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ATI Proctored Med/Surg Questions And Answers Verified

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ATI Proctored Med/Surg Questions And Answers Verified Anticholinergics Ans- SE: Can't pee, can't see, can't spit, can't shit. (Drys everything) ACE inhibitors Ans- "-PRIL" Assess BP before giving (hypotension) SE: Angioedema, Cough[dry], Elevated potassium Modifiable risk factors Ans- Facto...

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  • February 27, 2023
  • 56
  • 2022/2023
  • Exam (elaborations)
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ATI Proctored Med/Surg Questions And
Answers Verified
Anticholinergics Ans- SE: Can't pee, can't see, can't spit, can't shit. (Drys everything)



ACE inhibitors Ans- "-PRIL"

Assess BP before giving (hypotension)

SE: Angioedema, Cough[dry], Elevated potassium



Modifiable risk factors Ans- Factors contributing to the development of a noncommunicable disease that
can be altered by modifying one's behavior or environment (Smoking, exercise, etc.)



Non-modifiable risk factors Ans- age, gender, race, family history



Triaging Ans- Emergent - Must be seen immediately (life threatening)

Urgent - Teat soon but non-life threatening

Non-urgent - can wait w/o issues



Class 1 (Red Tag) Ans- Immediate threat to life (Resp issues, MI etc.)



Class 2 (Yellow Tag) Ans- Non-life threatening major injuries require immediate treatment (Major
fractures, etc)



Class 3 (Green Tag) Ans- Minor injury; not requiring immediate attention (Abrasions, etc.)



Class 4 (Black Tag) Ans- Expected to die



ABC's + DE Ans- Airway, Breathing, Circulation

Disability (LOC), Exposure

,Treat Poisoning Ans- 1. Activated charcoal

2. Gastric Lavage

3. Whole bowel irrigation



Interventions for V-Fib or V-Tach Ans- Initiate BLS, establish IV, epinephrine, (Give Antiarrhythmic -
Amiodarone)



Alpha 1 receptors Ans- VasoCONSTRICTION of arterioles in skin, viscera, & mucous membranes and in
veins. (increase BP)



Beta 1 receptors Ans- Increase heart rate (stimulate heart)



Beta 2 receptors Ans- Bronchodilation, relax uterine smooth muscle (Heart and lungs)



Epinephrine Ans- Alpha 1/Beta 1,2 Agonist

(SE: HTN crisis, dysrhthmias)



Dopamine Ans- Beta 1 receptors, alpha 1 (good for shock and HF)

SE: Dysryhthmias, angina



Debutamine Ans- Beta 1 receptors (for HF)



Cerebral angiogram Ans- X-ray of blood vessels in the brain after intracarotid injection of contrast
medium

(Contrast dye used: assess if pt is pregnant, allergies to iodine/shellfish, renal function, on anticoagulant)
No food 4-6 hrs prior, monitor bleeding/pulses after



EEG Ans- Assesses electrical activity (for seizures)

Want pt. to have clean hair, no need to fast prior, sleep deprived is ok

,Glasgow Coma Scale (GCS) Ans- Scale used to assess Pt LOC (3-15)

Eye opening (1-4)

Verbal response (1-5)

Motor response (1-6)



Intercranial pressure (ICP) Ans- Interventricular cath

Subarachnoid screw/bolt

Epidural/subdural sensor

Placed by neurosurgeon, very invasive(risk of infection), used in pts w/low GCS <8

S/s ^ICP: Irritablity, HA, dec LOC, dec pupil response, altered breathing (cheyne stokes), posture
(decortacate decerabrate)

Nl ICP = 10-15 mmhg



lumbar puncture Ans- Fetal position. post-neuro assess q15-30 until stable. flat 2-3 hour. encourage
fluids, oral analgesics for headache.



MRI Ans- Same contrast dye precautions

assess for claustraphobia, remove jewelry, assess for metal implants (pacemakers etc), give earplugs



PET scan Ans- Assesses tumor activity/response to treatment



Acute pain Ans- Pain that is felt suddenly from injury, disease, trauma or surgery. Resolves w/ tissue
healing



Chronic pain Ans- Episode of pain that lasts for 6 months or longer; may be intermittent or continuous
(lead to depression)



Nociceptive Pain Ans- Pain from a normal process that results in noxious stimuli being perceived as
painful

, Damage/inflammation of tissue

Somatic (bones joints ct)

Visceral (internal organs)

Cutaneous (skin or sq)



Neurpathic pain Ans- Arises from direct injury to nerves and abnormal processing of sensory input by
PNS & CNS

includes phantom, diabetic neuropathy, spinal cord injury pain

tx usually includes muscle relax, anti spaz, etc

(shooting burning pins/needles)



Assessing pain Ans- * Location

* Pain intensity (rating scales)

* Pain quality (description)

* Pattern (onset, duration, recurrence)

* Precipitating factors (precede pain)

* Alleviating factors (remedies)

* Associated symptoms

* Effect on ADLs

* Coping resources

* Affective responses



Non-pharmacologic pain management Ans- Imagery, TENS, heat/cold, acupuncture, therapeutic touch,
massage, relaxation



Opiods SE Ans- Constipation, orthostatic HypoTN, urinary retention, N/V, Resp depression (Have
Narcan/naloxone on hand)



Meningitis Ans- Inflammation of the meninges of the brain and spinal cord

Viral (Self solves)

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