ADULT MEDICAL SURGICAL (ATI) PROCTORED
EXAM QUESTIONS WITH CORRECT ANSWERS
How often should someone taking erthypotein get hgb and hct monitored? -- Answer
✔✔ twice weekly
If you give antibiotics in high dosages Iv what could happen? -- Answer ✔✔ hepatoxicity
What are two signs of hepatoxicity -- Answer ✔✔ lethargic and jaundice
How should antibiotics like doxycycline be taken? (when with meals) -- Answer ✔✔
with meals
If penicillin is given with aminoglycosides what happens in the same IV? -- Answer ✔✔ it
inactivates aminoglycosides
When administering aminoglycosides what could happen to the body? -- Answer ✔✔
ototoxicity
What can diarrhea indicate with tetracyclines? -- Answer ✔✔ a suprainfection
What drink should be avoided with tetracyclines? -- Answer ✔✔ milk
When should you take a tetracycline? (what time of day) -- Answer ✔✔ in the morning
to prevent esop ulcerations.
When should a blood sample of gentamicin be taken? -- Answer ✔✔ 30 minutes after
dosage is completely given
,What could be adverse effect of streptomycin? -- Answer ✔✔ paresthesia ( numbness
and tingling/Pins and needles)
What antibiotic is used in surgeries for the normal flora of the intestines? -- Answer ✔✔
neomycin
Do respirations increase or decrease with hypovolemia? -- Answer ✔✔ increase
What o2 mask delivers the highest amount of O2? -- Answer ✔✔ nonrebreather
Should you use a nonrebreather with a pt with high risks of aspirations or airway
obstructions? -- Answer ✔✔ no
What kind of symptom comes with oxygen toxicity? -- Answer ✔✔ nonproductive
cough
If a pt gets oxygen toxicity what do they hyper or hypo ventilate? -- Answer ✔✔
hypoventilate
What is expected reference range for PaO2? -- Answer ✔✔ 80-100
What may be prescribed to help with oxygen induced toxicity (2)? -- Answer ✔✔ CPAP
or BiPaP PEEP (Something that has positive pressure)
What does low pressure alarms indicated? -- Answer ✔✔ disconnection or cuff leak
What is high pressure alarms indicated? -- Answer ✔✔ excess secretions
What disorder to set off high pressure alarm? -- Answer ✔✔ pneumothorax or
bronchospasm
What does positive pressure do? -- Answer ✔✔ allows preset pressure to deliver
during spontaneous ventilation to help pt decrease work of breathing
What is an early sign of hypoxemia? -- Answer ✔✔ pale skin
,What is late signs of hypoxemia? -- Answer ✔✔ bradycardia and hypotension
How often should the nurse assess breath sounds on a vented pt? -- Answer ✔✔ q1 to
2
What type of mask to deliver precise amount of O2? -- Answer ✔✔ venture mask
If a pt has diabetes type 1 what is impaired(2)? -- Answer ✔✔ circulation and immune
system
If exposed organs and tissue pop out what should you put on them? -- Answer ✔✔
sterile dressing soaked with sterile normal saline
What position is best for abdominal incision complication? -- Answer ✔✔ supine and
hips and knees bent
Should a nurse massage a bony prominence and why or why not? -- Answer ✔✔ no
because it can traumatize deep tissue
With a burns do they become hypothermic or hyperthermic? -- Answer ✔✔
hypothermic
What type of burn is sunburn? -- Answer ✔✔ superficial thickness burn
What can be an example of superficial partial thickness burn? -- Answer ✔✔ a flame
What can a deep partial thickness burn result from? -- Answer ✔✔ hot grease
What can a full thickness burn result from? -- Answer ✔✔ hot tar
Does HCT increase or decrease with burn? -- Answer ✔✔ increase initially due to
hemo concentration
, Why would hyperkalemia occur with a burn victim? -- Answer ✔✔ leakage of fluid from
intracellular space
Why would hyponatremia happen? -- Answer ✔✔ sodium resides in interstial spaces
Why shouldn't a nurse use subq for burn victims? -- Answer ✔✔ because it might not
absorb well because of skin isn't intact
What is best route for admin meds to burn pt? -- Answer ✔✔ IV
Why would you increase protein for a burn? -- Answer ✔✔ it promotes wound healing
Should calories increase or decrease after burn? (if so by how much) -- Answer ✔✔
increase calories by double or triple
Endotracheal tube extubate what would you report immediately? -- 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 urine gravity? -- Answer ✔✔ 1.000 - 1.030
What is positive pressure doing? -- Answer ✔✔ promote lung expansion and stabilize
chest
Would you recommend 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
EXAM QUESTIONS WITH CORRECT ANSWERS
How often should someone taking erthypotein get hgb and hct monitored? -- Answer
✔✔ twice weekly
If you give antibiotics in high dosages Iv what could happen? -- Answer ✔✔ hepatoxicity
What are two signs of hepatoxicity -- Answer ✔✔ lethargic and jaundice
How should antibiotics like doxycycline be taken? (when with meals) -- Answer ✔✔
with meals
If penicillin is given with aminoglycosides what happens in the same IV? -- Answer ✔✔ it
inactivates aminoglycosides
When administering aminoglycosides what could happen to the body? -- Answer ✔✔
ototoxicity
What can diarrhea indicate with tetracyclines? -- Answer ✔✔ a suprainfection
What drink should be avoided with tetracyclines? -- Answer ✔✔ milk
When should you take a tetracycline? (what time of day) -- Answer ✔✔ in the morning
to prevent esop ulcerations.
When should a blood sample of gentamicin be taken? -- Answer ✔✔ 30 minutes after
dosage is completely given
,What could be adverse effect of streptomycin? -- Answer ✔✔ paresthesia ( numbness
and tingling/Pins and needles)
What antibiotic is used in surgeries for the normal flora of the intestines? -- Answer ✔✔
neomycin
Do respirations increase or decrease with hypovolemia? -- Answer ✔✔ increase
What o2 mask delivers the highest amount of O2? -- Answer ✔✔ nonrebreather
Should you use a nonrebreather with a pt with high risks of aspirations or airway
obstructions? -- Answer ✔✔ no
What kind of symptom comes with oxygen toxicity? -- Answer ✔✔ nonproductive
cough
If a pt gets oxygen toxicity what do they hyper or hypo ventilate? -- Answer ✔✔
hypoventilate
What is expected reference range for PaO2? -- Answer ✔✔ 80-100
What may be prescribed to help with oxygen induced toxicity (2)? -- Answer ✔✔ CPAP
or BiPaP PEEP (Something that has positive pressure)
What does low pressure alarms indicated? -- Answer ✔✔ disconnection or cuff leak
What is high pressure alarms indicated? -- Answer ✔✔ excess secretions
What disorder to set off high pressure alarm? -- Answer ✔✔ pneumothorax or
bronchospasm
What does positive pressure do? -- Answer ✔✔ allows preset pressure to deliver
during spontaneous ventilation to help pt decrease work of breathing
What is an early sign of hypoxemia? -- Answer ✔✔ pale skin
,What is late signs of hypoxemia? -- Answer ✔✔ bradycardia and hypotension
How often should the nurse assess breath sounds on a vented pt? -- Answer ✔✔ q1 to
2
What type of mask to deliver precise amount of O2? -- Answer ✔✔ venture mask
If a pt has diabetes type 1 what is impaired(2)? -- Answer ✔✔ circulation and immune
system
If exposed organs and tissue pop out what should you put on them? -- Answer ✔✔
sterile dressing soaked with sterile normal saline
What position is best for abdominal incision complication? -- Answer ✔✔ supine and
hips and knees bent
Should a nurse massage a bony prominence and why or why not? -- Answer ✔✔ no
because it can traumatize deep tissue
With a burns do they become hypothermic or hyperthermic? -- Answer ✔✔
hypothermic
What type of burn is sunburn? -- Answer ✔✔ superficial thickness burn
What can be an example of superficial partial thickness burn? -- Answer ✔✔ a flame
What can a deep partial thickness burn result from? -- Answer ✔✔ hot grease
What can a full thickness burn result from? -- Answer ✔✔ hot tar
Does HCT increase or decrease with burn? -- Answer ✔✔ increase initially due to
hemo concentration
, Why would hyperkalemia occur with a burn victim? -- Answer ✔✔ leakage of fluid from
intracellular space
Why would hyponatremia happen? -- Answer ✔✔ sodium resides in interstial spaces
Why shouldn't a nurse use subq for burn victims? -- Answer ✔✔ because it might not
absorb well because of skin isn't intact
What is best route for admin meds to burn pt? -- Answer ✔✔ IV
Why would you increase protein for a burn? -- Answer ✔✔ it promotes wound healing
Should calories increase or decrease after burn? (if so by how much) -- Answer ✔✔
increase calories by double or triple
Endotracheal tube extubate what would you report immediately? -- 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 urine gravity? -- Answer ✔✔ 1.000 - 1.030
What is positive pressure doing? -- Answer ✔✔ promote lung expansion and stabilize
chest
Would you recommend 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
