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