ATI Proctored-Medical Surgical
Practice questions and answers
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - stridor
Why is stridor bad? - 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)? - usually greater
than 110- to compensate for the low bp
What is normal urine gravity? - 1.000 - 1.030
What is the role of positive pressure? - to promote lung expansion and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? - yes
How often should exercise be in heart failure pt? - regular routine
Should you consume milk with iron supplements? - no- can cause gastric disturbance.
Would you take iron with antacids? - no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - no- increase iron rich foods
What is a common side effect with iron pills? - constipation
What would you tell them to eat with taking iron pills? - high fiber
When does pain worsen with compartement syndrome? - when passive moving occurs.
What does warmth under cast indicate? - infection
Should pt decrease complex carbs for atherosceleoris? - no, increase them
What carb should a client with atherosceloris decrease? - simple sugars
Is MRSA airborne or contact? - contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - it decreases effectiveness
, What should you tell the pt not to take with ciprofloxacin? - magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - calcium can decrease
absorption of med
What is a common side effect of rifampin? - color of urine-
Can you take ciproflaxcin with alcohol? - yes
After a parathryoidectomy what would be the priority for the nurse? - to put trach tray by bedside
in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - give dosage same time every day
Is restlessness common in hyperthyroidism? - yes
What would be urgent for hyperthyroidism? - high BP
If a pt has a weird heart sound what would be first thing you do? - listen to it again but on the left
side (least invasive)
Why would gentamicin be withheld from a pt? - if creatine levels are too high
What is normal creatine? - .6-1.2
What is one of the first vital signs of a hemorrhage? - increase heart rate
What med would you give for a febrile reaction? - tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - 1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - if they have
COPD
Why would it be bad for you to put O2 on a COPD pt? - It can worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? - back pain
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