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MEDICAL SURGICAL ATI PROCTORED EXAM 2025|QUESTIONS AND ANSWERS| GUARANTEED PASS, Exams of Nursing

Northwestern University (NU)Nursing

MEDICAL SURGICAL ATI PROCTORED EXAM 2025|QUESTIONS AND ANSWERS| GUARANTEED PASS

Typology: Exams

2024/2025

Available from 07/02/2025

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MEDICAL SURGICAL ATI PROCTORED EXAM 2025|
QUESTIONS AND ANSWERS| GUARANTEED PASS
What would you do for wound Evisceration ( removal of internal
organs) , Emergency management?
Saline cover wound
What would you do for an ASTHMA emergency management of a bee
sting allergies?
Epi Pen
Seizures and Epilepsy: Seizure precautions
During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
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Download MEDICAL SURGICAL ATI PROCTORED EXAM 2025|QUESTIONS AND ANSWERS| GUARANTEED PASS and more Exams Nursing in PDF only on Docsity!

MEDICAL SURGICAL ATI PROCTORED EXAM 2025|

QUESTIONS AND ANSWERS| GUARANTEED PASS

What would you do for wound Evisceration ( removal of internal organs) , Emergency management? Saline cover wound What would you do for an ASTHMA emergency management of a bee sting allergies? Epi Pen Seizures and Epilepsy: Seizure precautions During a seizure:

  1. Position client on the floor 2)Provide a patent airway
  2. Turn client to side
  1. Loosen restrictive clothing Cancer treatment options: Protective Isolation If WBC drops below 1,000, place the client in a private room and initiate neutropenic precautions.
  • Have client remain in his room unless he needs to leave for a diagnostic procedure, in that case transport patient and place a mask on him.
  • Protect from possible sources of infection (plants, change water in equipment daily)
  • Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
  • Avoid invasive procedures (rectal temps, injections)
  • Administer (neupogen, neulasta) to stimulate WBC production Infection control: Appropriate room assignment
  1. private room or room with same illness
  2. gloves & gowns
  3. disposal of infections dressing materials into a single, nonporous bag without touching the outside of the bag TB: Priority action for a client in the emergency department -Wear an N95 or HEPA respirator -Place client in negative airflow room and implement airborne precautions -use barrier protection when the risk of hand or clothing contamination exists Immunizations: Recommended vaccinations for older adult clients Adults age 50 or older:
  • Pneumococcal Vaccine (PPSV)
  • Influenza vaccine
  • Herpes Zoster Vaccine
  • Hepatitis A
  • Hepatitis B
  • Meningococcal Vaccine Pulmonary Embolism: Risk factors for DVT
  • Long term immobility
  • Oral contraceptives
  • Pregnancy
  • Tobacco use
  • Hypercoagulabilty
  • Obesity
  • Surgery
  • Heart failure or chronic A-Fib
  • Autoimmune hemolytic anemia (sickle cell)
  • Long bone fractures
  • Advanced age Disorders of the male reproductive system: Complications of continuous irrigation following Trans-urethral Resection
  • Urethral trauma
  • Urinary retention
  1. Emergent- Life threatening situation going on.
  2. Urgent - Need to be treated soon but not life threatening.
  3. Non urgent- The patient can wait for an extended period of time , without big issues. Mass casualty event Class 1 - RED TAG - Immediate threat to life Examples:
  4. Breathing issues
  5. Chest pain
  6. Heart attack coming on
  7. Airway problem Class II - YELLOW TAG - Major injuries that require immediate treatment but not life threatening. Examples:
  8. Major fracture

Class III - GREEN TAG - Minor injury that does not require immediate attention. EXAMPLES:

  1. Abrasion
  2. Laceration Class IV - BLACK TAG - Expected to die EXAMPLES:
  3. Penetrating head wound Triage priority setting
  4. Red tag
  5. Yellow Tag
  6. Green tag
  7. Black tag

IF patient has had accidental or purposeful poisoning:

  1. Activated charcoal
  2. Gastric lavage
  3. Whole bowel irrigation *** DO NOT INDUCE VOMITING OR SYRUP OF IPECAC Call rapid response team when client is rapidly declining. Cardiac Emergencies If V fib or ventricular tachycardia you would initiate:
  4. Basic life support ( BLS) and CPR
  5. Establish IV access
  6. Epinephrine is used to get the heart up and moving. Alpha 1 receptors Activation Causes the skin , mucus membranes and veins to vasoconstrict. Help with:
  1. Congestion
  2. Superficial bleeding
  3. In general help raise blood pressure by constricting the veins. DRUG: Epinephrine:Triggers the Alpha 1 receptors Causing vasoconstriction and increase blood pressure. Epinephrine side effects Increases blood pressure
  4. Hypertensive crisis
  5. Dysrhythmia
  6. Angina Dopamine side effects
  7. Dysrhythmia
  8. Angina

Beta II receptors Help stimulate the heart and lungs Beta II You have 2 Lungs Causes:

  1. Bronchodilation in the lungs
  2. Causes uterine smooth muscle to relax
  3. Asthma situation DRUG: Epinephrine:Triggers the Beta II receptors Cause bronchodilation and treat Asthma Dopamine Causes renal blood vessels to dilate. DRUG: Epinephrine: Dopamine receptors and if given a little more Beta I

Helps with:

  1. Shock
  2. Heart failure A nurse is monitoring a client who recently had a cast placed on his lower extremity for a bone fracture. Which of the following findings should the nurse recognize as abnormal?
  3. Report a dull, throbbing pain
  4. Lack of sensation between the first and second toes.
  5. Capillary refill of three seconds in the nails of the toes.
  6. Extremities that are cool bilaterally
  7. Lack of sensation between the first and second toes.
  • Lack of sensation between the toes indicates peripheral nerve impairment and is an abnormal finding that can indicate the client has compartment syndrome. The nurse should notify the provider immediately.
  1. Combination oral contraceptives
  • The nurse should identify that combination oral contraceptives are contraindicated for this client because they increase estrogen levels, which can stimulate the growth of any remaining cancerous breast cells.
  • The nurse should identify that the use of an intrauterine device requires the client to check the placement monthly and is not contraindicated for this client.
  • The nurse should identify that the use of latex condoms is contraindicated for clients, or their partners, who are allergic to latex. However, it is not contraindicated for this client.
  • The nurse should identify that prolonged use of a contraceptive sponge can increase the risk for toxic shock syndrome. However, it is not contraindicated for this client. A nurse is collecting data from a client who has heart failure and is on digoxin. Which of the following outcomes from the medication should the nurse expect?
  1. Increased heart rate
  2. Decreased urinary output
  3. Decreased shortness of breath
  4. Increased weight
  5. Decreased shortness of breath
  • The nurse should expect the client to have decreased shortness of breath. Digoxin increases the contractility of the heart, which decreases pulmonary congestion.
  • The nurse should expect the client's heart rate to decrease because digoxin decreases the client's sympathetic nerve tone, which slows the heart rate.
  • The nurse should expect the client to have an increase in urinary output because digoxin improves cardiac output and increases the client's renal blood flow through the kidneys, which results in an increased excretion of urine.
  • The client should take glucocorticoids with food to prevent gastrointestinal upset and bleeding.
  • It is not necessary for a client who has SLE and is taking a glucocorticoid to restrict protein intake.
  • Clients who take glucocorticoids are at risk for osteoporosis, so they should take additional vitamin D and calcium supplements. A nurse is caring for a client who is 24 hours postoperative following abdominal surgery and has an NG tube. Which of the following actions should the nurse plan to take to decrease the risk of postoperative complications?
  1. Place one or two pillows beneath the clients knee's while he is in bed.
  2. Offer sips of water to the client following oral care.
  3. Massage the clients lower extremities with lotion every 2 hours.
  4. Encourage the client to use an incentive spirometer every hour while awake.
  1. Encourage the client to use an incentive spirometer every hour while awake.
  • The nurse should assist the client to use the incentive spirometer in addition to coughing and deep breathing every hour while awake for the first 24 hr postoperatively and at least every 2 hr while awake thereafter. An incentive spirometer will inflate the client's alveoli and improve ventilation to prevent postoperative pneumonia.
  • The nurse should elevate the foot of the bed slightly and apply prescribed compression stockings or sequential compression devices to promote venous return. However, pillows beneath the client's knees can create pressure and decrease venous return in the lower extremities, which can lead to thrombosis.
  • The nurse should provide frequent oral care and the use of moistened oral swabs to alleviate dry mucous membranes. However, oral fluids are contraindicated for a client who had abdominal surgery and has an NG tube.
  • The nurse should monitor the client's lower extremities for tenderness, warmth, or redness. However, massaging the client's lower extremities is contraindicated because, if there is a blood clot formation in the a lower extremity, it can loosen the clot and cause a pulmonary embolism.