2025/2026 ATI ADULT MEDICAL SURGICAL PROCTORED
EXAM 2025|ACTUAL 450+QS&AS|LATEST UPDATE 2025
SPRING|A+ GRADE
Endtroacheal tube extubate what would you report immedatiely?
ANS:->> stridor
Why is stridor bad?
ANS:->> it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume?
ANS:->> higher than usual like 110
What is normal unrine gravity?
ANS:->> 1.000 - 1.030
What is positive pressure doing?
ANS:->> promote lung expansion and stabilize chest
Would you recomened exercise for a pt who has been discharged with heart failure?
ANS:->> yes
How often should exercise be in heart failure pt?
ANS:->> regular routine
Should you consume milk with iron supplements?
ANS:->> no can cause gastro disturbance.
Would you take iron with antacids?
ANS:->> no gastro disturb
Would you tell the pt to lower red meat intake with iron deficiency?
ANS:->> no because they would need increase
,What is a common side effect with iron pills?
ANS:->> constipation
What would you tell them to eat with taking iron pills?
ANS:->> high fiber
When does pain worsen with compartement syndrome?
ANS:->> when passive moving occurs.
What does warmth under cast indicate?
ANS:->> infection
Should pt decrease complex carbs for atherosceleoris?
ANS:->> no
What carb should a client with atherosceloris decrease?
ANS:->> simple sugars
Is MRSA airborne or contact?
ANS:->> contact
What does phenyotoin do to hepatic enzymes (for seizures the med is)?
ANS:->> it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin?
ANS:->> magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro?
ANS:->> calcium can decrease obsorb of med
What is a common side effect of rifampin?
ANS:->> color of pee
Can you take ciproflaxcin with booze?
,ANS:->> yes
After a parathryoidecotmy what would be prioty for nurse?
ANS:->> to put trach tray by bedside (AIRWAY)
What meds increase osteoporosis?
fludrocortisone
With enoxaparin what is main thing for the med the nurse should do?
give dosage same time every day
Is restlessness common in hyperthyroidism?
yes
What would be urgent for hyperthyroidism?
high BP
If a pt has a weird heart sound what would be first thing you do?
listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt?
if creatine levels are too high
What is normal creatine?
.6-1.2
What is one of the first vital signs of a hemmhorage?
increase heart rate
What med would you give for a febrile reaction?
tyneol (reduces fever)
How long does a drain stay in place for a radical mastectomy?
1 to 3 week
, What drainage amount to get rid of drainage tube for mastectomy?
less than 25
What is first thing to do who reports dyspnea and SOB when putting on O2?
if they have COPD
Why would it be bad for you to put O2 on a COPD pt?
It can worsen hypercarbia
What is someones HGB look like with leukemia increase or decreased?
decreased
What would be a big sign that nephrosotmoy tube has popped?
back pain
What is max amount of flexing for total hip?
no more than 90
Why would you place a pillow between a pt legs for hip athroplasy?
so hips don't get dislodged
What is a holter monitor used for?
if you have an irregular heart rate it can detect it
What can a pacemake do to a pt heart?
regulate the heart rate
What is a echo used for?
detecting valve dysfunction
What do PPI do for gastric ulcers?
it suppresses gastric acid production
What is good about high fowlers postion?
EXAM 2025|ACTUAL 450+QS&AS|LATEST UPDATE 2025
SPRING|A+ GRADE
Endtroacheal tube extubate what would you report immedatiely?
ANS:->> stridor
Why is stridor bad?
ANS:->> it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume?
ANS:->> higher than usual like 110
What is normal unrine gravity?
ANS:->> 1.000 - 1.030
What is positive pressure doing?
ANS:->> promote lung expansion and stabilize chest
Would you recomened exercise for a pt who has been discharged with heart failure?
ANS:->> yes
How often should exercise be in heart failure pt?
ANS:->> regular routine
Should you consume milk with iron supplements?
ANS:->> no can cause gastro disturbance.
Would you take iron with antacids?
ANS:->> no gastro disturb
Would you tell the pt to lower red meat intake with iron deficiency?
ANS:->> no because they would need increase
,What is a common side effect with iron pills?
ANS:->> constipation
What would you tell them to eat with taking iron pills?
ANS:->> high fiber
When does pain worsen with compartement syndrome?
ANS:->> when passive moving occurs.
What does warmth under cast indicate?
ANS:->> infection
Should pt decrease complex carbs for atherosceleoris?
ANS:->> no
What carb should a client with atherosceloris decrease?
ANS:->> simple sugars
Is MRSA airborne or contact?
ANS:->> contact
What does phenyotoin do to hepatic enzymes (for seizures the med is)?
ANS:->> it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin?
ANS:->> magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro?
ANS:->> calcium can decrease obsorb of med
What is a common side effect of rifampin?
ANS:->> color of pee
Can you take ciproflaxcin with booze?
,ANS:->> yes
After a parathryoidecotmy what would be prioty for nurse?
ANS:->> to put trach tray by bedside (AIRWAY)
What meds increase osteoporosis?
fludrocortisone
With enoxaparin what is main thing for the med the nurse should do?
give dosage same time every day
Is restlessness common in hyperthyroidism?
yes
What would be urgent for hyperthyroidism?
high BP
If a pt has a weird heart sound what would be first thing you do?
listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt?
if creatine levels are too high
What is normal creatine?
.6-1.2
What is one of the first vital signs of a hemmhorage?
increase heart rate
What med would you give for a febrile reaction?
tyneol (reduces fever)
How long does a drain stay in place for a radical mastectomy?
1 to 3 week
, What drainage amount to get rid of drainage tube for mastectomy?
less than 25
What is first thing to do who reports dyspnea and SOB when putting on O2?
if they have COPD
Why would it be bad for you to put O2 on a COPD pt?
It can worsen hypercarbia
What is someones HGB look like with leukemia increase or decreased?
decreased
What would be a big sign that nephrosotmoy tube has popped?
back pain
What is max amount of flexing for total hip?
no more than 90
Why would you place a pillow between a pt legs for hip athroplasy?
so hips don't get dislodged
What is a holter monitor used for?
if you have an irregular heart rate it can detect it
What can a pacemake do to a pt heart?
regulate the heart rate
What is a echo used for?
detecting valve dysfunction
What do PPI do for gastric ulcers?
it suppresses gastric acid production
What is good about high fowlers postion?
