NGN ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
Endotracheal tube extubate what would you report immedatiely? - ANSWER stridor
Why is stridor bad? - ANSWER it means that there is an obstruction or edema in
airway
What is heart rate like in someone who has a low fluid volume? - ANSWER higher
than usual like 110
What is normal unrine gravity? - ANSWER 1.000 - 1.030
What is positive pressure doing? - ANSWER promote lung expansion and stabilize
chest
Would you recomened exercise for a patient who has been discharged with heart
failure? - ANSWER yes
How often should exercise be in heart failure patient? - ANSWER regular routine
Should you consume milk with iron supplements? - ANSWER no, can cause gastro
disturbances
Would you take iron with antacids? - ANSWER no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency? - ANSWER
no, because they would need to increase
What is a common side effect with iron pills? - ANSWER constipation
What would you tell them to eat when taking iron pills? - ANSWER high fiber diet
When does pain worsen with compartment syndrome? - ANSWER when passive
movement occurs
What does warmth under cast indicate? - ANSWER infection
Should patient decrease complex carbs for atherosceleoris? - ANSWER no
What carb should a client with atherosceloris decrease? - ANSWER simple sugars
Is MRSA airborne or contact? - ANSWER contact
What does phenytoin do to hepatic enzymes [seizure med]? - ANSWER it
decreases effectiveness
,NGN ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
What should you tell the client not to take with ciprofloxacin? - ANSWER
magnesium containing antacids
Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER
calcium can decrease absorption of med
What is a common side effect of rifampin? - ANSWER color of pee
Can you take ciproflaxcin with alcohol? - ANSWER yes
After a para-thyroidectomy what would be a priority for the nurse to do? - ANSWER
to put trach tray by bedside [think AIRWAY]
What meds increase osteoporosis? - ANSWER Fludrocortisone
With enoxaparin what is the main thing the nurse should do? - ANSWER give
dosage same time every day
Is restlessness common in hyperthyroidism? - ANSWER yes
What would be urgent for hyperthyroidism? - ANSWER high blood pressure
If a client has a weird heart sound what would be the first thing you do? - ANSWER
listen to it again but on the left side [always want least invasive]
Why would gentamicin be withheld from a patient? - ANSWER creatine levels are
too high
What is normal creatine? - ANSWER 0.6 - 1.2
What is one of the first vital signs of a hemorrhage? - ANSWER increased heart
rate
What med would you give for a febrile reaction? - ANSWER Tylenol [reduces fever]
How long does a drain stay in place for a radical mastectomy? - ANSWER 1 to 3
weeks
What drainage amount is needed to get rid of drainage tube for mastectomy? -
ANSWER less than 25 ml
What is the first thing to ask if a client reports dyspnea and shortness of breath when
put on O2? - ANSWER if they have COPD
Why would it be bad for you to put O2 on a COPD patient? - ANSWER It can
worsen hypercarbia
, NGN ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
Leukemia client; would their hemoglobin be increased or decreased? - ANSWER
decreased
What would be a big sign that a client's nephrostomy tube has popped? - ANSWER
back pain
What is max amount of flexing for total hip replacement? - ANSWER no more than
90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty? -
ANSWER so hips don't get dislodged
What is a holter monitor used for? - ANSWER if you have an irregular heart rate it
can detect it
What can a pacemaker do to a patient's heart? - ANSWER regulate the heart rate
What is an echo used for? - ANSWER detecting valve dysfunction
What do PPI's do for gastric ulcers? - ANSWER it suppresses gastric acid
production
What is good about high fowlers postion? - ANSWER increases lung expansion
and improves ventilation
What med would you discontinue before going in for allergy testing? - ANSWER
prednisone
If a client were to state their vision went blurry before a car accident what would you
do first? - ANSWER monitor neuro
What would be the first thing to do if bowel is protruding from stomach? - ANSWER
CALL FOR HELP
What kind of skin for hypothyroidism? - ANSWER dry scaly
What does metformin do to glucose? - ANSWER it decreases the amount of
glucose produced in liver
When should client take metformin? - ANSWER with or immediately following
meals
If you have hair loss on lower legs what could be problem? - ANSWER Peripheral
artery disease [PAD]
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
Endotracheal tube extubate what would you report immedatiely? - ANSWER stridor
Why is stridor bad? - ANSWER it means that there is an obstruction or edema in
airway
What is heart rate like in someone who has a low fluid volume? - ANSWER higher
than usual like 110
What is normal unrine gravity? - ANSWER 1.000 - 1.030
What is positive pressure doing? - ANSWER promote lung expansion and stabilize
chest
Would you recomened exercise for a patient who has been discharged with heart
failure? - ANSWER yes
How often should exercise be in heart failure patient? - ANSWER regular routine
Should you consume milk with iron supplements? - ANSWER no, can cause gastro
disturbances
Would you take iron with antacids? - ANSWER no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency? - ANSWER
no, because they would need to increase
What is a common side effect with iron pills? - ANSWER constipation
What would you tell them to eat when taking iron pills? - ANSWER high fiber diet
When does pain worsen with compartment syndrome? - ANSWER when passive
movement occurs
What does warmth under cast indicate? - ANSWER infection
Should patient decrease complex carbs for atherosceleoris? - ANSWER no
What carb should a client with atherosceloris decrease? - ANSWER simple sugars
Is MRSA airborne or contact? - ANSWER contact
What does phenytoin do to hepatic enzymes [seizure med]? - ANSWER it
decreases effectiveness
,NGN ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
What should you tell the client not to take with ciprofloxacin? - ANSWER
magnesium containing antacids
Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER
calcium can decrease absorption of med
What is a common side effect of rifampin? - ANSWER color of pee
Can you take ciproflaxcin with alcohol? - ANSWER yes
After a para-thyroidectomy what would be a priority for the nurse to do? - ANSWER
to put trach tray by bedside [think AIRWAY]
What meds increase osteoporosis? - ANSWER Fludrocortisone
With enoxaparin what is the main thing the nurse should do? - ANSWER give
dosage same time every day
Is restlessness common in hyperthyroidism? - ANSWER yes
What would be urgent for hyperthyroidism? - ANSWER high blood pressure
If a client has a weird heart sound what would be the first thing you do? - ANSWER
listen to it again but on the left side [always want least invasive]
Why would gentamicin be withheld from a patient? - ANSWER creatine levels are
too high
What is normal creatine? - ANSWER 0.6 - 1.2
What is one of the first vital signs of a hemorrhage? - ANSWER increased heart
rate
What med would you give for a febrile reaction? - ANSWER Tylenol [reduces fever]
How long does a drain stay in place for a radical mastectomy? - ANSWER 1 to 3
weeks
What drainage amount is needed to get rid of drainage tube for mastectomy? -
ANSWER less than 25 ml
What is the first thing to ask if a client reports dyspnea and shortness of breath when
put on O2? - ANSWER if they have COPD
Why would it be bad for you to put O2 on a COPD patient? - ANSWER It can
worsen hypercarbia
, NGN ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
Leukemia client; would their hemoglobin be increased or decreased? - ANSWER
decreased
What would be a big sign that a client's nephrostomy tube has popped? - ANSWER
back pain
What is max amount of flexing for total hip replacement? - ANSWER no more than
90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty? -
ANSWER so hips don't get dislodged
What is a holter monitor used for? - ANSWER if you have an irregular heart rate it
can detect it
What can a pacemaker do to a patient's heart? - ANSWER regulate the heart rate
What is an echo used for? - ANSWER detecting valve dysfunction
What do PPI's do for gastric ulcers? - ANSWER it suppresses gastric acid
production
What is good about high fowlers postion? - ANSWER increases lung expansion
and improves ventilation
What med would you discontinue before going in for allergy testing? - ANSWER
prednisone
If a client were to state their vision went blurry before a car accident what would you
do first? - ANSWER monitor neuro
What would be the first thing to do if bowel is protruding from stomach? - ANSWER
CALL FOR HELP
What kind of skin for hypothyroidism? - ANSWER dry scaly
What does metformin do to glucose? - ANSWER it decreases the amount of
glucose produced in liver
When should client take metformin? - ANSWER with or immediately following
meals
If you have hair loss on lower legs what could be problem? - ANSWER Peripheral
artery disease [PAD]
