MEDICAL SURGICAL ATI RN
PROCTORED ACTUAL EXAM QUESTIONS
AND ANSWERS WITH RATIONALES
Therapeutic effects of furosemide (Lasix) -- ANSWER---decreases preload of
the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: -- ANSWER---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): --
ANSWER---decreased potassium
-weight loss
-decrease in edema
-decreased calcium
Page 1 of 47
,-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: -- ANSWER--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? -- ANSWER--dark leafy
green veggies
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
Page 2 of 47
,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
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
Before an Endoscopy (EGD): -- ANSWER---NPO 6-8 hr
Page 3 of 47
, -remove dentures
Gastroenteritis care plan: -- ANSWER---restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
Endoscopy (EGD) positioning -- ANSWER--left side lying
In what order do you open the sterile package? -- ANSWER--flap furthest from
body, side flaps, then closest
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
Page 4 of 47
PROCTORED ACTUAL EXAM QUESTIONS
AND ANSWERS WITH RATIONALES
Therapeutic effects of furosemide (Lasix) -- ANSWER---decreases preload of
the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: -- ANSWER---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): --
ANSWER---decreased potassium
-weight loss
-decrease in edema
-decreased calcium
Page 1 of 47
,-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: -- ANSWER--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? -- ANSWER--dark leafy
green veggies
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
Page 2 of 47
,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
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
Before an Endoscopy (EGD): -- ANSWER---NPO 6-8 hr
Page 3 of 47
, -remove dentures
Gastroenteritis care plan: -- ANSWER---restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
Endoscopy (EGD) positioning -- ANSWER--left side lying
In what order do you open the sterile package? -- ANSWER--flap furthest from
body, side flaps, then closest
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
Page 4 of 47
