ATI ADULT MEDICAL SURGICAL
PROCTORED EXAM WITH 100%
CORRECT ANSWERS
1. Endotracheal tube extubate what would you report immedatiely?: stridor
2. Why is stridor bad?: it means that there is an obstruction or edema in
airway
3. What is heart rate like in someone who has a low fluid volume?: higher than
usual like 110
4. What is normal unrine gravity?: 1.000 - 1.030
5. What is positive pressure doing?: promote lung expansion and stabilize
chest
6. Would you recomened exercise for a patient who has been discharged with heart
failure?: yes
7. How often should exercise be in heart failure patient?: regular routine
,8. Should you consume milk with iron supplements?: no, can cause gastro
disturbances
9. Would you take iron with antacids?: no, gastro disturbances
10.Would you tell the patient to lower red meat intake with iron deficiency?: no,
because they would need to increase
11.What is a common side effect with iron pills?: constipation
12.What would you tell them to eat when taking iron pills?: high fiber diet
13.When does pain worsen with compartment syndrome?: when passive move-
ment occurs
14.What does warmth under cast indicate?: infection
15.Should patient decrease complex carbs for atherosceleoris?: no
16.What carb should a client with atherosceloris decrease?: simple sugars
17.Is MRSA airborne or contact?: contact
18.What does phenytoin do to hepatic enzymes [seizure med]?: it decreases
effectiveness
19.What should you tell the client not to take with ciprofloxacin?: magnesium
containing antacids
,20.Why wouldn't you take magnesium containing anatacids with cipro?: cal- cium
can decrease absorption of med
21.What is a common side effect of rifampin?: color of pee
22.Can you take ciproflaxcin with alcohol?: yes
23.After a para-thyroidectomy what would be a priority for the nurse to do?: to put
trach tray by bedside [think AIRWAY]
24.What meds increase osteoporosis?: Fludrocortisone
25.With enoxaparin what is the main thing the nurse should do?: give dosage
same time every day
26.Is restlessness common in hyperthyroidism?: yes
27.What would be urgent for hyperthyroidism?: high blood pressure
28.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]
29.Why would gentamicin be withheld from a patient?: creatine levels are too
high
30.What is normal creatine?: 0.6 - 1.2
31.What is one of the first vital signs of a hemorrhage?: increased heart rate
32.What med would you give for a febrile reaction?: Tylenol [reduces fever]
, 33.How long does a drain stay in place for a radical mastectomy?: 1 to 3 weeks
34.What drainage amount is needed to get rid of drainage tube for mastecto- my?:
less than 25 ml
35.What is the first thing to ask if a client reports dyspnea and shortness of breath
when put on O2?: if they have COPD
36.Why would it be bad for you to put O2 on a COPD patient?: It can worsen
hypercarbia
37.Leukemia client; would their hemoglobin be increased or decreased?: de-
creased
38. What would be a big sign that a client's nephrostomy tube has popped?: -
back pain
39.What is max amount of flexing for total hip replacement?: no more than 90
degrees
40.Why would you place a pillow between a patient's legs for hip athroplas- ty?: so
hips don't get dislodged
41.What is a holter monitor used for?: if you have an irregular heart rate it
can detect it
42.What can a pacemaker do to a patient's heart?: regulate the heart rate
PROCTORED EXAM WITH 100%
CORRECT ANSWERS
1. Endotracheal tube extubate what would you report immedatiely?: stridor
2. Why is stridor bad?: it means that there is an obstruction or edema in
airway
3. What is heart rate like in someone who has a low fluid volume?: higher than
usual like 110
4. What is normal unrine gravity?: 1.000 - 1.030
5. What is positive pressure doing?: promote lung expansion and stabilize
chest
6. Would you recomened exercise for a patient who has been discharged with heart
failure?: yes
7. How often should exercise be in heart failure patient?: regular routine
,8. Should you consume milk with iron supplements?: no, can cause gastro
disturbances
9. Would you take iron with antacids?: no, gastro disturbances
10.Would you tell the patient to lower red meat intake with iron deficiency?: no,
because they would need to increase
11.What is a common side effect with iron pills?: constipation
12.What would you tell them to eat when taking iron pills?: high fiber diet
13.When does pain worsen with compartment syndrome?: when passive move-
ment occurs
14.What does warmth under cast indicate?: infection
15.Should patient decrease complex carbs for atherosceleoris?: no
16.What carb should a client with atherosceloris decrease?: simple sugars
17.Is MRSA airborne or contact?: contact
18.What does phenytoin do to hepatic enzymes [seizure med]?: it decreases
effectiveness
19.What should you tell the client not to take with ciprofloxacin?: magnesium
containing antacids
,20.Why wouldn't you take magnesium containing anatacids with cipro?: cal- cium
can decrease absorption of med
21.What is a common side effect of rifampin?: color of pee
22.Can you take ciproflaxcin with alcohol?: yes
23.After a para-thyroidectomy what would be a priority for the nurse to do?: to put
trach tray by bedside [think AIRWAY]
24.What meds increase osteoporosis?: Fludrocortisone
25.With enoxaparin what is the main thing the nurse should do?: give dosage
same time every day
26.Is restlessness common in hyperthyroidism?: yes
27.What would be urgent for hyperthyroidism?: high blood pressure
28.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]
29.Why would gentamicin be withheld from a patient?: creatine levels are too
high
30.What is normal creatine?: 0.6 - 1.2
31.What is one of the first vital signs of a hemorrhage?: increased heart rate
32.What med would you give for a febrile reaction?: Tylenol [reduces fever]
, 33.How long does a drain stay in place for a radical mastectomy?: 1 to 3 weeks
34.What drainage amount is needed to get rid of drainage tube for mastecto- my?:
less than 25 ml
35.What is the first thing to ask if a client reports dyspnea and shortness of breath
when put on O2?: if they have COPD
36.Why would it be bad for you to put O2 on a COPD patient?: It can worsen
hypercarbia
37.Leukemia client; would their hemoglobin be increased or decreased?: de-
creased
38. What would be a big sign that a client's nephrostomy tube has popped?: -
back pain
39.What is max amount of flexing for total hip replacement?: no more than 90
degrees
40.Why would you place a pillow between a patient's legs for hip athroplas- ty?: so
hips don't get dislodged
41.What is a holter monitor used for?: if you have an irregular heart rate it
can detect it
42.What can a pacemaker do to a patient's heart?: regulate the heart rate
