NGN ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST 2024 COMPLE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT) W
RATIONALES /A+ GRADE ASSURED
Study online at https://quizlet.com/_gbpd1p
1. Position a patient should be in who is postoperative a vein ligation and
stripping varicose veins: elevate legs above heart, to promote venous return.
educate patient on periodically positioning like this after discharge
2. when should a patient ambulate to prevent venous stasis: walking 5-10 every
hour while patient is awake.
3. to prevent venous stasis should a patient sit or stand: no, promote venous
return by elevating feet above heart
4. how long should a patient wear ted hose following a surgery: for up to a week
5. what electrolyte imbalance flattens the T wave or the development of u
waves: hypopotassium
6. therapeutic digoxin range: 0.5-0.8
7. what heart rhythm is associated with low hemoglobin: tachycardia
8. what electrolyte imbalance is associated with prolonged S-T interval and
prolonged Q-T interval: hypokalemia
9. what lab should be checked after giving fresh frozen plasma: prothrombin
time
10. what laboratory should be check after giving platelets: platlets
11. what lab should be checked after giving packed red blood cells: Hematocrit
12. What is epoetin alfa used for?: anemia
13. what is a most common side effect of epoetin alfa: hypertension
14. What does epoetin alfa do?: stimulates production of RBCs
15. how long does it take for epoetin alfa to reach full effect: 2-3 months
16. what is a symptom of unstable angina: chest pain lasting longer than 15 min,
not relived by nitro, and will not stop with rest.
17. signs and symptoms of fluid volume overload: Jugular Vein Distention res-
piratory distress crackles and tachycardia and bounding pulses
18. after an MI, what should a nurse monitor for following 24 hours: ventricular
dysrythmias
19. what heart conditions are found with pulmonary emboli: valvular disorders,
a-fib, deep vein thrombosis
20. how does an ECG present with atrial flutter: Atrial rate 300/minwith QRS
complex 80/min
21. P wave occurring 0.16 seconds before QRS complex: normal sinus rhythm
22. ventricular ectopic: premature ventricular contraction
23. symptom of aortic aneurysm: lower back and abdominal discomfort
24. Normal BMP: 60-100
25. symptom of aplastic anemia: petechiae, ecchymosis, dyspnea on exertion,
1/7
, NGN ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST 2024 COMPLE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT) W
RATIONALES /A+ GRADE ASSURED
Study online at https://quizlet.com/_gbpd1p
26. What is aplastic anemia?: decreased platelets, WBC and RBC do to destruc-
tion of bone marrow.
27. signs of sickle cell anemia: jaundice and enlarged liver
28. symptoms of pernicious anemia: beefy vred tongue (glossitis) and weight loss
29. symptom of polythemia vera: plethoric (dark, flushed) of face and mucous
membrane
30. what is a sign of a ruptured aneurysm: oliguria, hypotension Monitor vs q
15min
31. Pulses paradoxus: paradoxical pulse. The paradax is that the apical pulse
can be heard but radial pulse not palpable. measured by blood pressure cuff and
stethoscope.
32. cardiac tamponade: pressure on the heart caused by fluid in the pericardial
space
33. cardia tamponade s&s: hypotension, muffled heart sounds
34. signs of peripheral arterial disease: dry pale skin, minimal body hair, leg pain
when. exercising, cold or numb feet at rest, weak pulses
35. sign of kawasaki disease: sunburn appearance
36. signs of venous insufficiency: edema, varicose veins, red/brown skin discol-
oration, skin ulceration
37. what should a nurse expect with a demand pacemaker with rate set at
72bpm: QRS complexes occurring at 74bpm with no pacing spikes. intrinsic rate
over rides
38. what should the nurse do if no QRS complexes and pacer spikes: notify
provider
39. what do hiccups mean for a patient with demand pace maker: complications
with leads displaced, notify the provider
40. symptoms of left sided heart failure: decreased cardiac output, dyspnea,
orthopenea
41. symptoms of right sided heart failure: weight gain, distended neck veins,
peripheral edema
*the blood "backs up" in circulation
42. imbalances from blood transfusions: hyperkalemia, hypocalcemia, and iron
toxicity
43. what is given for pernicious anemia: Vitamin B12
44. megaloblastic anemia: larger than normal red blood cells take folic acid
45. which type of skin cancer is the most serious: melanoma
46. most common type of skin cancer: basal cell carcinoma
2/7
200 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT) W
RATIONALES /A+ GRADE ASSURED
Study online at https://quizlet.com/_gbpd1p
1. Position a patient should be in who is postoperative a vein ligation and
stripping varicose veins: elevate legs above heart, to promote venous return.
educate patient on periodically positioning like this after discharge
2. when should a patient ambulate to prevent venous stasis: walking 5-10 every
hour while patient is awake.
3. to prevent venous stasis should a patient sit or stand: no, promote venous
return by elevating feet above heart
4. how long should a patient wear ted hose following a surgery: for up to a week
5. what electrolyte imbalance flattens the T wave or the development of u
waves: hypopotassium
6. therapeutic digoxin range: 0.5-0.8
7. what heart rhythm is associated with low hemoglobin: tachycardia
8. what electrolyte imbalance is associated with prolonged S-T interval and
prolonged Q-T interval: hypokalemia
9. what lab should be checked after giving fresh frozen plasma: prothrombin
time
10. what laboratory should be check after giving platelets: platlets
11. what lab should be checked after giving packed red blood cells: Hematocrit
12. What is epoetin alfa used for?: anemia
13. what is a most common side effect of epoetin alfa: hypertension
14. What does epoetin alfa do?: stimulates production of RBCs
15. how long does it take for epoetin alfa to reach full effect: 2-3 months
16. what is a symptom of unstable angina: chest pain lasting longer than 15 min,
not relived by nitro, and will not stop with rest.
17. signs and symptoms of fluid volume overload: Jugular Vein Distention res-
piratory distress crackles and tachycardia and bounding pulses
18. after an MI, what should a nurse monitor for following 24 hours: ventricular
dysrythmias
19. what heart conditions are found with pulmonary emboli: valvular disorders,
a-fib, deep vein thrombosis
20. how does an ECG present with atrial flutter: Atrial rate 300/minwith QRS
complex 80/min
21. P wave occurring 0.16 seconds before QRS complex: normal sinus rhythm
22. ventricular ectopic: premature ventricular contraction
23. symptom of aortic aneurysm: lower back and abdominal discomfort
24. Normal BMP: 60-100
25. symptom of aplastic anemia: petechiae, ecchymosis, dyspnea on exertion,
1/7
, NGN ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST 2024 COMPLE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT) W
RATIONALES /A+ GRADE ASSURED
Study online at https://quizlet.com/_gbpd1p
26. What is aplastic anemia?: decreased platelets, WBC and RBC do to destruc-
tion of bone marrow.
27. signs of sickle cell anemia: jaundice and enlarged liver
28. symptoms of pernicious anemia: beefy vred tongue (glossitis) and weight loss
29. symptom of polythemia vera: plethoric (dark, flushed) of face and mucous
membrane
30. what is a sign of a ruptured aneurysm: oliguria, hypotension Monitor vs q
15min
31. Pulses paradoxus: paradoxical pulse. The paradax is that the apical pulse
can be heard but radial pulse not palpable. measured by blood pressure cuff and
stethoscope.
32. cardiac tamponade: pressure on the heart caused by fluid in the pericardial
space
33. cardia tamponade s&s: hypotension, muffled heart sounds
34. signs of peripheral arterial disease: dry pale skin, minimal body hair, leg pain
when. exercising, cold or numb feet at rest, weak pulses
35. sign of kawasaki disease: sunburn appearance
36. signs of venous insufficiency: edema, varicose veins, red/brown skin discol-
oration, skin ulceration
37. what should a nurse expect with a demand pacemaker with rate set at
72bpm: QRS complexes occurring at 74bpm with no pacing spikes. intrinsic rate
over rides
38. what should the nurse do if no QRS complexes and pacer spikes: notify
provider
39. what do hiccups mean for a patient with demand pace maker: complications
with leads displaced, notify the provider
40. symptoms of left sided heart failure: decreased cardiac output, dyspnea,
orthopenea
41. symptoms of right sided heart failure: weight gain, distended neck veins,
peripheral edema
*the blood "backs up" in circulation
42. imbalances from blood transfusions: hyperkalemia, hypocalcemia, and iron
toxicity
43. what is given for pernicious anemia: Vitamin B12
44. megaloblastic anemia: larger than normal red blood cells take folic acid
45. which type of skin cancer is the most serious: melanoma
46. most common type of skin cancer: basal cell carcinoma
2/7
