TEST BANK FOR ATI ADULT MEDICAL
SURGICAL PROCTORED EXAM STUDY GUIDE
UPDATED VERSION 2025
Endotracheal tube extubate what would you report immedatiely? - ANSWER-stridor
Why is stridor bad? - ANSWER-it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume? - ANSWER-higher than usual like 110
What is normal unrine gravity? - ANSWER-1.000 - 1.030
What is positive pressure doing? - ANSWER-promote lung expansion and stabilize chest
Would you recomened exercise for a patient who has been discharged with heart failure? - ANSWER-yes
How often should exercise be in heart failure patient? - ANSWER-regular routine
Should you consume milk with iron supplements? - ANSWER-no, can cause gastro disturbances
Would you take iron with antacids? - ANSWER-no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency? - ANSWER-no, because they
would need to increase
What is a common side effect with iron pills? - ANSWER-constipation
What would you tell them to eat when taking iron pills? - ANSWER-high fiber diet
When does pain worsen with compartment syndrome? - ANSWER-when passive movement occurs
What does warmth under cast indicate? - ANSWER-infection
Should patient decrease complex carbs for atherosceleoris? - ANSWER-no
What carb should a client with atherosceloris decrease? - ANSWER-simple sugars
Is MRSA airborne or contact? - ANSWER-contact
,What does phenytoin do to hepatic enzymes [seizure med]? - ANSWER-it decreases effectiveness
What should you tell the client not to take with ciprofloxacin? - ANSWER-magnesium containing
antacids
Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER-calcium can decrease
absorption of med
What is a common side effect of rifampin? - ANSWER-color of pee
Can you take ciproflaxcin with alcohol? - ANSWER-yes
After a para-thyroidectomy what would be a priority for the nurse to do? - ANSWER-to put trach tray by
bedside [think AIRWAY]
What meds increase osteoporosis? - ANSWER-Fludrocortisone
With enoxaparin what is the main thing the nurse should do? - ANSWER-give dosage same time every
day
Is restlessness common in hyperthyroidism? - ANSWER-yes
What would be urgent for hyperthyroidism? - ANSWER-high blood pressure
If a client has a weird heart sound what would be the first thing you do? - ANSWER-listen to it again but
on the left side [always want least invasive]
Why would gentamicin be withheld from a patient? - ANSWER-creatine levels are too high
What is normal creatine? - ANSWER-0.6 - 1.2
What is one of the first vital signs of a hemorrhage? - ANSWER-increased heart rate
What med would you give for a febrile reaction? - ANSWER-Tylenol [reduces fever]
How long does a drain stay in place for a radical mastectomy? - ANSWER-1 to 3 weeks
What drainage amount is needed to get rid of drainage tube for mastectomy? - ANSWER-less than 25 ml
What is the first thing to ask if a client reports dyspnea and shortness of breath when put on O2? -
ANSWER-if they have COPD
Why would it be bad for you to put O2 on a COPD patient? - ANSWER-It can worsen hypercarbia
Leukemia client; would their hemoglobin be increased or decreased? - ANSWER-decreased
What would be a big sign that a client's nephrostomy tube has popped? - ANSWER-back pain
, What is max amount of flexing for total hip replacement? - ANSWER-no more than 90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty? - ANSWER-so hips don't get
dislodged
What is a holter monitor used for? - ANSWER-if you have an irregular heart rate it can detect it
What can a pacemaker do to a patient's heart? - ANSWER-regulate the heart rate
What is an echo used for? - ANSWER-detecting valve dysfunction
What do PPI's do for gastric ulcers? - ANSWER-it suppresses gastric acid production
What is good about high fowlers postion? - ANSWER-increases lung expansion and improves ventilation
What med would you discontinue before going in for allergy testing? - ANSWER-prednisone
If a client were to state their vision went blurry before a car accident what would you do first? -
ANSWER-monitor neuro
What would be the first thing to do if bowel is protruding from stomach? - ANSWER-CALL FOR HELP
What kind of skin for hypothyroidism? - ANSWER-dry scaly
What does metformin do to glucose? - ANSWER-it decreases the amount of glucose produced in liver
When should client take metformin? - ANSWER-with or immediately following meals
If you have hair loss on lower legs what could be problem? - ANSWER-Peripheral artery disease [PAD]
When is pain happening with PAD? - ANSWER-when resting
How is pain relieved with PAD? - ANSWER-when feet are dangling
After a thoracentesis, what should a nurse tell the client? - ANSWER-to deep breathe which re expands
the lungs
What lab would be an indication of osteomyelitis? - ANSWER-increased sedimentation rate [ESR]: blood
test that reveals inflammatory activity in the body
What is a blood problem that can occur with someone taking feverfew. - ANSWER-platlet aggregation
What med does not go with feverfew? - ANSWER-naproxen
What should SaO2 level be? - ANSWER-above 90%
What vital sign could drop with digoxin toxicity? - ANSWER-Heart rate
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