ATI RN MEDICAL-SURGICAL PROCTORED EXAM; (100%
GUARANTEED PASS) AN A+ VERIFIED QUESTIONS AND
ANSWERS.
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... - --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... - --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... - --ANSWER---an occlusive dressing taped only on 3
sides should be immediately placed over the insertion site
Proper administration of peritoneal dialysis: - --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: - --ANSWER-
--UTI
Costovertebral pain, flank pain indicates: - --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: - --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? - --ANSWER---Stage 1
Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of
Parkinson's? - --ANSWER---Stage 2
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - --ANSWER---Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which stage of
Parkinson's? - --ANSWER---Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia. Which stage
of Parkinson's? - --ANSWER---Stage 5
HIV/AIDS home care teaching: --CORRECT ANSWER--no raw foods, veggies, fruits
GUARANTEED PASS) AN A+ VERIFIED QUESTIONS AND
ANSWERS.
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... - --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... - --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... - --ANSWER---an occlusive dressing taped only on 3
sides should be immediately placed over the insertion site
Proper administration of peritoneal dialysis: - --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: - --ANSWER-
--UTI
Costovertebral pain, flank pain indicates: - --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: - --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? - --ANSWER---Stage 1
Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of
Parkinson's? - --ANSWER---Stage 2
Physical movements slow down significantly, affecting walking more. Which stage of
Parkinson's? - --ANSWER---Stage 3
Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which stage of
Parkinson's? - --ANSWER---Stage 4
Client is unable to stand or walk, is dependent for all care & may exhibit dementia. Which stage
of Parkinson's? - --ANSWER---Stage 5
HIV/AIDS home care teaching: --CORRECT ANSWER--no raw foods, veggies, fruits
