ATI ADULT MEDICAL SURGICAL RETAKE 1 ADULT MED SURG ATI
GUARANTEED PASS ACTUAL 2025/26 VERIFIED QUESTIONS AND
ACCURATE DETAILED ANSWERS GRADED A+ SCORE SOLUTION
REVIEW
Cardiovascular diagnostic and therapeutic procedures: caring for
a client who has a picc - ---ANSWERS-----assessing site every
8 hours. Note redness, swelling, drainage, tenderness and
condition of dressing
-change tube and positive pressure cap per facility protocol
-using 10ml or larger syringe to flush the line
-cleanse with alcohol for 3 seconds before accessing it
-use transparent dressing
Cardiovascular diagnostic and therapeutic procedures: teaching
about a picc - ---ANSWERS-----advise client not to immerse
arm in water, to cover dressing site to avoid water exposure
-avoid bp in the arm with picc
Cardiovascular diagnostic and therapeutic procedures: picc care
- ---ANSWERS----- apply an initial dressing of gauze and
replace with transparent dressing within 24 hours
- an initial x-ray should be taken to ensure proper placement
Cardiovascular and hematologic disorders: teaching client about
food interaction with warfarin - ---ANSWERS-----kale, spinach
-brussels sprouts
-collard greens, mustard greens
-green tea
-grapefruit juice, alcohol
,Angina and mi: client teaching about nitroglycerin - ---
ANSWERS----nitrogylcerin prevents coronary artery vasospasm
and reduces preload and afterload. Used to treat angina and help
with bp.
- place nitro under tongue to dissolve
- take up to two more doses of nitro at 5-min intervals
- stop activity and rest
Headache is a common side effect
Orthostatic hypotension
Osteoporosis: teaching about self administration of alendronate -
---ANSWERS----take with 8oz water in the early morning
before eating
Remain upright for 30 minutes after taking medication
Diabetes mellitus management: teaching about self
administration of insulin - ---ANSWERS----- rotate injection
sites
- inject at a 90 degree angle. Aspiration is not necessary
- advise client to eat at regular intervals, avoid alcohol intake
and adjust insulin to exercise and diet to avoid hypoglycemia
- when mixing insulin's, draw up the shorter acting insulin into
the syringe first and then the longer acting insulin.
Iv therapy: performing venipuncture on an older adult client - ---
ANSWERS----a 22-24 gauge catheter is best to use on older
adults
Tie the tourniquet sparingly and try to avoid veins in the hand
Dosage calculations: calculating iv infusion rate - ---ANSWERS-
---ex: nurse is preparing to administer dextrose 5% in water 500
ml iv to infuse over 4 hours. The nurse should set the iv infusion
pump to deliver how many ml/hr>
,-volume (ml)/time (hr) = x
-500 ml/5hr = 125 ml/hr
Iv therapy: medication administration - ---ANSWERS----know
-right patient
-right drug
-right dose
-right time
-right route
Arthoplasty: pain control - ---ANSWERS----analgesics - opiods
(epidural, pca, iv, oral) nsaids
Continuous peripheral nerve block
Ice or cold therapy to reduce swelling
Head of bed slightly elevated and the affected leg in a neutral
position. Place a pillow or abduction device between the legs
when turning to the unaffectedne side
Pain management: pca - ---ANSWERS----small frequent dosing
ensure consistent plasma levels
Morphine and dilaudid
Let nurse know if the pump doesn't control the pain
Client is the only person to push the button
Pain management: interventions to promote postoperative
recovery - ---ANSWERS----managing acute severe pain with
short term around the clock administration of opiods
Parental route is best for immediate short term relief
Gi therapeutic procedures: d/c tpn therapy - ---ANSWERS----
never abruptly stop tpn, gradually decrease (10%) to allow body
adjustment.
Monitor vital signs q 4-8 hours
, Gi therapeutic procedures: shortage of tpn solution - ---
ANSWERS----clients receiving tpn frequently need
supplemental regular insulin.
Keep dextrose 10% in water at the bedside in case the solution
runs out. This minimizes the risk of hypoglycemia
Nutrition assessment: caring for a client with pancreatitis - ---
ANSWERS-----increased serum glucose
-reduce pancreatic stimulation through npo; ng tube is inserted
to suction gastric contents
-snacks high in calories in order to maintain weight
Ecg and dysrthymia monitoring: analyzing ecg - ---ANSWERS---
-watch for manifestations of dysrhythmias (chest pain,
decreased loc, sob) and hypoxia. Remove leads, print ecg report
and notify the provider
Ecg and dysrthymia monitoring: performing 12 lead ecg - ---
ANSWERS----prepare client for 12 lead if prescribed
- position client in supine position with chest exposed
- wash skin to remove oils
- attach one electrode to each of the clients extremities by
applying electrodes to flat surfaces above the wrist and ankles
and the other 6 electrodes to the chest, avoiding chest hair.
Instruct client to remain still
Neurologic diagnostic procedures: preparing for a lumbar
puncture - ---ANSWERS-----instruct client to void before
procedure and have them stretch over an overbed table if sitting
is preferred
GUARANTEED PASS ACTUAL 2025/26 VERIFIED QUESTIONS AND
ACCURATE DETAILED ANSWERS GRADED A+ SCORE SOLUTION
REVIEW
Cardiovascular diagnostic and therapeutic procedures: caring for
a client who has a picc - ---ANSWERS-----assessing site every
8 hours. Note redness, swelling, drainage, tenderness and
condition of dressing
-change tube and positive pressure cap per facility protocol
-using 10ml or larger syringe to flush the line
-cleanse with alcohol for 3 seconds before accessing it
-use transparent dressing
Cardiovascular diagnostic and therapeutic procedures: teaching
about a picc - ---ANSWERS-----advise client not to immerse
arm in water, to cover dressing site to avoid water exposure
-avoid bp in the arm with picc
Cardiovascular diagnostic and therapeutic procedures: picc care
- ---ANSWERS----- apply an initial dressing of gauze and
replace with transparent dressing within 24 hours
- an initial x-ray should be taken to ensure proper placement
Cardiovascular and hematologic disorders: teaching client about
food interaction with warfarin - ---ANSWERS-----kale, spinach
-brussels sprouts
-collard greens, mustard greens
-green tea
-grapefruit juice, alcohol
,Angina and mi: client teaching about nitroglycerin - ---
ANSWERS----nitrogylcerin prevents coronary artery vasospasm
and reduces preload and afterload. Used to treat angina and help
with bp.
- place nitro under tongue to dissolve
- take up to two more doses of nitro at 5-min intervals
- stop activity and rest
Headache is a common side effect
Orthostatic hypotension
Osteoporosis: teaching about self administration of alendronate -
---ANSWERS----take with 8oz water in the early morning
before eating
Remain upright for 30 minutes after taking medication
Diabetes mellitus management: teaching about self
administration of insulin - ---ANSWERS----- rotate injection
sites
- inject at a 90 degree angle. Aspiration is not necessary
- advise client to eat at regular intervals, avoid alcohol intake
and adjust insulin to exercise and diet to avoid hypoglycemia
- when mixing insulin's, draw up the shorter acting insulin into
the syringe first and then the longer acting insulin.
Iv therapy: performing venipuncture on an older adult client - ---
ANSWERS----a 22-24 gauge catheter is best to use on older
adults
Tie the tourniquet sparingly and try to avoid veins in the hand
Dosage calculations: calculating iv infusion rate - ---ANSWERS-
---ex: nurse is preparing to administer dextrose 5% in water 500
ml iv to infuse over 4 hours. The nurse should set the iv infusion
pump to deliver how many ml/hr>
,-volume (ml)/time (hr) = x
-500 ml/5hr = 125 ml/hr
Iv therapy: medication administration - ---ANSWERS----know
-right patient
-right drug
-right dose
-right time
-right route
Arthoplasty: pain control - ---ANSWERS----analgesics - opiods
(epidural, pca, iv, oral) nsaids
Continuous peripheral nerve block
Ice or cold therapy to reduce swelling
Head of bed slightly elevated and the affected leg in a neutral
position. Place a pillow or abduction device between the legs
when turning to the unaffectedne side
Pain management: pca - ---ANSWERS----small frequent dosing
ensure consistent plasma levels
Morphine and dilaudid
Let nurse know if the pump doesn't control the pain
Client is the only person to push the button
Pain management: interventions to promote postoperative
recovery - ---ANSWERS----managing acute severe pain with
short term around the clock administration of opiods
Parental route is best for immediate short term relief
Gi therapeutic procedures: d/c tpn therapy - ---ANSWERS----
never abruptly stop tpn, gradually decrease (10%) to allow body
adjustment.
Monitor vital signs q 4-8 hours
, Gi therapeutic procedures: shortage of tpn solution - ---
ANSWERS----clients receiving tpn frequently need
supplemental regular insulin.
Keep dextrose 10% in water at the bedside in case the solution
runs out. This minimizes the risk of hypoglycemia
Nutrition assessment: caring for a client with pancreatitis - ---
ANSWERS-----increased serum glucose
-reduce pancreatic stimulation through npo; ng tube is inserted
to suction gastric contents
-snacks high in calories in order to maintain weight
Ecg and dysrthymia monitoring: analyzing ecg - ---ANSWERS---
-watch for manifestations of dysrhythmias (chest pain,
decreased loc, sob) and hypoxia. Remove leads, print ecg report
and notify the provider
Ecg and dysrthymia monitoring: performing 12 lead ecg - ---
ANSWERS----prepare client for 12 lead if prescribed
- position client in supine position with chest exposed
- wash skin to remove oils
- attach one electrode to each of the clients extremities by
applying electrodes to flat surfaces above the wrist and ankles
and the other 6 electrodes to the chest, avoiding chest hair.
Instruct client to remain still
Neurologic diagnostic procedures: preparing for a lumbar
puncture - ---ANSWERS-----instruct client to void before
procedure and have them stretch over an overbed table if sitting
is preferred
