ATI RN Medical-Surgical Proctored 2019

Endoscopy (EGD) positioning

Before an Endoscopy (EGD):

Gastroenteritis care plan:

In what order do you open the sterile package?

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

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

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

TB is suspected, what precautionary actions to do?

TB interventions:

What to watch for when on Isoniazid:

What to watch for when on Rifampin:

What to watch for when on Ethambutol:

Client teaching for genital herpes:

Caring for a client following a stroke of the right side with left-sided hemipalegia:

High sodium foods clients with HF & Pulmonary edema should avoid:

Which non-opioid drug decreases the effect of aspirin?

Ketorolac should not be used concurrently with...

Glucocorticoids increase the risk of gastric bleeding when taken with...

To access an implanted port, you must use a...

When done accessing an implanted port...

Therapeutic effects of furosemide (Lasix)

Valsartan for HF expected outcomes/findings:

Expected findings of meds that increase urinary output (diuretics):

Client teaching for Nitroglycerin:

Which foods should the client on Warfarin avoid?

Client teaching for anticoagulant therapy:

Expected prescriptions for Hypertension:

Contraindications for Nadolol:

Treatment for diabetes insipidus:

Meds for DI, what to look out for/do:

Protein requirement of an adult: _____g of protein per kg

Caring for a client who has pancreatitis:

Expected lab findings for a client with pancreatitis:

What med do you give for symptomatic bradycardia? What electrical management?

What med/meds do you give for AFib? What electrical management?

What med/meds do you give for SVT? What electrical management?

What med/meds do you give for V-tach w/a pulse? What electrical management?

What med/meds do you give for V-tach w/out a pulse or V-fib? What electrical management?

V-tach

V-fib

SVT

brady

AV block

If a pt is complaining of pain and there is no irrigation fluid coming out of the catheter what will the priority nursing action be?

If the pt has had their prostate removed and the irrigating 3 way catheter shows bright red clotted blood being released from the end what should you do?

What assessment finding would be a cause for concern in an immobile pt?

How would you care for a pt with a stage III pressure ulcer?

What would be an appropriate nursing intervention for a stage II pressure ulcer in the heel?

What foods would you teach a pt suffering from cholescystitis to eliminate from their diet at home?

What assessment finding would lead you to believe a pt suffers from Hypovolemia?

What lab finding would you expect in a pt receiving chemotherapy?

Which of the following would lead you to believe that a client understands his teachings about using his ACE inhibitors?

What would you include in your education of a client receiving opioids?

What nursing interventions would you implement to address adverse effects of opioids?

Which symptoms indicate adverse effects from the blood transfusion?

What would be your first intervention for a pt who has an adverse effect from a blood transfusion?

What type of needle would you use to access an implanted port?

How would you confirm the placement of a PICC line?

What lab value is an indicator that the diabetic pt isn't compliant with their treatment plan?

What would you include in your education to a client receiving vasopressin?

What s/s would you expect a pt with digoxin toxicity to exhibit?

Which of the following indicates client understanding of their digoxin prescription?

Which assessment finding indicates fluid overload?

What education would you give a pt with HF?

Which assessment finding indicates increased intracranial pressure?

Which assessment findings would you expect in a pt who is 24hr post op receiving an ostomy?

Appropriate oropharyngeal suctioning; select all:

How would you promote healing in an elderly pt?

which of the following is an expected outcome of a pt receiving KCL?

Which of the following is an indication of a pt at risk of developing a sodium imbalance?

which of the following lab values indicates a pt suffers from hypovolemia?

what's a complication from an av graft?

What position would you place a client for an ART line?

What education would you give a pt suffering from COPD?

What would you teach a pt about exercise when they suffer from diabetes?

which pt is most at risk of developing an infection?

Expected finding of drainage postop?

Which of the following diseases would warrant airborne precautions?

A pt has a positive TB skin test what would your first action be?

What precautions would you take with a person diagnosed with TB?

What complaint would lead you to believe the pt is suffering from an aneurysm?

If a pt suffered 18% burns what lab values would you expect to increase after 24 hrs?

Internal radiation:

Internal radiation, which indicates client understanding?

which of the following pts is at risk for developing metabolic alkalosis?

Which of the following pt complaints would lead you to suspect extravasation?

Suspected septicemia appropriate intervention?

what would be an appropriate finding in an EKG strip?

What would be your primary intervention for a pt following a thoracentesis?

A pt comes to the hospital with a TB induration of 10mm what would be your following nursing action?

Which of the following is an expected lab value for a pt following hemodialysis?

which lab value would cause nurse to notify physician that pt isn't ready for surgery?

what would you tell a pt's family who is to undergo a procedure w/conscious sedation to expect?

Which of the following indicates the client's understanding about their diagnosis of diabetes and plan for foot care?

What is coming out of the NG tube that would cause concern/notify physician?

Priority action following the placement of an NG tube?

What abd assessment would concern the nurse of a possible obstruction?

Which pt has the highest risk of developing a pressure ulcer?

What assessment finding indicates a complication following an MI?

What would cause you to notify physician/primary concern for a pt who just received a bronchoscopy?

What would lead you to believe that cardiac tamponade is occurring?

What signs/symptoms would indicate PVD?

Femoral aneurysm complication following bypass graft, what to check?

positive kernig's sign

Asthma & dry powder inhaler teaching:

malignant hyperthermia s/s:

Which action by the nurse indicates safe practice of chest tube care?

Paracentesis client teaching:

Which of the following statements indicates client understanding about the tracheostomy?

Which assessment finding indicates a spinal cord injury?

What interventions would you apply for a pt diagnosed with Herpes?

Which electrolyte imbalance increases the risk for digoxin/digitalis/digibind toxicity?

A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the nurse. What is an expected finding?

Suspected stomach perforation due to a peptic ulcer s/s:

Complications of enteral feedings:

Nursing actions to prevent overfeeding r/t enteral feedings:

Nursing actions for diarrhea r/t enteral feedings:

Nursing actions for aspiration pneumonia r/t enteral feedings:

Preprocedure & Postprocedure following a kidney biopsy nsg actions:

Following a kidney biopsy, a client has cloudy & smelly urine, and an urgency to urinate, the nurse suspects what?

Most immediate risk to the client following a kidney biopsy:

Ongoing monitoring of a client with Cushing's disease includes:

Client care following a thyroidectomy:

Hypoglycemia s/s:

Post knee arthroplasty:

Post hip arthroplasty:

Post hip arthroplasty positioning:

Intervening for decreased diasylate flow rate:

Steps to take for wound dehiscence or evisceration:

Priority finding following general anesthesia:

Hypokalemia s/s:

Priority intervention for Diabetic ketoacidosis:

Diabetes foot care stuff to know:

Glaucoma s/s:

Hypothyroidism client teaching:

Wound care following an open cholecystectomy:

Automated external defibrillator steps:

Nonpharm interventions for total knee replacement postop client complaining of pain but refusing pain meds:

Priority assessment for hypokalemia:

Side effects of long-term NSAID use:

Acute hemolytic transfusion reaction s/s:

Febrile transfusion reaction s/s:

Mild allergic transfusion reaction s/s:

Anaphylactic transfusion reaction s/s:

Treatment for circulatory overload:

Removing a PICC:

Central venous access device care:

Expected outcome of magnesium sulfate for electrolyte imbalances:

Evaluating a client on Lisinopril:

Client teaching on use of Furosemide:

Client teaching for self-admin of alendronate (fosamax):

Preventing AKI:

Managing cancer pt breakthrough pain:

Preparing a client for a lumbar puncture:

Lab values for evaluating effective glycemic control in diabetic pts:

Client teaching following a partial glossectomy:

Paracentesis actions:

Planning to admin thrombolytic therapy to a client who had a stroke...

What would cause the nurse to question the prescription of a provider on a client with a chest tube?

If the chest tube tubing separates...

If the chest drainage system is compromised...

If the chest tube is accidentally removed...

Proper administration of peritoneal dialysis:

Lower back or abdominal discomfort & tenderness over the bladder area indicates:

Costovertebral pain, flank pain indicates:

Meningitis care plan:

Clinical manifestations of Dehydration:

Priority action for symptomatic sinus bradycardia:

If suspected central venous access device is infiltrated or extravasation:

If suspected central venous access device has a hematoma:

If suspected fluid overload from central venous access device:

If suspected cellulitis from central venous access device:

If suspected catheter embolus from a central venous access device:

Unilateral shaking or tremor of one limb; which stage of Parkinson's?

Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of Parkinson's?

Physical movements slow down significantly, affecting walking more. Which stage of Parkinson's?

Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which stage of Parkinson's?

Client is unable to stand or walk, is dependent for all care & may exhibit dementia. Which stage of Parkinson's?

HIV/AIDS home care teaching:

IBS diet teaching:

ACE inhibitors side effects:

Planning care for a client receiving enoxaparin for PE:

Proper blood admin: