ATI ADVANCED MED SURG PROCTORED LATEST ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
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Course
ATI ADVANCED MED SURG
Institution
ATI ADVANCED MED SURG
ATI ADVANCED MED SURG PROCTORED LATEST
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
ATI ADVANCED MED SURG PROCTORED LATEST
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
ATI ADVANCED MED SURG PROCTORED 2024-2025 LATEST
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
The client who has received several blood transfusions is at risk for development of hemosiderosis,
which is excess storage of ____ in the body. The excess can come from overuse of supplements or from
receiving frequent blood transfusions, as in sickle cell anemia. - ANSWER-iron
T/F: The nurse should instruct the client who has stomatitis to avoid the use of lemon-glycerine swabs
because they cause drying and irritation of the mucous membranes. - ANSWER-true
The nurse should instruct the client with stomatitis to rinse the mouth out with_______, _______, or
_________ solution every 2 to 3 hr to promote comfort and healing. - ANSWER-hydrogen peroxide
solution, baking soda solution or warm saline
ABGs normal pH normal PaCO2
normal HCO3 - ANSWER-pH 7.35-
7.45
PaCO2 35-45
HCO3 22-26
How can you determine respiratory/metabolic acidosis/alkalosis? - ANSWER-First look at the pH. <7.35 =
acidosis; >7.45=alkalosis.
Then look at CO2. If abnormal = respiratory. If CO2 normal and HCO3 abnormal = metabolic.
isoniazid for TB
-how long is it usually prescribed for?
-monitor what organ?
-take with or without food? - ANSWER--usually 6 months to 2 years
-monitor liver function
-empty stomach (1 hour before or 2 hours after a meal)
,The nurse should recognize that bladder spasms are an expected manifestation after a TURP and are
usually controlled by a smooth muscle relaxant such as ______. - ANSWER-oxybutynin
Is a strong urge to urinate normal after a TURP? - ANSWER-yes
Post-TURP, the nurse should report urine output that is bright red/viscous with clots or urine that
resembles ketchup to the provider because this is an indication of _________. - ANSWER-arterial
bleeding
brachytherapy
-what position during treatment?
-avoid contact with people between treatments?
-treatment how often?
-is blood in urine expected? - ANSWER--bed rest with limited movement (lie still in bed)
-no need to avoid contact with people between treatments
-treatment usually 1-2 times per week
-blood in urine not expected - report to the provider
EEG special instructions - ANSWER--eat regular meals beforehand
-shampoo hair thoroughly, no sprays or oils
-wake up at 2 or 3 am the morning of
post sigmoid colon resection with colostomy
-how will the stoma change in size?
-diet?
-what will the stools be like?
-when will colostomy begin to function? - ANSWER--it will be large and edematous and shrink over 6-8
weeks
-quickly return to regular diet after surgery, unless patient wants to restrict foods that cause gas or odor.
no need to do soft foods
-the colostomy will begin to function 2-6 days after surgery. the first 2-6 days there may only be mucus
drainage
,patient with encephalitis from West Nile virus
-what level of precautions?
-vital signs how often?
-neuro status how often?
-risk of what?
-bed position?
-surroundings? - ANSWER--standard precautions
-vital signs q 2 hrs
-neuro status at least q 4 hrs
-risk of increased ICP:
-head of bed elevated 30-45 degrees
-dark room, low-stimulation environment to promote comfort and decrease agitation
patient with epistaxis
-what position
-apply what
-blow nose?
-when to try something else? - ANSWER--sitting leaning forward
-apply ice pack or cold compress
-apply direct lateral pressure for 10 minutes. if that doesn't work, try nasal packing or other
interventions
-avoid blowing nose for 24 hrs afterward
patient on TPN
-if TPN is not available, give what fluid?
-change tubing how often?
-blood glucose checks how often?
-weights how often? - ANSWER--give 10% dextrose in water or 20% dextrose in water
, -change tubing every 24 hrs
-check blood glucose every 4 hrs
-daily weights
s/sx of increased intracranial pressure:
-BP
-HR
-other - ANSWER-widened pulse pressure/increased systolic BP
bradycardia pupil changes LOC changes nausea and vomiting
_________ is a deep, rapid respiratory pattern of hyperventilation that can occur in a client who has
diabetic ketoacidosis. - ANSWER-Kussmaul respirations
Kussmaul respirations is a deep, rapid respiratory pattern of hyperventilation that can occur in a client
who has what condition? - ANSWER-diabetic ketoacidosis
This is a breathing pattern of deep to shallow breaths, followed by periods of apnea. - ANSWER-Cheyne
Stokes respirations
Cheyne-Stokes respirations can be the result of a drug overdose or __________ and can precede death. -
ANSWER-increased intracranial pressure
This is a pattern of breathing in which the chest wall contracts during inspiration and expands during
expiration. This can occur in a client who has sustained rib fractures. - ANSWER-flail chest aka
paradoxical breathing
What are some risk factors for breast cancer? - ANSWER-obesity, alcohol use (dose dependent - 3+
drinks/week), oral contraceptive use, family history/genetics, *over age 50*, nulliparity, early menarche,
late menopause, hormone replacement therapy, increased breast density, first pregnancy after age 30
post radical prostatectomy with indwelling urinary catheter
-shower/bath?
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