TEST BANK
-ATI MEDICAL SURGICAL/ NEWEST
EDITION UPDATED 2024//2025
A+GRADED WITH DETAILED
QUESTIONSAND CORRECT ANSWERS
Planning to admin thrombolytic therapy to a client who had a stroke... - CORRECT
ANSWER admin within 4.5 hours of onset of initial symptoms
What would cause the nurse to question the prescription of a provider on a client with a
chest tube? - CORRECT ANSWER -milk the tubing 1x/day
-Strip the drainage tubing to check for kinks
also question clamping as this can cause tension pneumothorax
If the chest tube tubing separates... - CORRECT ANSWER Instruct client to exhale as
much as possible & to cough to remove as much air as possible from the pleural space.
The nurse cleanses the tips & reconnects the tubing.
If the chest drainage system is compromised... - CORRECT ANSWER, the nurse must
immerse the end of the tube in sterile water to restore the water seal
If the chest tube is accidentally removed... - CORRECT ANSWER an occlusive dressing
taped only on 3 sides should be immediately placed over the insertion site
Proper administration of peritoneal dialysis: - CORRECT ANSWER 1. warm diasylate
prior to infusing
2. should be clear-light yellow in color
,3. maintain surgical asepsis of the catheter insertion site & when accessing the catheter
4. keep outflow bag lower than client's abd
5. reposition client if outflow/inflow is inadequate
6. milk catheter if clot forms
Lower back or abdominal discomfort & tenderness over the bladder area indicates: -
CORRECT ANSWER UTI
Costovertebral pain, flank pain indicates: - CORRECT ANSWER pyelonephritis
Meningitis care plan: - CORRECT ANSWER -isolate as soon as it is suspected
-droplet precautions
-fever reduction methods
-provide quiet environment
-minimize exposure to bright light
-bed at 30 degrees
-seizure precautions
-antipyretics
-emesis basin at bedside
Clinical manifestations of Dehydration: - CORRECT ANSWER -hyperthermia
-tachycardia
-thready pulse
-hypotension
-orthostatic hypotension
-decreased CVP
-tachypnea
-hypoxia
-dizziness
-syncope
-weakness
,-fatigue
-increased Hct
-increased urine osmolarity (greater than 300)
-increased Na
-increased BUN
-increased protein
Priority action for symptomatic sinus bradycardia: - CORRECT ANSWER atropine &
isoproterenol
then pacemaker
If suspected central venous access device is infiltrated or extravasation: - CORRECT
ANSWER -stop infusion & remove cath
-elevate the extremity
-encourage active ROM
-apply warm/cold compresses as prescribed
If suspected central venous access device has a hematoma: - CORRECT ANSWER -no
alcohol applying
-apply pressure after catheter removal
-warm compress & elevation until bleeding stops
If suspected fluid overload from central venous access device: - CORRECT ANSWER -
stop infusion
-raise HOB
-measure vitals & O2 sats
-adjust rate after correcting fluid
-administer diuretics as prescribed
, If suspected cellulitis from central venous access device: - CORRECT ANSWER -stop
infusion & remove catheter
-elevate the extremity
-apply warm compresses
-admin abx, analgesics, & antipyretics
If suspected catheter embolus from a central venous access device: - CORRECT
ANSWER -place tourniquet high on extremity
-prepare for removal under xray or surgery
-save catheter after removal to determine cause
Unilateral shaking or tremor of one limb; which stage of Parkinson's? - CORRECT
ANSWER Stage 1
Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of
Parkinson's? - CORRECT ANSWER Stage 2
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - CORRECT ANSWER Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which
stage of Parkinson's? - CORRECT ANSWER Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia.
Which stage of Parkinson's? - CORRECT ANSWER Stage 5
HIV/AIDS home care teaching: - CORRECT ANSWER -no raw foods, veggies, fruits
-no changing cat litter boxes
-good hand hygiene
-avoid infectious people
-ATI MEDICAL SURGICAL/ NEWEST
EDITION UPDATED 2024//2025
A+GRADED WITH DETAILED
QUESTIONSAND CORRECT ANSWERS
Planning to admin thrombolytic therapy to a client who had a stroke... - CORRECT
ANSWER admin within 4.5 hours of onset of initial symptoms
What would cause the nurse to question the prescription of a provider on a client with a
chest tube? - CORRECT ANSWER -milk the tubing 1x/day
-Strip the drainage tubing to check for kinks
also question clamping as this can cause tension pneumothorax
If the chest tube tubing separates... - CORRECT ANSWER Instruct client to exhale as
much as possible & to cough to remove as much air as possible from the pleural space.
The nurse cleanses the tips & reconnects the tubing.
If the chest drainage system is compromised... - CORRECT ANSWER, the nurse must
immerse the end of the tube in sterile water to restore the water seal
If the chest tube is accidentally removed... - CORRECT ANSWER an occlusive dressing
taped only on 3 sides should be immediately placed over the insertion site
Proper administration of peritoneal dialysis: - CORRECT ANSWER 1. warm diasylate
prior to infusing
2. should be clear-light yellow in color
,3. maintain surgical asepsis of the catheter insertion site & when accessing the catheter
4. keep outflow bag lower than client's abd
5. reposition client if outflow/inflow is inadequate
6. milk catheter if clot forms
Lower back or abdominal discomfort & tenderness over the bladder area indicates: -
CORRECT ANSWER UTI
Costovertebral pain, flank pain indicates: - CORRECT ANSWER pyelonephritis
Meningitis care plan: - CORRECT ANSWER -isolate as soon as it is suspected
-droplet precautions
-fever reduction methods
-provide quiet environment
-minimize exposure to bright light
-bed at 30 degrees
-seizure precautions
-antipyretics
-emesis basin at bedside
Clinical manifestations of Dehydration: - CORRECT ANSWER -hyperthermia
-tachycardia
-thready pulse
-hypotension
-orthostatic hypotension
-decreased CVP
-tachypnea
-hypoxia
-dizziness
-syncope
-weakness
,-fatigue
-increased Hct
-increased urine osmolarity (greater than 300)
-increased Na
-increased BUN
-increased protein
Priority action for symptomatic sinus bradycardia: - CORRECT ANSWER atropine &
isoproterenol
then pacemaker
If suspected central venous access device is infiltrated or extravasation: - CORRECT
ANSWER -stop infusion & remove cath
-elevate the extremity
-encourage active ROM
-apply warm/cold compresses as prescribed
If suspected central venous access device has a hematoma: - CORRECT ANSWER -no
alcohol applying
-apply pressure after catheter removal
-warm compress & elevation until bleeding stops
If suspected fluid overload from central venous access device: - CORRECT ANSWER -
stop infusion
-raise HOB
-measure vitals & O2 sats
-adjust rate after correcting fluid
-administer diuretics as prescribed
, If suspected cellulitis from central venous access device: - CORRECT ANSWER -stop
infusion & remove catheter
-elevate the extremity
-apply warm compresses
-admin abx, analgesics, & antipyretics
If suspected catheter embolus from a central venous access device: - CORRECT
ANSWER -place tourniquet high on extremity
-prepare for removal under xray or surgery
-save catheter after removal to determine cause
Unilateral shaking or tremor of one limb; which stage of Parkinson's? - CORRECT
ANSWER Stage 1
Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of
Parkinson's? - CORRECT ANSWER Stage 2
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - CORRECT ANSWER Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which
stage of Parkinson's? - CORRECT ANSWER Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia.
Which stage of Parkinson's? - CORRECT ANSWER Stage 5
HIV/AIDS home care teaching: - CORRECT ANSWER -no raw foods, veggies, fruits
-no changing cat litter boxes
-good hand hygiene
-avoid infectious people
