ATI RN Medical-Surgical Proctored Questions with correct answer Endoscopy (EGD) positioning Correct Answer - left side lying
Before an Endoscopy (EGD): Correct Answer - -NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: Correct Answer - -restrict dairy, caffeine, milk
-eat foods high in potassium -increase fluid intake -contact precautions
In what order do you open the sterile package? Correct Answer - flap furthest from
body, side flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body Correct Answer - D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the nurse touch without breaking sterile technique (Select all that apply) A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
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 Correct 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 Correct Answer - B, C, D
TB is suspected, what precautionary actions to do? Correct Answer - -negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: Correct Answer - -family members should be screened -4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures What to watch for when on Isoniazid: Correct Answer - numb/tingling in the hands
& feet
What to watch for when on Rifampin: Correct Answer - -orange secretions normal
-watch for jaundice -interferes with birth control
What to watch for when on Ethambutol: Correct Answer - vision changes
Client teaching for genital herpes: Correct Answer - -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: Correct Answer - -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy -support left arm with pillows, slings, etc High sodium foods clients with HF & Pulmonary edema should avoid: Correct Answer - -cheese
-soups
-bread -cold cuts/cured meats
-pizza -eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? Correct Answer - ibuprofen
Ketorolac should not be used concurrently with... Correct Answer - other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... Correct Answer - non-opioid analgesics
To access an implanted port, you must use a... Correct Answer - noncoring (Huber)
needle
When done accessing an implanted port... Correct Answer - flush with 10 mL 0.9%
sodium chloride
Therapeutic effects of furosemide (Lasix) Correct Answer - -decreases preload of the heart -decreases potassium levels -increases urine output
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