ATI Proctored-Medical Surgical Exam __ Questions And Answers
In extubating an Endtroacheal tube, what needs to be reported immediately? Correct
... [Show More] Ans - stridor
Why is stridor bad? Correct Ans - 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)? Correct Ans - usually greater than 110- to compensate for the low bp
What is normal urine gravity? Correct Ans - 1.000 - 1.030
What is the role of positive pressure? Correct Ans - to promote lung expansion and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? Correct Ans - yes
How often should exercise be in heart failure pt? Correct Ans - regular routine
Should you consume milk with iron supplements? Correct Ans - no- can cause gastric disturbance.
Would you take iron with antacids? Correct Ans - no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? Correct Ans - no- increase iron rich foods
What is a common side effect with iron pills? Correct Ans - constipation
What would you tell them to eat with taking iron pills? Correct Ans - high fiber
When does pain worsen with compartement syndrome? Correct Ans - when passive moving occurs.
What does warmth under cast indicate? Correct Ans - infection
Should pt decrease complex carbs for atherosceleoris? Correct Ans - no, increase them
What carb should a client with atherosceloris decrease? Correct Ans - simple sugars
Is MRSA airborne or contact? Correct Ans - contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? Correct Ans - it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? Correct Ans - magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? Correct Ans - calcium can decrease absorption of med
What is a common side effect of rifampin? Correct Ans - color of urine-
Can you take ciproflaxcin with alcohol? Correct Ans - yes
After a parathryoidectomy what would be the priority for the nurse? Correct Ans - to put trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? Correct Ans - fludrocortisone
With enoxaparin, what is the priority as the med the nurse? Correct Ans - give dosage same time every day
Is restlessness common in hyperthyroidism? Correct Ans - yes
What would be urgent for hyperthyroidism? Correct Ans - high BP
If a pt has a weird heart sound what would be first thing you do? Correct Ans - listen to it again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? Correct Ans - if creatine levels are too high
What is normal creatine? Correct Ans - .6-1.2
What is one of the first vital signs of a hemorrhage? Correct Ans - increase heart rate
What med would you give for a febrile reaction? Correct Ans - tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? Correct Ans - 1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? Correct Ans - less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? Correct Ans - if they have COPD
Why would it be bad for you to put O2 on a COPD pt? Correct Ans - It can worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? Correct Ans - decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? Correct Ans - back pain
What is max amount of flexion for total hip replacement? Correct Ans - no more than 90 degrees
Why would you place a pillow between a pt legs for hip athroplasy? Correct Ans - so the hips don't get dislocated
What is a holter monitor used for? Correct Ans - detecting irregular heart rate and rhythms
What is the role of a pacemaker? Correct Ans - regulate the heart rate
What is a echocardiogram used for? Correct Ans - detecting valve dysfunction
What do PPI do for gastric ulcers? Correct Ans - it suppresses gastric acid production
What does high fowler's position accomplish? Correct Ans - increases lung expansion and improves ventilation
What med would you d/c to before going in for allergy testing? Correct Ans - prednisone
If a pt were to state that their vision went blurry before a car accident, what would you do first? Correct Ans - monitor neuro
What would be first thing to do if bowel is protruding from stomach? Correct Ans - call for help
What kind of skin for hypothyroidism? Correct Ans - dry scaly [Show Less]