ATI RN MED SURG RETAKE 2019 UPDATED VERSION
100 QUESTIONS AND UPDATED CORRECT ANSWERS
Retinal Detachment - ANSWER: Curtain over visual field with occasional flashes of
light
Cataracts - ANSWER: Cloudy/Blurry
3 NSAIDS that increase the risk of bleeding - ANSWER: Naproxen, Ibuprofen, and
Aspirin
Thrombocytopenia - ANSWER: Low platelet level in blood
Pt at risk for bleeding due to delayed clotting
Nurse should measure abdominal girth daily for signs of internal bleeding
NO ENEMA
Check IV site every 2 hrs
Require 2L (2,000 ml) of fluid per day
What are platelets also known as? - ANSWER: Thrombocytes
Response to phantom pain - ANSWER: "This type of pain usually decreases over time
as the limb becomes less sensitive"
During chest tube removal - ANSWER: Use vagal maneuver "bear down"
Use occlusive dressing
Sickle Cell Crisis - ANSWER: When RBC's clump together and block small blood
vessels
Encourage fluids
Can give pt opioids
Graves Disease - ANSWER: Overproduction of thyroid hormone
Expected Findings:
difficulty sleeping
diarrhea
HEAT INTOLERANCE
INCREASED APPETITE
Thyroid Strom - ANSWER: Can occur with Graves Disease (Overproduction of thyroid
hormone)
REPORT HYPERTENSION
Other things to monitor for: tachycardia, diarrhea, abdominal pain, N/V,
restlessness, confusion, possible seizures
Hemaglobin Normal Range - ANSWER: 12-18
, When pt has a hypertensive crisis the nurse should FIRST - ANSWER: Elevate HOB
Normal aPTT - ANSWER: 30-40 sec
If pt is taking Heparin.... 60-80 sec
Alzheimer's disease - ANSWER: Add gestures when speaking
Ask yes or no questions
2 visitors at a time
Use same words - don't change up words
genital herpes - ANSWER: Apply warm compress to lesions to relieve discomfort
NO Sexual activity
3 to 4 sitz baths daily
EEG (electroencephalogram) - ANSWER: To detect seizures
Shampoo hair prior to EEG
Instruct client to be sleep deprived - wake up super early day of
Occipital - ANSWER: Back of skull
Pernicious Anemia - ANSWER: Not enough RBCs
Tx: Vitamin B 12
Prevention of breast cancer - ANSWER: Mammograms starting at age 40 - can get
them every 3 years
Dumping Syndrome - ANSWER: Eat meals HIGH IN PROTEIN and FAT
Avoid Fluids
Lie down after meals
Avoid simple carbs like sugar
Foods high in cholesterol - ANSWER: shrimp, cheese, eggs, liver
Post Op Below the Knee Amputation - ANSWER: Place pt on firm mattress
Assist pt into prone position for 20-30 min every 3 to 4 hrs daily
Rewrap the residual limb with a bandage 3 times per day
Fluid Volume Overload Expected Findings - ANSWER: Jugular Vein Distension
Crackles
Increased Heat Rate
Lab finding that shows HIV therapy is effective - ANSWER: Decreased viral load
Expected finding for a pt who is pregnant - ANSWER: Elevated Montgomery's Gland
Tube Feeding - ANSWER: HOB 30 degrees at least (Semi-Fowlers)
Feeding bag should be changed every 24 hrs
100 QUESTIONS AND UPDATED CORRECT ANSWERS
Retinal Detachment - ANSWER: Curtain over visual field with occasional flashes of
light
Cataracts - ANSWER: Cloudy/Blurry
3 NSAIDS that increase the risk of bleeding - ANSWER: Naproxen, Ibuprofen, and
Aspirin
Thrombocytopenia - ANSWER: Low platelet level in blood
Pt at risk for bleeding due to delayed clotting
Nurse should measure abdominal girth daily for signs of internal bleeding
NO ENEMA
Check IV site every 2 hrs
Require 2L (2,000 ml) of fluid per day
What are platelets also known as? - ANSWER: Thrombocytes
Response to phantom pain - ANSWER: "This type of pain usually decreases over time
as the limb becomes less sensitive"
During chest tube removal - ANSWER: Use vagal maneuver "bear down"
Use occlusive dressing
Sickle Cell Crisis - ANSWER: When RBC's clump together and block small blood
vessels
Encourage fluids
Can give pt opioids
Graves Disease - ANSWER: Overproduction of thyroid hormone
Expected Findings:
difficulty sleeping
diarrhea
HEAT INTOLERANCE
INCREASED APPETITE
Thyroid Strom - ANSWER: Can occur with Graves Disease (Overproduction of thyroid
hormone)
REPORT HYPERTENSION
Other things to monitor for: tachycardia, diarrhea, abdominal pain, N/V,
restlessness, confusion, possible seizures
Hemaglobin Normal Range - ANSWER: 12-18
, When pt has a hypertensive crisis the nurse should FIRST - ANSWER: Elevate HOB
Normal aPTT - ANSWER: 30-40 sec
If pt is taking Heparin.... 60-80 sec
Alzheimer's disease - ANSWER: Add gestures when speaking
Ask yes or no questions
2 visitors at a time
Use same words - don't change up words
genital herpes - ANSWER: Apply warm compress to lesions to relieve discomfort
NO Sexual activity
3 to 4 sitz baths daily
EEG (electroencephalogram) - ANSWER: To detect seizures
Shampoo hair prior to EEG
Instruct client to be sleep deprived - wake up super early day of
Occipital - ANSWER: Back of skull
Pernicious Anemia - ANSWER: Not enough RBCs
Tx: Vitamin B 12
Prevention of breast cancer - ANSWER: Mammograms starting at age 40 - can get
them every 3 years
Dumping Syndrome - ANSWER: Eat meals HIGH IN PROTEIN and FAT
Avoid Fluids
Lie down after meals
Avoid simple carbs like sugar
Foods high in cholesterol - ANSWER: shrimp, cheese, eggs, liver
Post Op Below the Knee Amputation - ANSWER: Place pt on firm mattress
Assist pt into prone position for 20-30 min every 3 to 4 hrs daily
Rewrap the residual limb with a bandage 3 times per day
Fluid Volume Overload Expected Findings - ANSWER: Jugular Vein Distension
Crackles
Increased Heat Rate
Lab finding that shows HIV therapy is effective - ANSWER: Decreased viral load
Expected finding for a pt who is pregnant - ANSWER: Elevated Montgomery's Gland
Tube Feeding - ANSWER: HOB 30 degrees at least (Semi-Fowlers)
Feeding bag should be changed every 24 hrs
