxacin?
magnesium containing antacids
Why wouldn't you take magnesium containing anatacids with cipro?
calcium can decrease absorption of med
What is a common side effect of rifampin?
color of pee
Can you take ciproflaxcin with alcohol?
yes
After a para-thyroidectomy what would be a priority for the nurse to do?
to put trach tray by bedside [think AIRWAY]
What meds increase osteoporosis?
Fludrocortisone
With enoxaparin what is the main thing the nurse should do?
give dosage same time every day
Is restlessness common in hyperthyroidism?
yes
What would be urgent for hyperthyroidism?
high blood pressure
If a client has a weird heart sound what would be the first thing you do?
listen to it again but on the left side [always want least invasive]
,Why would gentamicin be withheld from a patient?
creatine levels are too high
What is normal creatine?
0.6 - 1.2
What is one of the first vital signs of a hemorrhage?
increased heart rate
What med would you give for a febrile reaction?
Tylenol [reduces fever]
How long does a drain stay in place for a radical mastectomy?
1 to 3 weeks
What drainage amount is needed to get rid of drainage tube for mastectomy?
less than 25 ml
What is the first thing to ask if a client reports dyspnea and shortness of breath when put on O2?
if they have COPD
Why would it be bad for you to put O2 on a COPD patient?
It can worsen hypercarbia
Leukemia client; would their hemoglobin be increased or decreased?
decreased
What would be a big sign that a client's nephrostomy tube has popped?
back pain
What is max amount of flexing for total hip replacement?
no more than 90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty?
so hips don't get dislodged
What is a holter monitor used for?
if you have an irregular heart rate it can detect it
What can a pacemaker do to a patient's heart?
regulate the heart rate
, What is an echo used for?
detecting valve dysfunction
What do PPI's do for gastric ulcers?
it suppresses gastric acid production
What is good about high fowlers postion?
increases lung expansion and improves ventilation
What med would you discontinue before going in for allergy testing?
prednisone
If a client were to state their vision went blurry before a car accident what would you do first?
monitor neuro
What would be the first thing to do if bowel is protruding from stomach?
CALL FOR HELP
What kind of skin for hypothyroidism?
dry scaly
What does metformin do to glucose?
it decreases the amount of glucose produced in liver
When should client take metformin?
with or immediately following meals
If you have hair loss on lower legs what could be problem?
Peripheral artery disease [PAD]
When is pain happening with PAD?
when resting
How is pain relieved with PAD?
when feet are dangling
After a thoracentesis, what should a nurse tell the client?
to deep breathe which re expands the lungs
What lab would be an indication of osteomyelitis?
increased sedimentation rate [ESR]: blood test that reveals inflammatory activity in the body
What is a blood problem that can occur with someone taking feverfew.
