ATI PN ADULT MEDICAL SURGICAL PROCTORED
2023 NEWEST EXAM VERSION A, B AND C EACH
VERSION WITH 90 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) AND
RATIONALES /ALREADY GRADED A+
Aspects of Health and Wellness - ANSWER Physical, Emotional, Social,
Intellectual, Spiritual, Occupational, Environmental
Illness-Wellness Continuum - ANSWER A Data Collection Tool Used to Measure
the Level of Wellness to Premature Death
Illness - ANSWER The Impairment of a Client's Physical , Social, Emotional,
Spiritual, Developmental, or Intellectual Functioning
Health & Wellness (Interventions) - ANSWER Recommend Strengthening Coping
Abilities, Identify & Encourage Use of Support Systems, Identify & Find Ways to
Reduce Obstacles, Assist with Development of Health Education to Improve Health
Awareness.
Emergency Nursing Principles - ANSWER ABCDE Principle
A- Airway/Cervical Spine - ANSWER Airway Should be Opened with the Head-
Tilt/Chin-Lift Maneuver, Do Not Perform On Clients With a Cervical Spine Injury
B- Breathing - ANSWER Once a Patent Airway is Achieved, the Nurse Should
Check for the Presence & Effectiveness of Breathing
C- Circulation - ANSWER Nurses Should Check Heart Rate, Blood Pressure,
Peripheral Pulses, Capillary Refill for Adequate Perfusion
Interventions for Restoring Effective Circulation - ANSWER Perform CPR, Check
for External Bleeding, Hemorrhage Control, Assist with Infusion Isotonic IV Fluids
Interventions to Alleviate Shock - ANSWER Administer Oxygen, Apply Pressure to
Obvious Bleeding, Elevate Lower Extremities, Provide IV Fluids, Remain with Client
Provide Reassurance & Support for Anxiety
D- Disability - ANSWER A Quick Check to Determine the Client's Level of
Consciousness (AVPU, Glasgow Coma Scale)
AVPU - ANSWER Alert, Voice (Responsiveness to), Pain (Responsiveness to),
Unresponsiveness
,E- Exposure - ANSWER Nurse Removes Client's Clothing to Collect Physical
Findings, Always Remove When There are Injuries Related to Chemical & Thermal
Burns, Preserve Items of Evidence , Hypothermia is a Huge Concern
Preventing Hypothermia - ANSWER Remove Wet Clothing from the Client, Cover
the Client with Warm Blankets, Increase Temperature of the Room, Use a Heat
Lamp to Provide Additional Warmth, Assist with Infusion of Warmed IV Fluids
Heat Exhaustion (Manifestations) - ANSWER Causes Tachycardia & Excessive
Diaphoresis Leading to Dehydration, Receive Treatment for Dehydration & Low
Sodium
Heat Stroke (Manifestations) - ANSWER Elevated Temperature, Lack of
Perspiration, Increased Heart Rate, Alterations in Mental Status, Abnormal Blood
Potassium or Sodium Levels
Preventing Hyperthermia - ANSWER Wear Lightweight Loose Fitting Clothing,
Avoid Excessive Sun Exposure, Stay Indoors with Fans & AC, Limit Consumption of
Alcohol & Caffeine, Take a Cool Shower or Bath
Frostbite (Interventions) - ANSWER Clients Require Rewarming, Bathing Affected
Areas in Warm Bath (104-108), Administer Tetanus Toxoid IM Vaccine to Prevent
Complication Related to Growth of Tetanus in Wounds
Poisoning (Interventions) - ANSWER Provide Measures for Respiratory Support,
Monitor Compromised Circulation, Restore Fluids, Monitor Blood Pressure,
Administer Diazepam for Seizures
Poisoning - ANSWER Poisoning is Exposure to a Toxic Agent, Considered a
Medical Emergency & Requires Rapid Management Therapy
Types of Cardiac Emergencies - ANSWER Cardiac Arrest, Ventricular Fibrillation
(VF), Pulseless Ventricular Tachycardia (VT), Ventricular Asystole, Pulseless
Electrical Activity (PEA), Sudden Cardiac Death
Emergency Nurse Certifications - ANSWER BLS, ACLS, Pediatric Advanced Life
Support
Cerebral Angiography - ANSWER Provides Visualization of the Cerebral Blood
Vessels
Cerebral Angiography (Indications) - ANSWER Used to Check the Blood Flow to &
Within the Brain, Identify Aneurysms, & Define the Vascularity of Tumors
Cerebral Angiography (Client Education) - ANSWER Void Immediately Prior to the
Procedure, Common to Experience a Metallic Taste & Feel a Sensation of Warmth
Behind the Eyes & Over the Face, Jaw, Tongue, Lips
Cerebral Angiography (Complications) - ANSWER Risk for Bleeding & Hematoma
Formation
,Cerebral Computed Tomography Scan - ANSWER Provides Cross-Sectional
Images of the Cranial Cavity. A Contrast Medium can be used to Enhance the
Images
Cerebral Computed Tomography Scan (Indications) - ANSWER CT Scanning can
be used to Identify Tumors & Infarctions, Detect Abnormalities, Monitor Response to
Treatment, and Guide Needles Used for Biopsies
Electroencephalography - ANSWER A Noninvasive Procedure that Checks the
Electrical Activity of the Brain and is used to Determine Abnormalities in Brain Wave
Patterns
Electroencephalography (Indications) - ANSWER Most Commonly Performed to
Identify & Determine Seizure Activity, But Also used to Detect Sleeping Disorders
Electroencephalography (Client Education) - ANSWER Wash Hair to Eliminate all
Gels, Oils, and Sprays; Avoid Taking any Stimulant or Sedative Medication 24-48
Hours Prior to the Procedure, May be Asked to Hyperventilate for 3-4 Minutes
Glasgow Coma Scale - ANSWER This Data Collection Tool Concentrates on
Neurologic Function and is Useful to Determine the Level of Consciousness and
Monitor Response to Treatment
Glasgow Coma Scale (Indications) - ANSWER Helpful in Determining Changes in
the LOC for Clients Who Have Head Injuries, Space-Occupying Lesions or Cerebral
Infarctions and Encephaltitis
Intracranial Pressure Monitoring - ANSWER Device Inserted into the Cranial Cavity
that Records Pressure and is Connected to a Monitor that Shows a Picture of the
Pressure Waveforms
Intracranial Pressure Monitoring (Indications) - ANSWER Useful for Early
Identification and Treatment of Increased Intracranial Pressure
Intracranial Pressure Monitoring (Manifestations) - ANSWER Severe Headache,
Deteriorating LOC, Restlessness, Irritability, Dilated or Pinpoint Pupils, Slowness to
React, Alteration in Breathing Pattern, Abnormal Posturing
Lumbar Puncture (Spinal Tap) - ANSWER Procedure During Which a Small
Amount of CSF is Withdrawn from the Spinal Canal then Analyze to Determine its
Constituents
Lumbar Puncture (Indications) - ANSWER Used to Detect the Presence of Some
Diseases, Infections, and Malignancies. Used to Reduce CSF Pressure, Instill a
Contrast Medium or Air for Diagnostic Tests, or Administer Medication or
Chemotherapy Directly to Spinal Fluid
Magnetic Resonance Imaging Scan - ANSWER Provides Cross-Sectional Images
of the Cranial Activity
, Magnetic Resonance Imaging Scan (Indications) - ANSWER Used to Detect
Abnormalities, Monitor Response to Treatment, and Guide Needles used for
Biopsies
PET & SPECT Scans - ANSWER Nuclear Medicine Procedures that Produce
Three-Dimensional Images of the Head
PET & SPECT Scans (Indications) - ANSWER Captures Regional Metabolic
Processes, Which is Most Useful in Determining Tumor Activity and/or Response to
Treatment
Radiography (X-Ray) - ANSWER Uses Electromagnetic Radiation to Capture
Images of the Internal Structures of an Individual
Radiography (Indications) - ANSWER Examinations of the Skull and Spine can
Reveal Fractures, Curvatures, Bone Erosion, and Dislocation, and Possible Soft
Tissue Calcification, All of Which can Damage the Nervous System
Types of Pain - ANSWER Acute, Chronic, Nociceptive, Neuropathic`
Focused Pain Data Collection - ANSWER Location, Quality, Measures (Intensity,
Strength, Severity), Timing, Setting, Associated Manifestations, Aggravating Factors
Nonpharmacological Pain Management - ANSWER Mind-Body Practices,
Cognitive Approaches, Natural Products,
Pharmacological Interventions - ANSWER Non-Opioid Analgesics, Opioid
Analgesics, Adjuvant Analgesics, Patient-Controlled Analgesics, Spinal-Cord
Stimulators (Epidural)
Complications of Pain Management - ANSWER Severe Anxiety, Depression,
Sedation, Respiratory Distress, and Coma
Meningitis - ANSWER Inflammation of the Meninges
Meningitis (Expected Findings) - ANSWER Excruciating, Constant Headache, Stiff
Neck, Photophobia, Fever & Chills, Altered LOC, Positive Kerning's Sign, Seizures,
Positive Brudzinski's Sign
Meningitis (Nursing Care) - ANSWER Maintain Isolation Precautions, Implement
Fever-Reduction Measures, Decrease Environmental Stimuli, Monitor for ICP
Meningitis (Medication) - ANSWER Ceftriaxone with Vancomycin, Phenytoin,
Acetaminophen, Ibuprofen, Ciprofloxacin, Rifampin
Meningitis (Complications) - ANSWER Increased ICP, SIADH, Septic Emboli
2023 NEWEST EXAM VERSION A, B AND C EACH
VERSION WITH 90 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) AND
RATIONALES /ALREADY GRADED A+
Aspects of Health and Wellness - ANSWER Physical, Emotional, Social,
Intellectual, Spiritual, Occupational, Environmental
Illness-Wellness Continuum - ANSWER A Data Collection Tool Used to Measure
the Level of Wellness to Premature Death
Illness - ANSWER The Impairment of a Client's Physical , Social, Emotional,
Spiritual, Developmental, or Intellectual Functioning
Health & Wellness (Interventions) - ANSWER Recommend Strengthening Coping
Abilities, Identify & Encourage Use of Support Systems, Identify & Find Ways to
Reduce Obstacles, Assist with Development of Health Education to Improve Health
Awareness.
Emergency Nursing Principles - ANSWER ABCDE Principle
A- Airway/Cervical Spine - ANSWER Airway Should be Opened with the Head-
Tilt/Chin-Lift Maneuver, Do Not Perform On Clients With a Cervical Spine Injury
B- Breathing - ANSWER Once a Patent Airway is Achieved, the Nurse Should
Check for the Presence & Effectiveness of Breathing
C- Circulation - ANSWER Nurses Should Check Heart Rate, Blood Pressure,
Peripheral Pulses, Capillary Refill for Adequate Perfusion
Interventions for Restoring Effective Circulation - ANSWER Perform CPR, Check
for External Bleeding, Hemorrhage Control, Assist with Infusion Isotonic IV Fluids
Interventions to Alleviate Shock - ANSWER Administer Oxygen, Apply Pressure to
Obvious Bleeding, Elevate Lower Extremities, Provide IV Fluids, Remain with Client
Provide Reassurance & Support for Anxiety
D- Disability - ANSWER A Quick Check to Determine the Client's Level of
Consciousness (AVPU, Glasgow Coma Scale)
AVPU - ANSWER Alert, Voice (Responsiveness to), Pain (Responsiveness to),
Unresponsiveness
,E- Exposure - ANSWER Nurse Removes Client's Clothing to Collect Physical
Findings, Always Remove When There are Injuries Related to Chemical & Thermal
Burns, Preserve Items of Evidence , Hypothermia is a Huge Concern
Preventing Hypothermia - ANSWER Remove Wet Clothing from the Client, Cover
the Client with Warm Blankets, Increase Temperature of the Room, Use a Heat
Lamp to Provide Additional Warmth, Assist with Infusion of Warmed IV Fluids
Heat Exhaustion (Manifestations) - ANSWER Causes Tachycardia & Excessive
Diaphoresis Leading to Dehydration, Receive Treatment for Dehydration & Low
Sodium
Heat Stroke (Manifestations) - ANSWER Elevated Temperature, Lack of
Perspiration, Increased Heart Rate, Alterations in Mental Status, Abnormal Blood
Potassium or Sodium Levels
Preventing Hyperthermia - ANSWER Wear Lightweight Loose Fitting Clothing,
Avoid Excessive Sun Exposure, Stay Indoors with Fans & AC, Limit Consumption of
Alcohol & Caffeine, Take a Cool Shower or Bath
Frostbite (Interventions) - ANSWER Clients Require Rewarming, Bathing Affected
Areas in Warm Bath (104-108), Administer Tetanus Toxoid IM Vaccine to Prevent
Complication Related to Growth of Tetanus in Wounds
Poisoning (Interventions) - ANSWER Provide Measures for Respiratory Support,
Monitor Compromised Circulation, Restore Fluids, Monitor Blood Pressure,
Administer Diazepam for Seizures
Poisoning - ANSWER Poisoning is Exposure to a Toxic Agent, Considered a
Medical Emergency & Requires Rapid Management Therapy
Types of Cardiac Emergencies - ANSWER Cardiac Arrest, Ventricular Fibrillation
(VF), Pulseless Ventricular Tachycardia (VT), Ventricular Asystole, Pulseless
Electrical Activity (PEA), Sudden Cardiac Death
Emergency Nurse Certifications - ANSWER BLS, ACLS, Pediatric Advanced Life
Support
Cerebral Angiography - ANSWER Provides Visualization of the Cerebral Blood
Vessels
Cerebral Angiography (Indications) - ANSWER Used to Check the Blood Flow to &
Within the Brain, Identify Aneurysms, & Define the Vascularity of Tumors
Cerebral Angiography (Client Education) - ANSWER Void Immediately Prior to the
Procedure, Common to Experience a Metallic Taste & Feel a Sensation of Warmth
Behind the Eyes & Over the Face, Jaw, Tongue, Lips
Cerebral Angiography (Complications) - ANSWER Risk for Bleeding & Hematoma
Formation
,Cerebral Computed Tomography Scan - ANSWER Provides Cross-Sectional
Images of the Cranial Cavity. A Contrast Medium can be used to Enhance the
Images
Cerebral Computed Tomography Scan (Indications) - ANSWER CT Scanning can
be used to Identify Tumors & Infarctions, Detect Abnormalities, Monitor Response to
Treatment, and Guide Needles Used for Biopsies
Electroencephalography - ANSWER A Noninvasive Procedure that Checks the
Electrical Activity of the Brain and is used to Determine Abnormalities in Brain Wave
Patterns
Electroencephalography (Indications) - ANSWER Most Commonly Performed to
Identify & Determine Seizure Activity, But Also used to Detect Sleeping Disorders
Electroencephalography (Client Education) - ANSWER Wash Hair to Eliminate all
Gels, Oils, and Sprays; Avoid Taking any Stimulant or Sedative Medication 24-48
Hours Prior to the Procedure, May be Asked to Hyperventilate for 3-4 Minutes
Glasgow Coma Scale - ANSWER This Data Collection Tool Concentrates on
Neurologic Function and is Useful to Determine the Level of Consciousness and
Monitor Response to Treatment
Glasgow Coma Scale (Indications) - ANSWER Helpful in Determining Changes in
the LOC for Clients Who Have Head Injuries, Space-Occupying Lesions or Cerebral
Infarctions and Encephaltitis
Intracranial Pressure Monitoring - ANSWER Device Inserted into the Cranial Cavity
that Records Pressure and is Connected to a Monitor that Shows a Picture of the
Pressure Waveforms
Intracranial Pressure Monitoring (Indications) - ANSWER Useful for Early
Identification and Treatment of Increased Intracranial Pressure
Intracranial Pressure Monitoring (Manifestations) - ANSWER Severe Headache,
Deteriorating LOC, Restlessness, Irritability, Dilated or Pinpoint Pupils, Slowness to
React, Alteration in Breathing Pattern, Abnormal Posturing
Lumbar Puncture (Spinal Tap) - ANSWER Procedure During Which a Small
Amount of CSF is Withdrawn from the Spinal Canal then Analyze to Determine its
Constituents
Lumbar Puncture (Indications) - ANSWER Used to Detect the Presence of Some
Diseases, Infections, and Malignancies. Used to Reduce CSF Pressure, Instill a
Contrast Medium or Air for Diagnostic Tests, or Administer Medication or
Chemotherapy Directly to Spinal Fluid
Magnetic Resonance Imaging Scan - ANSWER Provides Cross-Sectional Images
of the Cranial Activity
, Magnetic Resonance Imaging Scan (Indications) - ANSWER Used to Detect
Abnormalities, Monitor Response to Treatment, and Guide Needles used for
Biopsies
PET & SPECT Scans - ANSWER Nuclear Medicine Procedures that Produce
Three-Dimensional Images of the Head
PET & SPECT Scans (Indications) - ANSWER Captures Regional Metabolic
Processes, Which is Most Useful in Determining Tumor Activity and/or Response to
Treatment
Radiography (X-Ray) - ANSWER Uses Electromagnetic Radiation to Capture
Images of the Internal Structures of an Individual
Radiography (Indications) - ANSWER Examinations of the Skull and Spine can
Reveal Fractures, Curvatures, Bone Erosion, and Dislocation, and Possible Soft
Tissue Calcification, All of Which can Damage the Nervous System
Types of Pain - ANSWER Acute, Chronic, Nociceptive, Neuropathic`
Focused Pain Data Collection - ANSWER Location, Quality, Measures (Intensity,
Strength, Severity), Timing, Setting, Associated Manifestations, Aggravating Factors
Nonpharmacological Pain Management - ANSWER Mind-Body Practices,
Cognitive Approaches, Natural Products,
Pharmacological Interventions - ANSWER Non-Opioid Analgesics, Opioid
Analgesics, Adjuvant Analgesics, Patient-Controlled Analgesics, Spinal-Cord
Stimulators (Epidural)
Complications of Pain Management - ANSWER Severe Anxiety, Depression,
Sedation, Respiratory Distress, and Coma
Meningitis - ANSWER Inflammation of the Meninges
Meningitis (Expected Findings) - ANSWER Excruciating, Constant Headache, Stiff
Neck, Photophobia, Fever & Chills, Altered LOC, Positive Kerning's Sign, Seizures,
Positive Brudzinski's Sign
Meningitis (Nursing Care) - ANSWER Maintain Isolation Precautions, Implement
Fever-Reduction Measures, Decrease Environmental Stimuli, Monitor for ICP
Meningitis (Medication) - ANSWER Ceftriaxone with Vancomycin, Phenytoin,
Acetaminophen, Ibuprofen, Ciprofloxacin, Rifampin
Meningitis (Complications) - ANSWER Increased ICP, SIADH, Septic Emboli
