ATI Med Surg Practice Test A 2019
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the
client? ( select all that apply) – CORRECT ANSWER Visual spatial deficits,
Left hemianopsia ( blindness in the left half of the visual field), One-sided neglect
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which
of the following findings? – CORRECT ANSWER Current medications
A nurse is caring for a group of clients. The nurse should plan to make a referral to
physical therapy for which of the following clients? – CORRECT ANSWER A
client who is receiving preoperative teaching for a right knee arthroplasty
A nurse is caring for a client who is having a seizure. Which of the following
interventions is the nurse’s priority? – CORRECT ANSWER Turn the client to
the side
nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take? – CORRECT
ANSWER Place a pillow between the client’s leg
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to
place which of the following items at the client’s bedside? – CORRECT ANSWER
Suction machine
A nurse is planning teaching for a client who has bladder cancer and is to undergo
a cutaneous diversion procedure to establish a ureterostomy. Which of the
following statements should the nurse include in the teaching? – CORRECT
ANSWER “You should cut the opening of the skin barrier one-eight inch
wider than the stoma”
A nurse in an emergency department is caring for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following findings should indicate
to the nurse that the client is experiencing fluid volume deficit? – CORRECT
ANSWER Heart rate 110/min
A nurse is planning care for a client who is undergoing brachytherapy via a sealed
vaginal implant to treat endometrial cancer.Which of the following actions should
the nurse include in the client’s plan of care? – CORRECT ANSWER Wear a
lead apron while providing care to the client
A nurse is planning to provide discharge teaching for the family of an older adult
client who has hemianopsia and is at risk for falls. Which of the following
instructions should the nurse include? – CORRECT ANSWER Remind the
client to scan their complete range of vision during ambulation
A nurse is planning care to decrease psychosocial health issues for a client who is
starting dialysis treatments for chronic kidney disease. Which of the following
interventions should the nurse include in the plan? – CORRECT ANSWER
Tell the client that it is possible to return to similar previous levels of activity
A nurse is caring for a client who has a closed head injury and has an
intraventricular catheter placed. Which of the following findings indicates that the
client is experiencing increased intracranial pressure (ICP) – CORRECT ANSWER
Sleepiness exhibited by the client, Widening pulse pressure, Decerebrated
posturing
Med Surg B, RN Adult Med
Surg A, ATI MED SURG, ATI
A, ATI B, ATI C
537 QUESTIONS WITH
ANSWER
A nurse is providing teaching to a client who has a new prescription for psyllium.
Which of the following information should the nurse include in the teaching? –
CORRECT ANSWER Drink 240 mL (8 oz) of water after administration
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client’s condition is improving? – CORRECT
ANSWER Glucose 272 mg/dL
A nurse is admitting a client who has active TB. Which of the following types of
transmission precautions should the nurse initiate? – CORRECT ANSWER
Airborne
A nurse is providing teaching to a client who has asthma about the use of a
metered-dose inhaler. The nurse should identify that which of the following client
actions indicates an understanding of the teaching? – CORRECT ANSWER
Holding breath for 10 secs after inhaling
A nurse is assessing a client who is at risk for the development of pernicious
anemia resulting from peptic ulcer disease. Which of the following images depicts
a condition caused by pernicious anemia? – CORRECT ANSWER image of
a smooth red tongue
A nurse on a medsurg unit is reviewing the medical record of an older adult client
who is receiving IV fluid therapy. Which of the following client information should
indicate to the nurse that the client requires re-evaluation of the IV therapy
prescription? – CORRECT ANSWER BUN
A nurse is assessing a client following the completion of hemodialysis. Which of
the following findings is the nurse’s priority to report to the provider? –
CORRECT ANSWER Restlessness
A nurse is receiving report on a client who is postop following an open repair of
Zenker’s diverticulum. The nurse should anticipate the surgical incision to be in
which of the following locations? – CORRECT ANSWER A
A nurse is teaching a group of newly licensed nurses about pain management for
older adult clients. Which of the following statements by a newly licensed nurse
indicates an understanding of the teaching? – CORRECT ANSWER
Ibuprofen can cause gastrointestinal bleeding in older adult clients
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders
presents the greatest risk to this group? – CORRECT ANSWER
Hypertension
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The
amount available is oral solution 125 mg/5mL. how many mL should the nurse
administer? – CORRECT ANSWER 24 mL
A nurse is checking the ECG rhythm strip for a client who has temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take? – CORRECT ANSWER
Document that depolarization has occurred
A nurse is providing discharge instructions to a client who has active TB. Which of
the following information should the nurse include in the instructions? –
CORRECT ANSWER Sputum specimens are necessary every 2 to 4 weeks
until there are 3 negative cultures
A nurse is providing preop teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make? –
CORRECT ANSWER I will refer you to community resources that can
provide support
A nurse is assessing a client who is postop following a TURP and notes clots in the
clients indwelling urinary catheter and a decrease in urinary output. Which of the
following actions should the nurse take? – CORRECT ANSWER Irrigate the
indwelling urinary catheter
A nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect? – CORRECT ANSWER Hair loss
on the lower legs
A nurse is planning discharge teaching for a client who has an external fixation
device for a fracture of the lower extremity. Which of the following instructions
should the nurse include in the plan of care? – CORRECT ANSWER Use
crutches with rubber tips
A nurse is reviewing the lab results of a client who has aplastic anemia. Which of
the following findings indicates a potential complication? – CORRECT ANSWER
WBC count 2,000/mm
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? – CORRECT ANSWER
constipation
A nurse is caring for a client who is receiving TPN and is NPO. When reviewing the
chart, the nurse notes the following prescription: capillary blood glucose AC and
HS. Which of the following acions should the nurse take? – CORRECT ANSWER
Contact the provider to clarify the prescription
ATI FINAL Medical
Surgical
100 QUESTIONS WITH
ANSWER
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of the
following findings should the nurse identify as a contraindication to receiving this
alternative therapy? – CORRECT ANSWER Lymphedema
A nurse is preparing to administer lactated Ringer’s via continuos IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer? – CORRECT ANSWER
33
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching? – CORRECT ANSWER I should lie
down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching. – CORRECT ANSWER Install a raised toilet seat in your
bathroom
A nurse is planning care for a client following a cardiac catheterization. which of
the following actions should the nurse take. – CORRECT ANSWER
Maintain the client’s affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription
for crutches. which of the following client statements indicates that the client is
adapting to their role change? – CORRECT ANSWER I will need to
have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due
to chemotherapy. which of the following information should the nurse include in
the teaching? – CORRECT ANSWER Change your pet’s litter box
daily
a nurse is caring for a client who has a contusion and reports thirst. The client’s
urinary output was 4,000 ml over past 24 hr. the nurse should anticipate a
prescription for which of the following IV medications? – CORRECT ANSWER
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy
with an ACE inhibitor and reports nagging dry cough. Which of the following
responses by the
nurse is appropriate? – CORRECT ANSWER Sucking on a lozenge
may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud’s
disease. Which of the following assessment findings should the nurse identify as a
parenteral trigger for exacerbation of Raynaud’s? – CORRECT ANSWER
Using nicotine transdermal patch
A nurse is caring for a client who has a central venous device and notes the tubing
has become disconnected. the client develops dyspnea and tachycardia. Which of
the following actions should the nurse take first? – CORRECT ANSWER
A nurse is completing an assessment of an older client and notes reddened areas
over the bony prominences, but the client’s skin is intact. which of the following
interventions should the nurse include in the plan of care? – CORRECT ANSWER
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which of the following actions is the priority for the nurse to take? –
CORRECT ANSWER
Med surg- proctored ATI
125 QUESTIONS WITH
ANSWER
An older adult is brought to an emergency department by a family member.
Which of the following assessment findings should cause the nurse to suspect
that the client has hypertonic dehydration? – CORRECT ANSWER Urine
Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume
and an increase in osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. To help reduce the risk for migraine headaches,
which of the following foods should the nurse recommend the client avoid? –
CORRECT ANSWER Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger
migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo
a cutaneous diversion procedure to establish a ureterostomy. Which of the
following statements should the nurse include in the teaching? – CORRECT
ANSWER “You should cut the opening of the skin barrier one-eight inch
wider than the stoma.”
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the
stoma to minimize irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following
supplements can interfere with the effectiveness of the medication? – CORRECT
ANSWER Calcium
Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can interfere with
the metabolism of a number of medications, including levothyroxine. The nurse
should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan
with an IV contrast agent. The nurse should identify that which of the following
findings requires further assessment? – CORRECT ANSWER History of
asthma
A client who has a history of asthma has a greater risk of reacting to the contrast
dye used during the procedure. Other conditions that can result in a reaction to
contrast media include allergies to foods, such as shellfish, eggs, milk, and
chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing’s
triad? – CORRECT ANSWER Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing’s triad. The other
components of Cushing’s triad are severe hypertension and a widened pulse
pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client
who has a pressure injury. Which of the following actions should the nurse take? –
CORRECT ANSWER Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter
to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a
wound. To maintain healthy granulation tissue, the wound irrigation should be
delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the provider’s prescriptions for
a client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the expect? – CORRECT ANSWER Administer an
opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which
of the following findings? (Click on the “Exhibit” button for additional information
about the client). – CORRECT ANSWER Current medications
The nurse should review the client’s medication record and identify medications,
including ACE inhibitors, beta blockers, theophylline, nifedipine, and
glucocorticoids, such as prednisone, that can alter the allergy skin test results.
These medications can diminish the client’s reaction to the allergens. The nurse
should notify the provider and instruct the client to discontinue prednisone for 2
weeks before allergy skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription for
enoxaparin subcutaneous. Which of the following actions should the nurse take? –
CORRECT ANSWER Inject the medication into the anterolateral abdominal
wall.
The nurse should inject the medication into the anterolateral or posterolateral
abdominal wall to enhance medication absorption and prevent hematoma
formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the
following findings contribute to delayed wound healing? – CORRECT ANSWER
Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate
dehydration, which can delay wound healing.
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
500kcal/L. The IV pump should be set at how many mL/hr? (Rounding to the
nearest whole number.) – CORRECT ANSWER 167 mL/hr
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? – CORRECT ANSWER Add cabbage to the diet.
MedSurg 2023 proctored ATI
133 QUESTIONS WITH
AN SWER
A nurse is reinforcing teaching with a client who has HIV and is being discharged
to home. Which of the following instructions should the nurse include in the
teaching? – CORRECT ANSWER Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and
has copious and tenacious secretions. Which of the following is an acceptable
method for the nurse to use to thin this client’s secretions? – CORRECT ANSWER
Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold feet.
Which of the following nursing actions should the nurse take to promote the
client’s comfort? – CORRECT ANSWER Obtain a pair of slipper socks for the
client
A nurse is caring for a client is who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for
the nurse report to the provider? – CORRECT ANSWER Thick, red-colored
urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for
which of the following adverse effects of the hypothermia blanket? – CORRECT
ANSWER Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1
diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching? – CORRECT ANSWER “I will not exercise if my
urine is positive for ketones.”
A nurse notes a small section of bowel protruding from the abdominal incision of
a client who is postoperative. After calling for assistance, which of the following
actions should the nurse take first? – CORRECT ANSWER Cover the client’s
wound with a moist, sterile dressing
A nurse is collecting data from a client who has alcohol use disorder and is
experiencing metabolic acidosis. Which of the following manifestations should the
nurse expect? – CORRECT ANSWER Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract
extraction. Which of the following should the nurse include in the teaching? –
CORRECT ANSWER Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin
0.25 mg daily. The client refuses breakfast and reports nausea. Which of the
following actions should the nurse take first? – CORRECT ANSWER Check the
client’s vital signs
A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client’s wound is infected because the
drainage from the dressing is yellow and thick. Which of the following findings
should the nurse report as the type of drainage found? – CORRECT ANSWER
Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic
surgery. To prevent postoperative complications which of the following actions
should be reinforced during the teaching? – CORRECT ANSWER Administer
an opioid analgesic to the client 30 min prior to initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the
following findings should the nurse expect? (Select all that apply.) – CORRECT
ANSWER Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
A nurse is caring for a client who sustained a basal skull fracture. When
performing morning hygiene care, the nurse notices a thin stream of clear
drainage coming from out of the client’s right nostril. Which of the following
actions should the nurse take first? – CORRECT ANSWER Test the drainage
for glucose
ATI Proctored-Medical
Surgical
458 QUESTIONS WITH
ANSWER
In extubating an Endtroacheal tube, what needs to be reported immedatiely? –
CORRECT ANSWER stridor
Why is stridor bad? – CORRECT ANSWER it means that there is an
obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? –
CORRECT ANSWER usually greater than 110- to compensate for the low
bp
What is normal urine gravity? – CORRECT ANSWER 1.000 – 1.030
What is the role of positive pressure? – CORRECT ANSWER to promote
lung expansion and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart
failure? – CORRECT ANSWER yes
How often should exercise be in heart failure pt? – CORRECT ANSWER
regular routine
Should you consume milk with iron supplements? – CORRECT ANSWER
no- can cause gastric disturbance.
Would you take iron with antacids? – CORRECT ANSWER no- causes
gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? – CORRECT
ANSWER no- increase iron rich foods
What is a common side effect with iron pills? – CORRECT ANSWER
constipation
What would you tell them to eat with taking iron pills? – CORRECT ANSWER
high fiber
When does pain worsen with compartement syndrome? – CORRECT ANSWER
when passive moving occurs.
What does warmth under cast indicate? – CORRECT ANSWER infection
Should pt decrease complex carbs for atherosceleoris? – CORRECT ANSWER
no, increase them
What carb should a client with atherosceloris decrease? – CORRECT ANSWER
simple sugars
Is MRSA airborne or contact? – CORRECT ANSWER contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? – CORRECT
ANSWER it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? – CORRECT ANSWER
magnesium containg antacids
ATI RN MedicalSurgical Proctored
Focus
183 QUESTIONS WITH
ANSWER
EGD positioning – CORRECT ANSWER left side lying
Before an EGD: – CORRECT ANSWER -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: – CORRECT ANSWER -restrict dairy,
caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? – CORRECT 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 – CORRECT ANSWER D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which
of the following objects can the nurse tough 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 – CORRECT 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 – CORRECT
ANSWER B, C, D
TB is suspected, what to do? – CORRECT 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: – CORRECT 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: – CORRECT ANSWER
numb/tingling in the hands & feet
What to watch for when on Rifampin: – CORRECT ANSWER -orange
secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: – CORRECT ANSWER
vision changes
Client teaching for genital herpes: – CORRECT 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: –
CORRECT 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: – CORRECT
ANSWER -cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? – CORRECT ANSWER
ibuprofen
Med-Surg Proctored ATI
Review
151 QUESTIONS WITH
ANSWER
Arterial Blood Gas- – CORRECT ANSWER ABG’s via arterial puncture or
arterial line: allows the most accurate method of assessing respiratory function.
Steps for collecting ABG’s- – CORRECT ANSWER a. Perform Allen test if
no arterial line
b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory immediately
d. document amount and method of oxygen delivered for accurate results
e. apply direct pressure to puncture site at least 5 min (longer for clients at risk
for bleeding)
Bronchoscopy- – CORRECT ANSWER visualizes the larynx, trachea,
bronchi; obtains tissue biopsy; and removes foreign bodies.
Steps for a bronchoscopy procedure- – CORRECT ANSWER a. obtain
informed consent
b. maintain NPO 8 to 12 hr.
c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as atropine (to reduce oral
secretions), sedation, and/or anti-anxiety.
f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of consciousness
Mantoux test- – CORRECT ANSWER Positive test indicates exposure to
tuberculosis. Diagnosis must be confirmed with sputum culture for presence of
acid-fast bacillus (AFB).
Mantoux test steps- – CORRECT ANSWER a. administer 0.1 mL of purified
protein derivation intradermal to upper half inner surface of forearm (insert
needle bevel up)
b. Assess for reaction in 48 to 72 hr following injection; induration (hardening) of
10 mm or greater is considered a positive test; 5 mm may be considered
significant if immunocompromised.
QuantiFERON-TB Gold test (QFT-GT) and T-SPOT.TB- – CORRECT ANSWER
Identify the presence of Mycobacterium tuberculosis infection by measuring the
immune response to the TB bacteria in whole blood.
Thoracentesis- – CORRECT ANSWER Surgical perforation of the pleural
space to obtain specimen, to remove fluid or air, or to instill medication.
Steps for Thoracentesis- – CORRECT ANSWER a. informed consent
b. educate client: remain still, feeling of pressure, positioning
c. position upright
d. monitor respiratory status and vital signs
e. label specimens
f. Document client response, amount, color and viscosity of fluid (maximum
amount of fluid to be removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
Asthma- – CORRECT ANSWER Chronic inflammatory disorder of the
airways resulting in intermittent and reversible airflow obstruction of the
bronchioles.
Contributing factors of asthma- – CORRECT ANSWER -Extrinsic: antigenantibody reaction triggered by food, medications, or inhaled substances
-Intrinsic: pathophysiological abnormalities within the respiratory tract
-Older clients: beta receptors are less responsive to agonist and trigger
bronchospasms.
Manifestations of asthma- – CORRECT ANSWER -Sudden, severe dyspnea
with use of accessory muscles
-sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
Diagnostic procedures for asthma- – CORRECT ANSWER -ABGs
-sputum cultures
-pulmonary function tests
Nursing interventions for asthma- – CORRECT ANSWER -remain with the
client during the attack
-position in high-fowler’s
-assess lung sounds and pulse oximetry
-administer oxygen therapy
-maintain oxygen access
Medications for athma- – CORRECT ANSWER Administer bronchodilators
before anti-inflammatory
- Bronchodilators
-short-acting inhaled: albuterol; for rapid relief
-Methylxanthines: theophylline; monitor therapeutic range for toxicity. - Anti-inflammatory
-corticosteriods: fluticasone and prednisone
-Leukotriene antagonist: montelukast - Combination agents
-Ipratropium and albuterol (Combivent)
-Fluticasone and salmeterol (Advair)
ati proctor med surg,
ATI
234 QUESTIONS WITH
ANSWER
Wound Evisceration, Emergency management – CORRECT ANSWER 1.
Saline cover wound
Asthma emergency management of bee sting allergies – CORRECT ANSWER
- Epi Pen
Hypocalcemia – CORRECT ANSWER 1. Paresthesia fingers and lips - Tetany
- Muscle Twitching
Peripheral Vascular Disease, Data Collection – CORRECT ANSWER 1.
Bruit over femoral and aortic arteries
Peripheral Arterial Disease, Monitoring Circulation – CORRECT ANSWER
- Walk 8 times a day
- Avoid Cold
- Monitor q 8 hours
- Skin care with warm water
- Mild Soap
Meningitis Expected findings – CORRECT ANSWER -Nuchal Ridgity
-Red Macular Rash
-photophobia
-HA
-Avoid raising legs above level of the heart
-Avoid crossing legs, hip flexion
Head injury ICP expected finding * – CORRECT ANSWER 1. Early sign
Restlessness - Late sign Dilated Pupils
Diabetes Management Hypoglycemia* – CORRECT ANSWER 1. Clammy
Pale Skin - Irrability
- Weakness
- Tremors
Urinary Tract Infection Reinforcing Teaching – CORRECT ANSWER 1.
Void 3-4 hours
- Wipe front to the back
- Drink plenty of fluids
- Wear cotton underwear
- Avoid bubble baths
Urinary Elimination Needs and Specimen Collection Catheterization for Residual
Urine – CORRECT ANSWER 1. Alcohol clean side port to Withdraw
Amputation Discharge Teaching – CORRECT ANSWER 1. Prone position,
6x a day for 20-30 min
Mechanical Ventilation Planning Care – CORRECT ANSWER 1. Asses cuff
pressure every 8 hours
Systemic Lupus Erythematosus (Medrol Meds) – CORRECT ANSWER 1.
Should Limit Contact With People With Possible Infection - Avoid Large Group Of People
Right Sided Heart Failure – CORRECT ANSWER 1. Jungular Vein
Distention - Ascending Dependent Edema
- Weight Gain
- Hepatomegaly (Liver Enlargement)
Left Sided Heart Failure – CORRECT ANSWER 1. Pnea, SOB
- Crackles
- Oliguria
- Frothy Sputum
- Displaced Apical Pulse (Hypertrophy)
Benign Hypertrophy – CORRECT ANSWER 1. While Catheter in place,
will feel the urge to void - Calculate urine output every 2 hours
- Should get up in a chair ASAP
- Avoid heavy lifting
- Avoid Sex/Intercourse 2-6 weeks
- Expected output 150-200 ml every 3-4 hours
Cerebrovascular Accident – CORRECT ANSWER 1. Eat in upright position
/ Swallow with head and neck flexed slightly forward - Place food in back of mouth on unaffected side
- Avoid extreme flexion or extension of the neck
- Give sour/tart food
- Meet with Speech Therapist
Hyperglycemia – CORRECT ANSWER 1. Flushed Skin - Fruity Breath
- Rapid Breathing
- Thirst
Disaster Planning and Emergency Management Responding to a fire –
CORRECT ANSWER 1. remove Patient First