ATI RN ADULT MEDICAL SURGICAL
2023 LATEST UPDATE AND FINAL 2024
GRADED A+
Seizure precautions – ANSWER-Ensure client
has IV access for seizure medication
administration.
Postoperative lab values – ANSWER-Report
Hgb level of 8 g/dL to provider as an indicator
of postoperative haemorrhage or anaemia.
ESWL procedure –ANSWER-Expect stone
fragments in the urine after extracorporeal
shock wave lithotripsy.
,Airborne precautions – ANSWER-Initiate
airborne precautions for a client with anorexia,
low-grade fever, night sweats, and productive
cough, as these are manifestations of
tuberculosis.
TPN administration – ANSWER-Administer
dextrose 10% in water until new TPN bag
arrives to avoid drop in blood glucose level.
Levothyroxine interaction – ANSWER-
Instruct client to avoid taking calcium within 4
hr of levothyroxine administration, as calcium
can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety – ANSWER-
Instruct client to allow the machine to breathe
for them to reduce anxiety and restlessness
associated with fighting the ventilator.
Adverse effect of enalapril – ANSWER-
Identify orthostatic hypotension as an adverse
effect of enalapril.
, Delayed wound healing – ANSWER-Identify
urine output of 25 mL/hr as a finding that
contributes to delayed wound healing.
Hypothyroidism and opioid analgesic –
ANSWER-Instruct client to void every 4
hours to decrease the risk of urinary retention,
which is an adverse effect of opioid
analgesics.
Portal hypertension – ANSWER-Obtain vital
signs first when caring for a client who is
vomiting blood mixed with food after a meal,
as this indicates a potential rupture of
oesophageal varices.
Gastrectomy postoperative instructions –
ANSWER-Instruct client to avoid drinking
fluids with meals, eat several small meals per
day, consume high-protein snacks, and avoid
highly seasoned foods.
Cushing's triad – ANSWER-Identify
bradycardia as a component of Cushing's triad
2023 LATEST UPDATE AND FINAL 2024
GRADED A+
Seizure precautions – ANSWER-Ensure client
has IV access for seizure medication
administration.
Postoperative lab values – ANSWER-Report
Hgb level of 8 g/dL to provider as an indicator
of postoperative haemorrhage or anaemia.
ESWL procedure –ANSWER-Expect stone
fragments in the urine after extracorporeal
shock wave lithotripsy.
,Airborne precautions – ANSWER-Initiate
airborne precautions for a client with anorexia,
low-grade fever, night sweats, and productive
cough, as these are manifestations of
tuberculosis.
TPN administration – ANSWER-Administer
dextrose 10% in water until new TPN bag
arrives to avoid drop in blood glucose level.
Levothyroxine interaction – ANSWER-
Instruct client to avoid taking calcium within 4
hr of levothyroxine administration, as calcium
can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety – ANSWER-
Instruct client to allow the machine to breathe
for them to reduce anxiety and restlessness
associated with fighting the ventilator.
Adverse effect of enalapril – ANSWER-
Identify orthostatic hypotension as an adverse
effect of enalapril.
, Delayed wound healing – ANSWER-Identify
urine output of 25 mL/hr as a finding that
contributes to delayed wound healing.
Hypothyroidism and opioid analgesic –
ANSWER-Instruct client to void every 4
hours to decrease the risk of urinary retention,
which is an adverse effect of opioid
analgesics.
Portal hypertension – ANSWER-Obtain vital
signs first when caring for a client who is
vomiting blood mixed with food after a meal,
as this indicates a potential rupture of
oesophageal varices.
Gastrectomy postoperative instructions –
ANSWER-Instruct client to avoid drinking
fluids with meals, eat several small meals per
day, consume high-protein snacks, and avoid
highly seasoned foods.
Cushing's triad – ANSWER-Identify
bradycardia as a component of Cushing's triad
