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ATI RN MEDICAL-SURGICAL PROCTORED QUESTIONS WITH CORRECT VERIFIED ANSWERS 2025-2026 Which of the following would lead you to believe that a client understands his teachings about using his ACE inhibitors? - answerdecrease potassium and salt intake What would you include in your education of a client receiving opioids? - answerincreased fiber in the diet What nursing interventions would you implement to address adverse effects of opioids? - answerlaxatives and enemas Which symptoms indicate adverse effects from the blood transfusion? - answerchills
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Which of the following would lead you to believe that a client understands his teachings about using his ACE inhibitors? - answer decrease potassium and salt intake What would you include in your education of a client receiving opioids? - answer increased fiber in the diet What nursing interventions would you implement to address adverse effects of opioids? - answer laxatives and enemas Which symptoms indicate adverse effects from the blood transfusion? - answer chills fever lower back pain tachycardia flushing hypotension chest tightening tachypnea nausea anxiety What would be your first intervention for a pt who has an adverse effect from a blood transfusion? - answer Initiate saline infusion (separate line)
What type of needle would you use to access an implanted port? – answer noncoring needle How would you confirm the placement of a PICC line? – answer chest xray What lab value is an indicator that the diabetic pt isn't compliant with their treatment plan? – answer A1c is at 8% What would you include in your education to a client receiving vasopressin? – answer expect lesser urine output What s/s would you expect a pt with digoxin toxicity to exhibit? – answer muscle fatigue & confusion Which of the following indicates client understanding of their digoxin prescription? – answer I will not take antacids at the same time as my digoxin Which assessment finding indicates fluid overload? – answer crackles in the lungs upon auscultation What education would you give a pt with HF? – answer increase K+ Which assessment finding indicates increased intracranial pressure? – answer decreased level of consciousness Which assessment findings would you expect in a pt who is 24hr post op receiving an ostomy? – answer The stoma is bright red, smooth and moist (turns pink after 2-3 weeks)
What education would you give a pt suffering from COPD? – answer pursed lip breathing What would you teach a pt about exercise when they suffer from diabetes? – answer eat a snack during unexpected activity which pt is most at risk of developing an infection? – answer low WBC Expected finding of drainage postop? – answer sanguinous to serosanguinous, pink wound edges, slight swelling under sutures/staples, slight crusting of drainage Which of the following diseases would warrant airborne precautions? – answer measles A pt has a positive TB skin test what would your first action be? – answer put a mask on either the pt or yourself What precautions would you take with a person diagnosed with TB? – answer negative airflow room N95 mask on the nurse & the pt only when leaving the room What complaint would lead you to believe the pt is suffering from an aneurysm? - answer pain in the abd, back, arm, or leg sudden onset If a pt suffered 18% burns what lab values would you expect to increase after 24 hrs? - answer WBC decrease
Hgb & Hct decrease Sodium decrease Internal radiation: - answer - visitors limited to 30 min a day at distance of 6 ft
Which pt has the highest risk of developing a pressure ulcer? - answer older woman post hip replacement surgery What assessment finding indicates a complication following an MI? - answer change/altered LOC What would cause you to notify physician/primary concern for a pt who just received a bronchoscopy? - answer change in sputum color What would lead you to believe that cardiac tamponade is occurring? - answer Sudden cessation of chest tube drainage What signs/symptoms would indicate PVD? - answer edema, elevated temp Femoral aneurysm complication following bypass graft, what to check? - answer pedal pulses positive kernig's sign - answer test dealing with the extension of the neck Asthma & dry powder inhaler teaching: - answer breath in forcefully malignant hyperthermia s/s: - answer tachycardia tachypnea hypercarbia dysrhtyhmias
Which action by the nurse indicates safe practice of chest tube care? - answer Measure drainage by holding container at eye level (keep below abd) Paracentesis client teaching: - answer supine void prior to procedure Which of the following statements indicates client understanding about the tracheostomy? - answer I will perform suctioning 3 times a day (every 8 hrs) Which assessment finding indicates a spinal cord injury? - answer dilated pupils What interventions would you apply for a pt diagnosed with Herpes? - answer Contact precautions, wear gown and gloves Which electrolyte imbalance increases the risk for digoxin/digitalis/digibind toxicity? - answer hypokalemia A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the nurse. What is an expected finding? - answer scant blood may be seen for the first 12-24 hrs Suspected stomach perforation due to a peptic ulcer s/s: - answer - rigid abdomen
C. inner wrapping of an item on the sterile field D. irrigation syringe on the sterile field E. one gloved hand with the other gloved hand - answer C, D, E A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the field (Select all that apply) A. provider drops a sterile instrument onto the near side of the sterile field B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field C. procedure is delayed 1hr because the provider receives an emergency call D. nurse turns to speak to someone who enters through the door behind the nurse E. clients hand brushes against the outer edge of the sterile field - answer B, C, D TB is suspected, what precautionary actions to do? - answer - negative airflow room, airborne precautions
What to watch for when on Isoniazid: - answer numb/tingling in the hands & feet What to watch for when on Rifampin: - answer - orange secretions normal
Client teaching for anticoagulant therapy: - answer - bleeding precautions
What med/meds do you give for V-tach w/a pulse? What electrical management? - answer meds= amiodarone, adenosine, verapamil elec= synchronized cardioversion What med/meds do you give for V-tach w/out a pulse or V-fib? What electrical management? - answer meds= amiodarone, lidocaine, & epi elec= defibrillation V-tach - answer V-tach V-fib - answer V-fib SVT - answer SVT brady - answer brady AV block - answer AV block If a pt is complaining of pain and there is no irrigation fluid coming out of the catheter what will the priority nursing action be? - answer irrigate catheter with saline solution If the pt has had their prostate removed and the irrigating 3 way catheter shows bright red clotted blood being released from the end what should you do? - answer increase the flow rate