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Med Surg Proctor Review Flashcards | StudBud
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Med Surg Proctor Review
Med Surg Proctor Review
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Prepare for the ATI M/S Proctor
Flashcards
68 cards
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Practice quiz
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Questions
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Answers
1
Prone position will help the asthmatic client to maximize ventilation. (Chp. 21)
True
False
2
Assess for bleeding, hematoma & peripheral perfusion after a client undergoes percutaneous transluminal angioplasty.(35)
False
True
3
Which are non pharmacologic pain treatments that can help decrease the amount of pain meds a client needs? ch. 4 SATA
meditation
herbs/oils
Yoga
distraction
4
A nurse is preparing to initiate dialysis for a client who has ESRD. Which actions should the nurse take? Ch 57 SATA
Apply tourniquet and Perform venipuncture in the fistula site for stat labs
Assess the AV fistula for a bruit
Cancel dialysis if the client urinates that day.
Measure the client’s weight.
5
True or false: The nurse should stay with a client during the first 15 minutes of a blood transfusion.
True
False
6
A nurse is caring for a client with HF who has new meds (Lasix & digoxin) What should be included in the teaching? SATA
hold digoxin if hr is less than 70 / min
Expect muscle weakness with digoxin
Daily weights
Decrease intake of sodium
7
Clients with epilepsy are not allowed to drive in some states ch. 6
False
True
8
The nurse should identify which of the following variables as modifiable? (SATA) Ch. 1
Hypertension
Smoking
Alopecia
BMI
9
What is the definition of multiple sclerosis? Ch.10
Chronic low back pain
Build of uric acid that causes red painful joints
Autoimmune disease that causes stiff painful joints
Neurologic disease that results in impaired function of VOLUNTARY muscles
10
Chp. 20 - Which of the following is a major contributing factor in the development of pneumonia?
Immobility
Visiting a nursing home
Being a young adult
increased clottting
11
Clients taking ethambutal for TB infection should be aware of which potential adverse affect?
changes in urine color
changes in vision
ringing in ears
kidney function
12
Which of the following are problems associated with clients diagnosed with Parkinson's disease? ch. 7 SATA
swallowing difficulty/ drooling
poor appetite
muscle ridgidity
personality changes
13
What is a heart murmur? (chp 33)
the sound heard when the blood moves from the atria to the ventricles
the sound heard with blood flowing through the heart normally
the sound heard when the lung has fluid build up in it
the sound heard with turbulent blood flow
14
A patient with HX of endocarditis may need antibiotic prophylaxis before surgery, including dental procedures. (Chp 34)
True
False
15
Select the correct answers regarding MRI's. Ch.3 SATA
MRI is the same thing as CT scan
Approved equipment can be used to perform an MRI on someone on a ventilator
Some clients have claustrophobia during MRI exams
MRI's should not be done on client's with metal in their body
16
What is true regarding the spread of infection in pneumonia patients? chp 20
Pnumonia is a fast revovery
there are no immunizations for influenza or pneumonia
Discontinue the medications once they are feeling better
avoided crowded areas
17
Which of the following interventions should the nurse include to prevent postoperative atelectasis? Ch.96 SATA
teach to splint incision, cough and use incentive spirometer every 2 hr.
Reposition the client every 2 hr.
Administer antibiotic therapy.
Assist with early ambulation.
18
chp 21 - Manifestations of asthma include everything EXCEPT:
irreversible airway obstruction
bronchoconstriction
mucosal edema
excessive mucus production
19
Which should be included in the care plan for a patient who has a brain tumor? Ch.9 SATA
Fall precautions
Increased ICP precautions
Seizure precautions
Pancreatitis precautions
20
A client is returning to a cardiac floor after a femoral angiography. Which should the nurse complete? Ch. 3 SATA
Apply pressure to the artery sight if bleeding is noted.
Assess pedal pulses.
Administer aspirin immediately.
Ignore hypotension.
21
What pain management techniques should the nurse encourage for a client with Osteoarthritis and back pain? SATA
balance activity with rest
use heat packs
encourage high impact activity
have client lay in bed for the majority of the day
22
Which of the following interventions should the nurse include for a client receiving brachytherapy? SATA
Place a radiation sign on the door
Keep the door closed as much as possible
Follow protocol regarding disposal of radioactive linens /patient output
Wear dosimeter film badge to personal amount of radiation exposure
23
What should be included in teaching for a client who has had a stroke? Ch. 15 SATA
You are not at risk for seizures
You are not at risk for falls
Dress the paralyzed side first
Sit upright and flex chin towards chest when swallowing
24
How is ICP monitored? ch. 3
Electrodes are placed on client's head to measure pressure.
Calculated based on GCS and blood pressure
Calculated based on blood pressure
a device is inserted into the cranial cavity that records pressure
25
Select the correct answers regarding antiepileptic drugs(phenytoin, valproic acid, phenobarbital) ch. 6 SATA
They should not be stopped abruptly
The client will need routine medication level labs monitoring
They are safe for pregnancy
They can cause sedation
26
Choose the correct statement . ch. 4
Objective data are essential in assessing pain.
Pain is whatever the client says it is
Most clients exaggerate their level of pain.
Pain must have an identifiable source to justify the use of opioids.
27
Which of the following are vaccinations recommended for older adults? SATA
Tetnus
Pneumonia
Zoster
Influenza
28
Pneumonia is a complication of influenza. (Chp 20)
True
False
29
True or False: A patient who has an ICP monitoring device is at risk for infection. ch. 3
True
False
30
Which interventions are appropriate when caring for a patient with meningitis ch.5 SATA
Droplet precautions
Airborne precautions
Avoid coughing/ keep head at 30 degrees or above
warming blanket
31
Correct nursing actions for multiple sclerosis Ch. 10 SATA
Teach self catheterization
Encourage agressive exercise
Collaborate/ consult with PT/OT
Assess swallowing, and speech pattern
32
What information should the nurse include about non-pharm options to a who has osteoarthritis? ch.72 SATA
Use transcutaneous electrical nerve stimulation (TENS)
Provide nutritional information on weight loss.
Apply thermal therapies (heat or cold).
Tell the patient what their pain goal is for the day.
33
What labs do we use to monitor the effectiveness of warfarin? (35)
PT
Vitamin K
aPTT
PT & INR
34
A nurse instructing a client on how to perform pursed‑lip breathing. Which statement should the nurse include? Chp 22
“Place your hand over your stomach.”
“Take quick breaths upon inhalation.”
“Puff your cheeks upon exhalation.
“Take a deep breath in through your nose.”
35
Which interventions should the nurse implement during a seizure? ch 6 SATA
prepare to suction client
restrain client
document onset and duration
protect client's privacy
36
Which of the following is the most common manifestation of pneumonia in older clients? (chp 20)
confusion
fatigue
weakness
chest discomfort
37
Alzheimer's disease ONLY affects the mind. Ch. 8
True
False
38
A client is scheduled for a Ct scan w/ contrast. Which assessments should be completed before the test? ch.3 SATA
Allergies to shellfish or iodine
Last bowel movement
BUN/ Creatinine level
Ability to swallow
39
We should teach our clients to report a cough, which is an adverse effect of ACE inhibitors (36)
False
True
40
Which assessment would recieve the lowest GCS score? ch. 3
General withdrawal from pain.
Commands are followed.
Decorticate posture
Local reaction to pain occurs
41
A client can recieve pharmacologic pain interventions and nonpharmacologic pain interventions at the same time. ch. 4
False
True
42
Who performs arterial puncture for ABG in most hospital settings? Ch. 17
UAP
Respiratory therapist
LVN
RN
43
A client had a below-the-knee amputation. Which of the following actions should the nurse take? SATA
Assess for feelings of body image changes.
Instruct client not to move the amputated leg.
Palpate residual limb for warmth.
Inspect for presence and amount of drainage
44
After a mastectomy a pt reports decreased sexual desire, then states "my body is different now". What should the RN say?
"I'm interested in finding out more about how your body feels to you"
it's still too soon to expect to feel normal. You'll feel normal in time.
Really? You look just fine to me. There is no need to feel undesireable.
Consider going to the spa, a facial may make you may feel more attractive
45
Which dx test shows the presence of an active TB infection? (chp 23)
Mantoux test
QuantiFERON‑TB Gold or Chest X-ray
EKG
CT scan
46
Left‑sided valve damage can: increase pulmonary artery pressure, cause L-ventricular hypertrophy, and lower CO (chp33)
True
False
47
Which should be monitored when administering pain medications? ch. 4 SATA
Respiratory depression
Medication effectiveness
Sedation
Patient's height
48
What medication should be started early for a client with new dx of Multiple Sclerosis?
Tylenol
Metoprolol
Interferon beta-1a and beta-1b
Baclofen
49
What is a sign of a DVT? (35)
increased overall body temp
negative d-dimer
increased LOC
sudden onset of edema to an extremity
50
Drinking alcohol with isoniazid (abx used to treat TB infection) can increase the risk for hepatotoxicity. (Chp 23)
False
True
51
True or false: The nurse should try to recap a needle after withdrawing medication from a vial.
False
True
52
Find the INCORRECT statement regarding chronic obstructive pulmonary disease (COPD).
typically affects teens to young adults
it is a combo of emphysema and chronic bronchitits
it's irreversible
due to chronic exposure to irritants
53
Which of the following actions should the nurse plan to implement during a code if the EKG shows asystole? Ch. 2
Administer Epinephrine
elevate extremitites
Transcutaneous pacing
Defibrillation
54
What diet should cardiac patients be on? (36)
Low carb / keto diet
Low salt, low fat, low cholesterol
Low in fruits and veggies
Low in potassium
55
What can help a client with peripheral vascular disease (PVD) avoid complications of vasoconstriction? (Chp 35)
Removing warm socks
eating fruits and veggies
Quitting smoking / tobacco
applying direct heat to the legs
56
What steps are included to prepare a client for a blood transfusion? SATA
Type and cross
Obtain consent
Two RN check
Vital signs
57
Tuberculosis is transmitted via droplets. (chp 23)
True
False
58
Select the correct answers regarding lumbar punctures ch. 3 SATA
a small amount of CSF is withdrawn from the spinal canal
There are no risks associated with this procedure
Client should remain laying for several hours after procedure
Headache and fluid leaking from site are normal after the procedure
59
Select the correct strategies to reduce migraine headaches Ch. 11 SATA
Avoid triggers
Cool, dark quiet environment
Lay flat
Get adequate rest
60
Select all of the indications for a bronchoscopy? Ch 17 SATA
Remove small lung tunors
Remove secretions
Biopsy
administer oxygen
61
What are NSAIDS used for? (Chp 34)
Treat fever and pain with pericarditis
Pain in cancer clients
Patients with risk for bleeding
Peptic ulcer disease
62
Which of the following should the nurse monitor when the client is taking loop or thiazide diuretics? (Chp. 32)
sodium
potassium
calcium
creatine
63
Which should be included in care for a client after a head-on motor vehicle crash who is alert & oriented? Ch. 14 SATA
Tell client a headache is normal and should be ignored
Report any decrease in consciousness
Insert NG tube
Keep neck stabilized
64
Which is a safe nursing action to include after a client undergoes a bronchoscopy and/or intubation procedure? Ch. 17
Allow client to smoke immediately after the procedure
Keep NPO until gag reflex refturns
Perform suctioning Q1 hour
Give IV fluids to all clients
65
A nurse is planning postcare for a client who received hemodialysis. Which interventions should the nurse include? SATA
Assess the access site for bleeding.
Observe for findings of hypovolemia
Check BUN and blood creatinine.
Evaluate blood pressure on the arm with AV access.
66
Which of the following nursing interventions should the RN include for a client with a halo device?
Turn client using the halo device
Encourage powder and ointments under the vest
Tighten pins as needed
Pin care
67
Which assessment would recieve a higher GCS score? ch.3
Eye opening does not occur.
Eye opening occurs secondary to pain
Eye opening occurs secondary to sound
Eye opening occurs spontaneously
68
A cancer client reports an increase in pain after taking morphine PO BID x 2 months. What kind of pain is this? ch. 4
Pain medication addiction
Phantom pain
Random pain
Breakthrough pain
