MEDICAL-SURGICAL PROCTORED (ATI RN)
2024/2025 EXAM WITH DETAILED QUESTIONS AN
ACCURATE ANSWERS
NEUR Glaucoma s/s: - CORRECT ANSWER-headache
-eye pain
-loss of peripheral vision
-elevated IOP (above 21)
-decreased or blurred vision
-halos around lights
-nonreactive pupils to lights
-photophobia
Gi Wound care following an open cholecystectomy: - CORRECT ANSWER-hospitalized
for 2-3 days
-T tube may be in place (drainage is initially bloody then brown-green bile)
-report drainage exceeding 1000 mL/day
-keep drainage bag at level of gallbladder
-clamp tube 1-2 hr before & after meals
-expect more than 400 mL of drainage in the 1st 24 hr initially, w/gradual decrease
-report nausea & pain (indicates obstruction of t-tube)
MUSC Nonpharm interventions for total knee replacement postop client complaining of
pain but refusing pain meds: - CORRECT ANSWER cold or ice therapy
Removing a PICC: - CORRECT ANSWER remove using direct pressure w/gauze
sponge until bleeding stops
apply cool compresses
elevation of arm is optional
Central venous access device care: - CORRECT ANSWER-remove tubing & solution
bag every 24 hr.
-DO NOT use line for other bolus IV solutions
-sterile dressing changes
-check cap glucose Q 4-6 hr.
Med Client teaching on use of Furosemide: - CORRECT ANSWER-monitor for
hypokalemia effects
-eat more K+ foods
-increased peeing is normal
, -take in the morning before breakfast to prevent nocturia
Med Client teaching for self-admin of alendronate (fosamax): - CORRECT ANSWER-
take w/ 8 oz of water in the early morning before eating
-remain upright for 30 min after taking
REN Preventing AKI: - CORRECT ANSWER-fluid resuscitation
-smoking cessation
-weight loss
-NSAID use monitoring
-control DM & HTN
-take prescribed abx
NEUR Preparing a client for a lumbar puncture: - CORRECT ANSWER-remove all
jewelry
-void prior
-cannonball position, side lying with knees to chest or sitting stretched over an overbed
table
ENDO Lab values for evaluating effective glycemic control in diabetic pts: - CORRECT
ANSWERHbA1c 4-6% no more than 7%
2 hr glucose tolerance test greater than 200 is bad
fasting blood glucose greater than 126 is bad
Client teaching following a partial glossectomy: - CORRECT ANSWER-speech
therapist/pathologist
-avoid mouth washes with alcohol or lemon glycerin swabs
-rinse mouth w/warm sodium bicarbonate or 0.9% sodium chloride
-report swallowing difficulty
-HOB elevated
-thicken liquids
-cleanse toothbrush after each use
-temp/permenant taste changes may happen
Paracentesis actions: - CORRECT ANSWER-informed consent
-labs (BUN, creat, albumin, protein, glucose)
-void or urinary cath
-high fowlers
-review baseline vitals & abd girth
-admin sedation as prescribed
-admin IV bolus fluids or albumin prior to & after
NEUR Planning to admin thrombolytic therapy to a client who had a stroke... -
CORRECT ANSWER admin within 4.5 hours of onset of initial symptoms
2024/2025 EXAM WITH DETAILED QUESTIONS AN
ACCURATE ANSWERS
NEUR Glaucoma s/s: - CORRECT ANSWER-headache
-eye pain
-loss of peripheral vision
-elevated IOP (above 21)
-decreased or blurred vision
-halos around lights
-nonreactive pupils to lights
-photophobia
Gi Wound care following an open cholecystectomy: - CORRECT ANSWER-hospitalized
for 2-3 days
-T tube may be in place (drainage is initially bloody then brown-green bile)
-report drainage exceeding 1000 mL/day
-keep drainage bag at level of gallbladder
-clamp tube 1-2 hr before & after meals
-expect more than 400 mL of drainage in the 1st 24 hr initially, w/gradual decrease
-report nausea & pain (indicates obstruction of t-tube)
MUSC Nonpharm interventions for total knee replacement postop client complaining of
pain but refusing pain meds: - CORRECT ANSWER cold or ice therapy
Removing a PICC: - CORRECT ANSWER remove using direct pressure w/gauze
sponge until bleeding stops
apply cool compresses
elevation of arm is optional
Central venous access device care: - CORRECT ANSWER-remove tubing & solution
bag every 24 hr.
-DO NOT use line for other bolus IV solutions
-sterile dressing changes
-check cap glucose Q 4-6 hr.
Med Client teaching on use of Furosemide: - CORRECT ANSWER-monitor for
hypokalemia effects
-eat more K+ foods
-increased peeing is normal
, -take in the morning before breakfast to prevent nocturia
Med Client teaching for self-admin of alendronate (fosamax): - CORRECT ANSWER-
take w/ 8 oz of water in the early morning before eating
-remain upright for 30 min after taking
REN Preventing AKI: - CORRECT ANSWER-fluid resuscitation
-smoking cessation
-weight loss
-NSAID use monitoring
-control DM & HTN
-take prescribed abx
NEUR Preparing a client for a lumbar puncture: - CORRECT ANSWER-remove all
jewelry
-void prior
-cannonball position, side lying with knees to chest or sitting stretched over an overbed
table
ENDO Lab values for evaluating effective glycemic control in diabetic pts: - CORRECT
ANSWERHbA1c 4-6% no more than 7%
2 hr glucose tolerance test greater than 200 is bad
fasting blood glucose greater than 126 is bad
Client teaching following a partial glossectomy: - CORRECT ANSWER-speech
therapist/pathologist
-avoid mouth washes with alcohol or lemon glycerin swabs
-rinse mouth w/warm sodium bicarbonate or 0.9% sodium chloride
-report swallowing difficulty
-HOB elevated
-thicken liquids
-cleanse toothbrush after each use
-temp/permenant taste changes may happen
Paracentesis actions: - CORRECT ANSWER-informed consent
-labs (BUN, creat, albumin, protein, glucose)
-void or urinary cath
-high fowlers
-review baseline vitals & abd girth
-admin sedation as prescribed
-admin IV bolus fluids or albumin prior to & after
NEUR Planning to admin thrombolytic therapy to a client who had a stroke... -
CORRECT ANSWER admin within 4.5 hours of onset of initial symptoms
