ATI RN MEDICAL SURGICAL
PROCTORED
Endoscopy (EGD) positioning - ANSWER- left side lying
Before an Endoscopy (EGD): - ANSWER- -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER- -restrict dairy,
caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - ANSWER-
flap furthest from body, side flaps, then closest
A nurse has removed a sterile pack from its outside cover and
place it on a clean work surface in preparation for an invasive
procedure. Which of the following flaps should the nurse
unfold first:
,A. closest to body
B. right side
C. left side
D. farthest from body - ANSWER- D
A nurse is wearing sterile gloves in prep for performing a
sterile procedure. Which of the following objects can the
nurse touch without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - ANSWER-
C, D, E
A nurse has prepared a sterile field for assisting a provider
with a chest tube insertion. Which of the following events
should the nurse recognize as contaminating the field (Select
all that apply)
A. provider drops a sterile instrument onto the near side of the
sterile field
,B. nurse moistens a cotton ball with sterile normal saline and
places it on sterile field
C. procedure is delayed 1hr because the provider receives an
emergency call
D. nurse turns to speak to someone who enters through the
door behind the nurse
E. clients hand brushes against the outer edge of the sterile
field - ANSWER- B, C, D
TB is suspected, what precautionary actions to do? -
ANSWER- -negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - ANSWER- -family members should be
screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - ANSWER-
numb/tingling in the hands & feet
What to watch for when on Rifampin: - ANSWER- -orange
secretions normal
-watch for jaundice
, -interferes with birth control
What to watch for when on Ethambutol: - ANSWER- vision
changes
Client teaching for genital herpes: - ANSWER- -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 hemipalegia: - ANSWER- -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: - ANSWER- -cheese
-soups
PROCTORED
Endoscopy (EGD) positioning - ANSWER- left side lying
Before an Endoscopy (EGD): - ANSWER- -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER- -restrict dairy,
caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - ANSWER-
flap furthest from body, side flaps, then closest
A nurse has removed a sterile pack from its outside cover and
place it on a clean work surface in preparation for an invasive
procedure. Which of the following flaps should the nurse
unfold first:
,A. closest to body
B. right side
C. left side
D. farthest from body - ANSWER- D
A nurse is wearing sterile gloves in prep for performing a
sterile procedure. Which of the following objects can the
nurse touch without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - ANSWER-
C, D, E
A nurse has prepared a sterile field for assisting a provider
with a chest tube insertion. Which of the following events
should the nurse recognize as contaminating the field (Select
all that apply)
A. provider drops a sterile instrument onto the near side of the
sterile field
,B. nurse moistens a cotton ball with sterile normal saline and
places it on sterile field
C. procedure is delayed 1hr because the provider receives an
emergency call
D. nurse turns to speak to someone who enters through the
door behind the nurse
E. clients hand brushes against the outer edge of the sterile
field - ANSWER- B, C, D
TB is suspected, what precautionary actions to do? -
ANSWER- -negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - ANSWER- -family members should be
screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - ANSWER-
numb/tingling in the hands & feet
What to watch for when on Rifampin: - ANSWER- -orange
secretions normal
-watch for jaundice
, -interferes with birth control
What to watch for when on Ethambutol: - ANSWER- vision
changes
Client teaching for genital herpes: - ANSWER- -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 hemipalegia: - ANSWER- -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: - ANSWER- -cheese
-soups
