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ATI ADULT MEDICAL SURGICAL PROCTORED EXAM
TESTBANK| 450+ QUESTIONS&ANSWERS| 2025
UPDATE|RATED A+
1. Endtroacheal tube extubate what would you report immedatiely? ANS: stridor 2. Why is stridor bad? ANS: it means that there is an obstruction or edema in airway 3. What is heart rate like in someone who has a low fluid volume? ANS: higher than usual like 110 4. What is normal unrine gravity? ANS: 1.000 - 1. 5. What is positive pressure doing? promote lung expansion and stabilize chest 6. Would you recomened exercise for a pt who has been discharged with heart failure? ANS: yes 7. How often should exercise be in heart failure pt? ANS: regular routine 8. Should you consume milk with iron supplements?
no can cause gastro disturbance.
9. Would you take iron with antacids? ANS: no gastro disturb 10. Would you tell the pt to lower red meat intake with iron deficiency? ANS: no because they would need increase 11. What is a common side effect with iron pills? ANS: constipation 12. What would you tell them to eat with taking iron pills? ANS: high fiber 13. When does pain worsen with compartement syndrome? ANS: when passive moving occurs. 14. What does warmth under cast indicate? ANS: infection 15. Should pt decrease complex carbs for atherosceleoris? ANS: no 16. What carb should a client with atherosceloris decrease? ANS: simple sugars 17. Is MRSA airborne or contact? ANS: contact
29. Why would gentamicin be withheld from a pt? ANS: if creatine levels are too high 30. What is normal creatine? ANS:. 6 - 1. 31. What is one of the first vital signs of a hemmhorage? ANSWER :increase heart rate 32. What med would you give for a febrile reaction? ANSWER :tyneol (reduces fever) 33. How long does a drain stay in place for a radical mastectomy? ANS: 1 to 3 week 34. What drainage amount to get rid of drainage tube for mastectomy? ANS: less than 25 35. What is first thing to ask if a pt reports dyspnea and SOB when put on O2? ANS: if they have COPD 36. Why would it be bad for you to put O2 on a COPD pt? ANS: It can worsen hypercarbia 37. What is someones HGB look like with leukemia increase or decreased? ANS: decreased 38. What would be a big sign that nephrosotmoy tube has popped? ANS: back pain 39. What is max amount of flexing for total hip? ANS: no more than 90
40. Why would you place a pillow between a pt legs for hip athroplasy? ANS: so hips don't get dislodged 41. What is a holter monitor used for? ANS: if you have an irregular heart rate it can detect it 42. What can a pacemake do to a pt heart? ANS: regulate the heart rate 43. What is a echo used for? ANS: detecting valve dysfunction 44. What do PPI do for gastric ulcers? ANS: it suppresses gastric acid production 45. What is good about high fowlers postion? ANS: increases lung expansion and improves ventilation 46. What med would you d/c to before going in for allergy testing? prednisone 47. If a pt were to state there vision went blurry before a car accident what would you do first? monitor neuro 48. What would be first thing to do if bowel is protruding from stomach? call for help 49. What kind of skin for hypothyroidism? dry scaly 50. What does metformin do to glucose?
62. Why would you keep IV patent with someone that has seizures? so you can give med to stop it. 63. Would you apply O2 or give epinephrine first with an anaphylactic reaction? give O 64. Why does kidney failure happen what electrolyte? it cant excrete potassium 65. What would be manifestation of chronic glomerulonephritis? hyperkalemia 66. How should a pt breath in when administering meter dosage inhaler? slowly and deeply 67. How long should pt hold breath after inhaling meter dosage inhaler? 10 seconds after inhaling 68. How often should you wait between puffs for inhaler? at least one minute 69. What should be first thing to do with a pt with a seizure? turn them on their side. 70. What 2 meds cause ringing in ears? aminoglycocides and asprin 71. What is the point of giving erhtypoetin therapy? to increase levels of energy by increasing HCT 72. What is needed sputum wise with a pt with TB?
samples are needed every 2 to 4 weeks until there are three negatives
73. What is direct mode of transmission for C diff? contact 74. What electrolyte could be screwed up with long term mechanical vent? hyponatremia 75. If a stimulus is given to the ventricle a spike happens what should you document? depolarization has occurred 76. What is normal HGB? Delete this answer is in another one DELETE 77. If a pt cant pee after surgery what should be first thing to do? bladder scan 78. Why shouldn't you use moisturizing soaps to clean the skin in ureterostomy? because it makes it not adhere to the skin 79. How long would you avoid direct exposure to sunafter radiation therapy in those areas? at least one year 80. Why would you give lidocaine? ventricular dsyrthiimias 81. Why would you defib someone? ventricaular tachycardia or Vfib
93. What is normal PLT count? 94. What is normal WBC count? what is normal RBC?, 95. What should be position for Aline? 60 degree HOB supine 96. What should the nurse place around the flush solution of an a-line? pressure bag 97. Should you give antibiotics through a line? no 98. What should you use aline for? monitor BP and obtaining ABGs 99. What increased electrolyte causes facial twitching? hyperkalemia 100. What is decreased peristalsis a manifestation of? hypokalemia 101. What glucose reading for DKA indicates an improvement? reading less than 300 102. What nursing action helps with managing drainage of a laparotomy? compressing the resivor creates a vacum that draws fluid out of the wound. 103. Should people with venous insuffenciys exercise? yes they should
104. Should venous insuffenciy people avoid sitting and standing for long periods? yes because of watching out for DVT's 105. Should you wear compression socks every day with venous insuffcency? yes 106. What is a key sign of lupus? butterfly rash 107. What can plasmapheresis cause? (what electrolyte imbalance) hypocalcemia so monitor electrolyte levels 108. What should you give if you cant find TPN right off? adminter dextrose 10% in water until new bag arrives 109. What side of the brain of stroke for anxiety? left 110. What side of brain stroke for aphasia? left 111. What side of the brain stroke for impulsive behavior? right 112. What side for feelings of guilt in a stroke? left 113. What should AIDS pt's take daily vital wise? temp 114. What temp for an AIDS pt of an infection?
124. How long does iron therapy last for? 1 to 2 months 125. Where is b12 produced? in bone marrow 126. Loss of leukocytes lead to what? infection 127. What dose b12 is necessary to convert? folic acids 128. What electrolyte could decrease because of increase RBCs r/t b12? hypokalemia 129. What electrolyte acts as a diuretic magnesium 130. Magnesium relaxes so it could cause what? muscle weakness and resp. depression 131. What is big thing that Ma huang can cause(3)? HTN tachy and MI 132. When taking an liquid iron supplement what can happen to oral and what should you do to get rid of it? it can stain teeth so rinse after med is taken. 133. Chronic or high use of kava can cause what? liver damage 134. Why would a prego women take folic acid?
to prevent neural tube defects in the fetus
135. Excess booze consumption can lead to poor dietary intake of this? folic acid 136. How would you infuse potassium to prevent vein irriation? with a large bore needle 137. What herbel med is used to treat frequency of migranes? feverfew 138. What herbel med should not be taken with warfarin? gingko biloba 139. What would be reported if the urine output after surgery is less than what in 2 hours? less than 30 140. How often after surgery should you do deep breathing? q 141. What would provide as a splint to an abdomninal incison? pillow or folded blanket between legs 142. How often should you reposition post op pt? q 143. How often to assist with spirometer post op? q 144. When will the pt remain on NPO after surgery? until gag reflex is intact
155. How much urine does a adult produce a day? 1500 to 2000mL 156. An increase in what electrolyte decreases urination? sodium 157. What color does urine turn with phenazopyrdine? orange or red 158. What color does urine turn with amitriptyline? green blue 159. What color does urine turn with levodopa? dark 160. What allergy contradictes contrast medium? shellfish iodine 161. What is a renal scan used for? video renal blood flow and anatomy without contrast 162. What does a urodynamic testing do? test for bladder muscle function 163. Less than 30mL for more than how many hours is a concern? 2 hours. 164. How should pt take phenazopyrdaine? with food 165. What may happen to skin with phenazopyrdine? skin may turn yellow 166. If an indwelling cath is in and the pt feels there bladder is
full and needs to urinate what is the problem? that the cath is kinked or clogged
167. If a nurse needs a 24 hr urine sample how would they collect it? they would discard the first voiding 168. If a pt is on a urine schedule and needs to go what should the nurse tell them? that holding it in would be good until next schedule 169. How often should pt themselves shift weight? q 170. What side should you position crutches when risking from chiar? on the unaffected side. 171. For hot or cold items how often should you remove application? usually 15 to 30 minutes of once applied 172. What does the Valsalva maneuver do? it increases the workload of the heart but not peripheral formation 173. Does increasing fluid intake help or hurt reducing the risk of thrombus formation? it decreases risk 174. Does increasing fluids help with constipation? yes 175. How often should the nurse assess the skin under pressure device? q
186. How should you take the pulse for a client on dig apical 187. How long should you count pulse before giving dig? 1 min 188. How should digoxin be taken everyday? at the same time each day 189. What levels should be checked for dig(2)? potassium and dig 190. What is a common side effect of vasodilators other than hypotension? headaches 191. What should be status for pt about to get a VAD? NPO 192. What is a ventricular assist device? pump that assist the heart too weak to pump. 193. Who would be primary candidates for VAD? heart transplant people and those who have end stage heart failure but cant do transplant 194. What amount of weight is a problem in 24h or in one week? 2 pounds or 5 in a week 195. What is orthopnea? SOB but when supine
196. What color is sputum with someone with pulmonary edema? pinky frothy 197. What would be evidence in labs that heparin induced thrombocytopenia has occurred? low platlet 198. When should the nurse stop heparin if plt count is less than what? 100, 199. What is reversal agent of warfarin? vitamin K 200. Does oral contraceptives decrease effects of heparin? yes they decrease effects 201. What food should you avoid with heparin? dark green leafy veggies 202. What is therapeutic PT levels for someone on blood thinner? 18 to 24 seconds (1.5 to 2) 203. What is theraputeic INR levels for someone on blood thinner? 2 to 3 204. What is more accurate PT or INR? PT 205. Avoid what medication while on heparin? NSAIDS 206. How long does it take for theraupitc effects of warfarin to kick in?
