ATI MEDICAL SURGICAL
PROCTORED TEST EXAM
QUESTIONS AND CORRECT
ANSWERS
Position a patient should be in who is postoperative a vein ligation and
stripping varicose veins - CORRECT ANSWER-elevate legs above heart, to
promote venous return. educate patient on periodically positioning like
this after discharge
when should a patient ambulate to prevent venous stasis - CORRECT
ANSWER- walking 5-10 every hour while patient is awake.
to prevent venous stasis should a patient sit or stand - CORRECT
ANSWER-no, promote venous return by elevating feet above heart
how long should a patient wear ted hose following a surgery - CORRECT
ANSWER-for up to a week
what electrolyte imbalance flattens the T wave or the development
of u waves - CORRECT ANSWER-hypopotassium
therapeutic digoxin range - CORRECT ANSWER-0.5-0.8
what heart rhythm is associated with low hemoglobin - CORRECT
ANSWER- tachycardia
what electrolyte imbalance is associated with prolonged S-T interval and
prolonged Q-T interval - CORRECT ANSWER-hypokalemia
what lab should be checked after giving fresh frozen plasma - CORRECT
ANSWER- prothrombin time
what laboratory should be check after giving platelets - CORRECT ANSWER-
platlets
what lab should be checked after giving packed red blood cells - CORRECT
ANSWER- Hematocrit
What is epoetin alfa used for? - CORRECT ANSWER-anemia
, what is a most common side effect of epoetin alfa - CORRECT ANSWER-
hypertension
What does epoetin alfa do? - CORRECT ANSWER-stimulates production of
RBCs
how long does it take for epoetin alfa to reach full effect - CORRECT
ANSWER-2-3 months
what is a sign of a ruptured aneurysm - CORRECT ANSWER-oliguria,
hypotension Monitor vs q 15min
Pulses paradoxus - CORRECT ANSWER-paradoxical pulse. The paradax is
that the apical pulse can be heard but radial pulse not palpable.
measured by blood pressure cuff and stethoscope.
cardiac tamponade - CORRECT ANSWER-pressure on the heart caused by
fluid in the pericardial space
signs of peripheral arterial disease - CORRECT ANSWER-dry pale skin,
minimal body hair, leg pain when. exercising, cold or numb feet at rest,
weak pulses
sign of kawasaki disease - CORRECT ANSWER-sunburn appearance
what should a nurse expect with a demand pacemaker with rate set at
72bpm - CORRECT ANSWER-QRS complexes occurring at 74bpm with
no pacing spikes. intrinsic rate over rides
what should the nurse do if no QRS complexes and pacer spikes -
CORRECT ANSWER-notify provider
what do hiccups mean for a patient with demand pace maker - CORRECT
ANSWER- complications with leads displaced, notify the provider
symptoms of left sided heart failure - CORRECT ANSWER-decreased
cardiac output, dyspnea, orthopenea
symptoms of right sided heart failure - CORRECT ANSWER-weight gain,
distended neck veins, peripheral edema
*the blood "backs up" in circulation
imbalances from blood transfusions - CORRECT ANSWER-
hyperkalemia, hypocalcemia, and iron toxicity
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