Advanced Med-Surg Proctored ATI Review Exam Questions and Answers 2024
5 views 0 purchase
Course
Advanced Med-Surg
Institution
Advanced Med-Surg
Arterial Blood Gas - Correct Ans-ABG's via arterial puncture or arterial line: allows the most accurate method of assessing respiratory function.
Steps for collecting ABG's - Correct Ans-a. Perform Allen test if no arterial line
b. sample is drawn into heparinized syringe
c. keep on ice and tr...
Advanced Med-Surg Proctored ATI Review Exam
Questions and Answers 2024
Arterial Blood Gas - Correct Ans-ABG's via arterial puncture or arterial line: allows the
most accurate method of assessing respiratory function.
Steps for collecting ABG's - Correct Ans-a. Perform Allen test if no arterial line
b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory immediately
d. document amount and method of oxygen delivered for accurate results
e. apply direct pressure to puncture site at least 5 min (longer for clients at risk for
bleeding)
Bronchoscopy - Correct Ans-visualizes the larynx, trachea, bronchi; obtains tissue
biopsy; and removes foreign bodies.
Steps for a bronchoscopy procedure - Correct Ans-a. obtain informed consent
b. maintain NPO 8 to 12 hr.
c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as atropine (to reduce oral secretions),
sedation, and/or anti-anxiety.
f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of consciousness
Mantoux test - Correct Ans-Positive test indicates exposure to tuberculosis. Diagnosis
must be confirmed with sputum culture for presence of acid-fast bacillus (AFB).
Mantoux test steps - Correct Ans-a. administer 0.1 mL of purified protein derivation
intradermal to upper half inner surface of forearm (insert needle bevel up)
b. Assess for reaction in 48 to 72 hr following injection; induration (hardening) of 10 mm
or greater is considered a positive test; 5 mm may be considered significant if
immunocompromised.
QuantiFERON-TB Gold test (QFT-GT) and T-SPOT.TB - Correct Ans-Identify the
presence of Mycobacterium tuberculosis infection by measuring the immune response
to the TB bacteria in whole blood.
Thoracentesis - Correct Ans-Surgical perforation of the pleural space to obtain
specimen, to remove fluid or air, or to instill medication.
Steps for Thoracentesis - Correct Ans-a. informed consent
,b. educate client: remain still, feeling of pressure, positioning
c. position upright
d. monitor respiratory status and vital signs
e. label specimens
f. Document client response, amount, color and viscosity of fluid (maximum amount of
fluid to be removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
Asthma - Correct Ans-Chronic inflammatory disorder of the airways resulting in
intermittent and reversible airflow obstruction of the bronchioles.
Contributing factors of asthma - Correct Ans--Extrinsic: antigen-antibody reaction
triggered by food, medications, or inhaled substances
-Intrinsic: pathophysiological abnormalities within the respiratory tract
-Older clients: beta receptors are less responsive to agonist and trigger
bronchospasms.
Manifestations of asthma - Correct Ans--Sudden, severe dyspnea with use of accessory
muscles
-sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
Diagnostic procedures for asthma - Correct Ans--ABGs
-sputum cultures
-pulmonary function tests
Nursing interventions for asthma - Correct Ans--remain with the client during the attack
-position in high-fowler's
-assess lung sounds and pulse oximetry
-administer oxygen therapy
-maintain oxygen access
Medications for athma - Correct Ans-Administer bronchodilators before anti-
inflammatory
1. Bronchodilators
-short-acting inhaled: albuterol; for rapid relief
-Methylxanthines: theophylline; monitor therapeutic range for toxicity.
2. Anti-inflammatory
-corticosteriods: fluticasone and prednisone
-Leukotriene antagonist: montelukast
3. Combination agents
, -Ipratropium and albuterol (Combivent)
-Fluticasone and salmeterol (Advair)
Therapeutic measures for asthma - Correct Ans--respiratory treatments
-oxygen administration
Client Education for asthma - Correct Ans--avoidance of allergens and triggers
-proper use of inhaler and peak flow monitoring
Status asthmaticus - Correct Ans-life-threatening episode of airway obstruction this is
often unresponsive to treatment
Manifestations of status asthmaticus - Correct Ans--extreme wheezing
-labored breathing
-use of accessory muscles
-distended neck veins
-high risk for cardiac and/or respiratory arrest
Nursing interventions for status asthmaticus - Correct Ans--place in high-fowler's
-prepare for emergency intubation
-administer oxygen, epinephrine, and systemic steroid as prescribed
-provide emotional support
Chronic Obstructive Pulmonary Disease - Correct Ans-encompasses pulmonary
emphysema and chronic bronchitis. COPD is not reversible.
Pulmonary emphysema - Correct Ans--destruction of alveoli, narrowing of bronchioles,
and trapping of air resulting in loss of lung elasticity
Contributing factors of pulmonary emphysema - Correct Ans--cigarette smoking (main
causative factor); passive smoke inhalation
-advanced age
-exposure to air pollution
-Alpha-antitrypsin deficiency (inability to break down pollutants)
-Occupational dust and chemical exposure
Manifestations of emphysema - Correct Ans--dyspnea with productive cough
-difficult exhalation, use of pursed-lip breathing
-wheezing, crackles
-barrel chest
-shallow, rapid respirations
-respiratory acidosis with hypoxia
-weight loss
-clubbed fingernails
-fatigue
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestzone. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
