ATI-RN MEDICAL-SURGICAL PROCTORED; ATI-RN
MEDICAL-SURGICAL PROCTORED| SET OF QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+
(LATEST VERSION)
In what order do you open the sterile package?
flap furthest from body, side flaps, then closest
What would be your first intervention for a pt who has an adverse effect from a blood
transfusion?
Initiate saline infusion (separate line)
What type of needle would you use to access an implanted port?
noncoring needle
How would you confirm the placement of a PICC line?
chest xray
What to watch for when on Isoniazid?
numb/tingling in the hands & feet
What to watch for when on Rifampin?
-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol?
vision changes
Client teaching for genital herpes:
-can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemiplegia:
1
(ATI VERIFIED)
,-thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid:
-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin?
ibuprofen
Ketorolac should not be used concurrently with...
other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with...
non-opioid analgesics
To access an implanted port, you must use a...
noncoring (Huber) needle
When done accessing an implanted port...
flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix)
-decreases preload of the heart
2
(ATI VERIFIED)
,-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings:
-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics):
-decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin:
1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
Which foods should the client on Warfarin avoid?
dark leafy green veggies
Client teaching for anticoagulant therapy:
-bleeding precautions
3
(ATI VERIFIED)
, -no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension:
-furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
Contraindications for Nadolol:
-asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
Treatment for diabetes insipidus:
-daily weights
-no caffeine or alcohol
4
(ATI VERIFIED)
MEDICAL-SURGICAL PROCTORED| SET OF QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+
(LATEST VERSION)
In what order do you open the sterile package?
flap furthest from body, side flaps, then closest
What would be your first intervention for a pt who has an adverse effect from a blood
transfusion?
Initiate saline infusion (separate line)
What type of needle would you use to access an implanted port?
noncoring needle
How would you confirm the placement of a PICC line?
chest xray
What to watch for when on Isoniazid?
numb/tingling in the hands & feet
What to watch for when on Rifampin?
-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol?
vision changes
Client teaching for genital herpes:
-can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemiplegia:
1
(ATI VERIFIED)
,-thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid:
-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin?
ibuprofen
Ketorolac should not be used concurrently with...
other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with...
non-opioid analgesics
To access an implanted port, you must use a...
noncoring (Huber) needle
When done accessing an implanted port...
flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix)
-decreases preload of the heart
2
(ATI VERIFIED)
,-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings:
-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics):
-decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin:
1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
Which foods should the client on Warfarin avoid?
dark leafy green veggies
Client teaching for anticoagulant therapy:
-bleeding precautions
3
(ATI VERIFIED)
, -no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension:
-furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
Contraindications for Nadolol:
-asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
Treatment for diabetes insipidus:
-daily weights
-no caffeine or alcohol
4
(ATI VERIFIED)
