Download Medical surgical ATI proctored exam 2025-2026. Questions with verified answers. A+ GRADE and more Exams Nursing in PDF only on Docsity!
Medical surgical ATI proctored exam
2025-2026. Questions with verified
answers. GUARANTEED A+ GRADE.
What would you do for wound Evisceration (removal of internal organs) , Emergency management? Saline cover wound What would you do for an ASTHMA emergency management of a bee sting allergies? Epi Pen Seizures and Epilepsy: Seizure precautions During a seizure:
Position client on the floor
Provide a patent airway
Turn client to side
Loosen restrictive clothing
Cancer treatment options: Protective Isolation If WBC drops below 1,000, place the client in a private room and initiate neutropenic precautions.
- Have client remain in his room unless he needs to leave for a diagnostic procedure, in that case transport patient and place a mask on him.
- Protect from possible sources of infection (plants, change water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
Infection control: Appropriate room assignment Standard Precautions:
- applies to all patients
- Hand washing a. alcohol based preferred unless hands visually soiled ( then soap and water )
- Gloves - when touching anything that has the potential to contaminate.
- Masks, eye protection & face shields when care may cause splashing or spraying of body fluids
Droplet:
- private room or with someone with same illness
- masks
Airborne:
- private room
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT
- Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
Disorders of the male reproductive system: Complications of continuous irrigation following Trans-urethral Resection
- Urethral trauma
- Urinary retention
- Bleeding
- Infection
Non-modifiable risk factors ( Page 3 ATI )
- Age
- Gender
- Genetics
- Developmental level
Modifiable risk factors ( Page 3 ATI )
- Smoking
- Exercise
- Health education and awareness
- Nutrition
- Sex practices
Emergency nursing - Triage BASED ON ACUITY
Emergent- Life threatening situation going on.
Urgent - Need to be treated soon but not life threatening.
Non urgent- The patient can wait for an extended period of time , without big issues.
Red tag
Yellow Tag
Green tag
Black tag
Priorities: general rule A - Airway - Secure the airway by head tilt , chin lift maneuver unless a fracture in cervical spinal. Brain injury or death in 3 - 5 minutes if airway not patent.
B- Breathing - Auscultation of breath sounds, Chest expansion and respiratory effort, Rate and depth of respiration's, Look for chest trauma, Determine tracheal position, Check for jugular vein distension.
C- Circulation - Heart rate, BP, Peripheral pulses, Cap refill.
D - Disability - Clients level of consciousness with:
- Glasgow coma scale a) <<< 8 Comatose state b) 3 Client totally unresponsive c) 15 A client within normal limits.
E- Exposure - Hypothermia - Patient in cold icy water:
- Remove wet clothing
- Provide blankets
- Increase the temperature of the room
- Warm IV fluid going into the patient
IF patient has had accidental or purposeful poisoning:
- Activated charcoal
- Gastric lavage
- Whole bowel irrigation *** DO NOT INDUCE VOMITING OR SYRUP OF IPECAC
Call rapid response team when client is rapidly declining.
Cardiac Emergencies If V fib or ventricular tachycardia you would initiate:
- Basic life support ( BLS) and CPR
- Establish IV access
- Epinephrine is used to get the heart up and moving.
Alpha 1 receptors Activation Causes the skin , mucus membranes and veins to vasoconstrict.
Increased heart rate
Beta 1 receptors Help stimulate the heart
Beta I - You have 1 heart
Stimulate the heart and increase the heart rate
Used for treating:
- AV block
- Cardiac arrest
DRUG:
Epinephrine:Triggers the Beta 1 receptors
Cause increase heart rate
Beta II receptors Help stimulate the heart and lungs
Beta II You have 2 Lungs
Causes:
- Bronchodilation in the lungs
- Causes uterine smooth muscle to relax
- Asthma situation
DRUG:
Epinephrine:Triggers the Beta II receptors
Cause bronchodilation and treat Asthma
Dopamine Causes renal blood vessels to dilate.
DRUG:
Epinephrine: Dopamine receptors and if given a little more Beta I
Helps with:
- Shock
- Heart failure
A nurse is monitoring a client who recently had a cast placed on his lower extremity for a bone fracture. Which of the following findings should the nurse recognize as abnormal?
Combination oral contraceptives
Intrauterine device
Latex condom
Contraceptive sponge
Combination oral contraceptives
- The nurse should identify that combination oral contraceptives are contraindicated for this client because they increase estrogen levels, which can stimulate the growth of any remaining cancerous breast cells.
- The nurse should identify that the use of an intrauterine device requires the client to check the placement monthly and is not contraindicated for this client.
- The nurse should identify that the use of latex condoms is contraindicated for clients, or their partners, who are allergic to latex. However, it is not contraindicated for this client.
- The nurse should identify that prolonged use of a contraceptive sponge can increase the risk for toxic shock syndrome. However, it is not contraindicated for this client.
A nurse is collecting data from a client who has heart failure and is on digoxin. Which of the following outcomes from the medication should the nurse expect?
Increased heart rate
Decreased urinary output
Decreased shortness of breath
Increased weight
Decreased shortness of breath
- The nurse should expect the client to have decreased shortness of breath. Digoxin increases the contractility of the heart, which decreases pulmonary congestion.
- The nurse should expect the client's heart rate to decrease because digoxin decreases the client's sympathetic nerve tone, which slows the heart rate.
- The nurse should expect the client to have an increase in urinary output because digoxin improves cardiac output and increases the client's renal blood flow through the kidneys, which results in an increased excretion of urine.
- The nurse should expect the client's weight to decrease because of the increased excretion of fluid that is caused by improved cardiac output.
A nurse is reinforcing teaching with a client who has Systemic Lupus Erthematosus (SLE) and is to begin taking mythylprednisolone orally. Which of the following statements should the nurse include in the teaching?
- Limit contact with large groups of people.
Offer sips of water to the client following oral care.
Massage the clients lower extremities with lotion every 2 hours.
Encourage the client to use an incentive spirometer every hour while awake.
Encourage the client to use an incentive spirometer every hour while awake.
- The nurse should assist the client to use the incentive spirometer in addition to coughing and deep breathing every hour while awake for the first 24 hr postoperatively and at least every 2 hr while awake thereafter. An incentive spirometer will inflate the client's alveoli and improve ventilation to prevent postoperative pneumonia.
- The nurse should elevate the foot of the bed slightly and apply prescribed compression stockings or sequential compression devices to promote venous return. However, pillows beneath the client's knees can create pressure and decrease venous return in the lower extremities, which can lead to thrombosis.
- The nurse should provide frequent oral care and the use of moistened oral swabs to alleviate dry mucous membranes. However, oral fluids are contraindicated for a client who had abdominal surgery and has an NG tube.
- The nurse should monitor the client's lower extremities for tenderness, warmth, or redness. However, massaging the client's lower extremities is contraindicated because, if there is a blood clot formation in the a lower extremity, it can loosen the clot and cause a pulmonary embolism.
What are the signs and symptoms of pulmonary embolism?
- Hypotension
- Tachycardia
- Tachypnea
A nurse is reinforcing teaching with a client who has Multiple Sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?
Take this medication on an empty stomach
Avoid stopping this medication suddenly.
Use Chamomile tea to alleviate insomnia.
Consume a low- purine diet
Avoid stopping this medication suddenly.
- The nurse should instruct the client to avoid stopping baclofen suddenly because it can result in adverse reactions, including seizures, paranoia, and hallucinations.
- The nurse should instruct the client to take baclofen with milk or food to minimize gastric upset.
- The nurse should instruct the client to avoid chamomile because it can interact with baclofen to increase CNS depression.
- This laboratory value is within the expected reference range and indicates immune function. The nurse should identify that an elevated WBC count increases the risk for delayed wound healing.
This laboratory value is within the expected reference range and indicates adequate kidney function. The nurse should identify that the client who is diabetic is at increased risk for the development of renal failure, which can increase the risk for infection and delayed wound healing.
Prealbumin normal range 23 - 43
Sodium normal level 136 - 145
Calcium normal level 9.0 - 10.
Potassium normal level 3.5 - 5.
Magnesium normal level
Chloride normal level 98 -
Phosphorus normal level 30 - 4.
Lithium level 0.6-1.
Digoxin therapeutic level 0.5-2.
RBC
WBC
