vATI test Med Surg practice exam questions and answers 2024

Cholinergic Crisis The client presents with increased muscle weakness and twitching due to administration of tensilon Stage II Lime Disease Is characterized by joint pain as well as cardiac and neurological complications. If left untreated it may become chronic and lead to arthritis and peripheral neuropathy. Correct sequence to respond with a Epi-Pen 1. Inject the pen 2.Remove the stinger 3. Clean with soapy water 4. Apply Ice 5. Get medical help Adverse effect of Radiation therapy for laryngeal cancer. Difficulty swallowing (it indicates a swelling of the esophageal tissue and may lead to malnutrition.) A Possible intervention to Prevent Dumping syndrome post surgery. Lie in supine position after meals (this will help food to move slower through the intestinal tract) A decrease in Urine output This may indicate a change in hepatic function and should be reported to the provider. Subclavian insertion site for a client for 3-4 weeks. directly below the clavicle with a triple lumen catheter. What is the priority assessment for a client with a spinal injury Peripheral reflex and sensation changes. (The greatest risk to the client is neurological damage and this would manifest ) Priority assessment for a client with status epilepticus having a seizure. Level of oxygenation. Using the ABCs Intervention for a client having a tonic-clonic seizure who has become cyanotic Turn them onto their side. This will provide a patent airway. Highest priority in a casted patient Decreased blood flow past the casted area (may be manifested by decreased pulse pressure) First priority for a client with a fever cough and sweating Initiate airborne precautions Priority intervention post any type of transplant Provide immunosuppressive agents Post TB treatment instructions After three negative sputum cultures the client is considered non-infectious. Teaching for IBS Increase daily intake of fiber because it helps produce bulky soft stools and establish patterns of bowel relief. Placement of leads for ECG Flat surfaces on extremities. Assessment for a client receiving Heparin Petechiae ( Teaching for client with a hearing aid Background noises are often a challenging and will require some adjustment Teaching for clients with arthritis Consistency of exercise schedule is important. Possible complication post Eye surgery Moderate pain and vomiting (this may represent intraocular pressure or hemorrhage) Possible complication of a TERP surgery The client has red colored urine with occasional clots (this could represent arterial bleeding) A sign of digoxin toxicity Visual disturbances Important to report about IV insertion site Swelling (this could mean infiltration or leakage at the insertion site.) Adverse side effect of Mannitol Headache (notify the physician immediately) This assessment finding signifies Hemolytic transfusion reaction. low back pain and apprehension. Ibuprofen common side effect GI bleending Acetylcisteine (Mucomyst) This drug is used to thin secretions in the pulmonary making it easier for the client to cough up stuff. Common side effect of iron supplement Constipation (recommend an increase in dietary fiber for this client.) Placement of client for insertion of subclavian IV catheter. Trendelenburg position. A finding of Tension Pneumothorax Chest asymmetry. In diabetic keytone acidosis The blood glucose level is above 300 Nursing intervention post Thyroidectomy Provide humidified oxygen (this promotes easier breathing and can relieve some muscle and nerve distress) Treatment for biliary Colic ( spasms) Anticholinergics. (these are muscle relaxers and will relieve spasms) This is a positive response to HIV treatment a decrease in viral load Proprnolol Hydrochloride is a beta Blocker non-selective beta blockers cause broncho-constriction especially in clients who have