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MED SURG ATI NEWEST MIDTERM ACTUAL ASSESSMENT EXAM 2025 STRUCTURED QUESTIONS & ANSWERS, Exams of Nursing

Johns Hopkins University (JHU)Nursing

MED SURG ATI NEWEST MIDTERM ACTUAL ASSESSMENT EXAM 2025 WITH WELL STRUCTURED QUESTIONS & ANSWERS UPDATED A+ GUIDE SOLUTION Halo Device CORRECT ANSWER>>>>-maintain body alignment and ensure cervical tong weights hang freely -monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest -DO NOT use halo device to turn or move the patient

Typology: Exams

2024/2025

Available from 07/14/2025

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MED SURG ATI NEWEST MIDTERM ACTUAL
ASSESSMENT EXAM 2025 WITH WELL
STRUCTURED QUESTIONS & ANSWERS
UPDATED A+ GUIDE SOLUTION
Halo Device CORRECT ANSWER>>>>-maintain body alignment and ensure cervical
tong weights hang freely
-monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest
-DO NOT use halo device to turn or move the patient
Sealed Radiation implant (Brachytherapy) CORRECT ANSWER>>>>-Private room
-warning sign on closed door
-wear a dosimeter film badge that records personal amount of radiation exposure.
-visitors visit for 30 mins and remain 6 ft away (no none pregnant or under 18)
-wear a lead apron while providing care, keeping the front of the apron facing towards the
radiation source
-keep a lead container in the patients room (use tongs)
-patient should remain still in bed
-call for elimination assistance
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Download MED SURG ATI NEWEST MIDTERM ACTUAL ASSESSMENT EXAM 2025 STRUCTURED QUESTIONS & ANSWERS and more Exams Nursing in PDF only on Docsity!

MED SURG ATI NEWEST MIDTERM ACTUAL

ASSESSMENT EXAM 2025 WITH WELL

STRUCTURED QUESTIONS & ANSWERS

UPDATED A+ GUIDE SOLUTION

Halo Device CORRECT ANSWER>>>> - maintain body alignment and ensure cervical tong weights hang freely

  • monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest
    • DO NOT use halo device to turn or move the patient Sealed Radiation implant (Brachytherapy) CORRECT ANSWER>>>> - Private room
  • warning sign on closed door
  • wear a dosimeter film badge that records personal amount of radiation exposure.
  • visitors visit for 30 mins and remain 6 ft away (no none pregnant or under 18)
  • wear a lead apron while providing care, keeping the front of the apron facing towards the radiation source
  • keep a lead container in the patients room (use tongs)
  • patient should remain still in bed
  • call for elimination assistance

Risk Factors for colorectal cancer CORRECT ANSWER>>>> - women

  • African American
  • Inflammation bowel disease
  • high-fat, low fiber diet
  • above 50 y/o
  • long-term smoker
  • physical inactivity
  • heavy alcohol
  • history of other cancer Recommended vaccinations for older adults CORRECT ANSWER>>>> - Shingles vaccine
  • Pneumococcal polysaccharide vaccine (PPSV23)
  • Pneumococcal conjugate vaccine (PCV13)
  • Zoster Vaccine *NO LIVE VACCINATIONS Eye disorders- priority assessment for age related changes CORRECT ANSWER>>>> depth perception
  • Visual clarity Preventing complications following a transurethral resection of the prostate CORRECT ANSWER>>>> - Indwelling 3-way urinary catheter

Check BP before giving (hypotension) *Orthostatic Hypotension Adverse effects of antimicrobial therapy CORRECT ANSWER>>>> - Hepatotoxicity (jaundice, anorexia, malaise, fatigue, and nausea)

neurotoxicity (tingling of the hands and feet) *liver toxicity test

  • toxicity
  • ototoxicity (hearing) Maintaining venous access device CORRECT ANSWER>>>> - x-ray placement
  • inserted via sterile technique
  • clean insertion part for 15 sec with alcohol
  • transparent dressing (change every 7 days)
  • no bath, cover during the shower
  • 10ml flushing, flush before, between, and after meds
  • Flush 20 mL after drawing blood
  • Flush 5 mL heparin when PICC is not actively in use Priority finding for patient receiving epidural analgesia CORRECT ANSWER>>>> hypotension
  • bradycardia
  • nausea
  • vomiting *these are indications of system blockage
  • lower HOB, increase IV fluids, monitor vitals

Planning pain relief for client who has osteoarthritis CORRECT ANSWER>>>> - Limit Acetaminophen- it does not provide anti-inflammaory benefits

  • can use NSAIDS
  • opioids for moderate to severe pain
  • Alternative therapies *Glucosoamine supplement
    • intra-artiular injections (glucocorteroids) (contraindicated with allergy of birds, feather or eggs) position for lumbar puncture CORRECT ANSWER>>>> cannonball position Pancreatitis: Expected Laboratory Findings CORRECT ANSWER>>>> - increased serum amylase
  • increased serum lipase
  • increased WBC
  • deceased platelets
  • decreased calcium and magnesium
  • increased liver enzymes and bilirubin
  • increased glucose
  • erythrocyte sedimentation rate elevated

Glasgow Coma Scale CORRECT ANSWER>>>> - score less than 8 is associated with severe head injury and coma

  • score 9-12 indicates a moderate head injury score greater than 13 is associated with minor head trauma cardiac catheterization CORRECT ANSWER>>>> - used to evaluate the presence and degree of coronary artery blockage
  • monitor vitals
  • maintain bed rest
  • admin antiplatelets
  • leave dressing for the first 24 hrs
  • no activities that can cause bleeding
  • use soft toothbrush Nursing interventions to prevent acute kidney injury CORRECT ANSWER>>>> - drink at least 2 L daily, consult with provider about fluid restrictions
  • instruct to stop smoking
  • maintain healthy weight
  • use NSAIDS cautiously
  • control diabetes and hypertension
  • instruct pt to take all antibiotics prescribed for an infection *restore fluid volume deficit
  • maintain O
  • increase fluid intake
  • monitor for blockage as slowly introducing high-fiber foods *refer a client to a local ostomy support group Trachostomy care CORRECT ANSWER>>>> Perform every 8 hours suction tube if necessary, sterile supplies
  • remove solid dressing and excess secretions
  • use gauze pads and facility approved solution to clean outward
  • secure new ties before removing solid ones
  • 1 - 2 finger fit between the tie and the neck
  • change nondisposable tubes every 6-8 weeks
  • reposition every 2 hours
  • minimize dust, do not shake bedding diabetes on sick day CORRECT ANSWER>>>> - monitor blood glucose every 3-4 hours
  • continue taking insulin
  • consume 4 oz sugar-free, non-caffeinated liquid q 30 mins
  • meet carbohydrate needs with soft foods
  • test urine for ketones and report if outside of range
  • rest *call provider if
  • blood glucose is above 240
  • rapid breathing
  • fever above 101.
  • vomiting more than once
  • inability to tolerate liquids
  • illness last longer than 2 days Caring for client following a thyroidectomy CORRECT ANSWER>>>> - semi-Flowers position
  • vitals q 15-30 min
  • deep breathing q 30-60mins
  • suctioning
  • monitor for excessive bleeding
  • tracheotomy supplies available
  • pain management
  • check for positive chvostek's and Trousseu's signs *ensure IV calcium gluconate and calcium chloride is immediately available
  • emergency equipment available at the bedside
  • monitor hypoglycemia (tingling, muscle twitching, and numbness of the mouth and distal extremities) Identifying bradycardia CORRECT ANSWER>>>> - cardiovascular disease - MI - Hypoxia
  • Acid-base imbalance
  • shock Hemodynamic shock-client positioning CORRECT ANSWER>>>> for hypo tension, place the client flat with legs elevated to increase venous return Identifying postop complications with pacemaker CORRECT ANSWER>>>> - hiccups (indicates the generator is pacing the diaphragm)
  • inspect skin under the electrodes for burns Nursing interventions for client who has duodenal ulcer CORRECT ANSWER>>>> monitor for orthostatic change in vitals and tachycardia (this is suggestive of gastrointestinal bleeding)
  • Admin saline lavage via nasogastic tube
  • decrease environmental stress
  • encourage rest Medications to treat diabetes inspidus CORRECT ANSWER>>>> *ADH replacement agents
  • Desmopressin- a synthetic ADH
  • aqueous vasopressin admin intrinsically, orally, or parentally. Interventions for mechanical ventilation CORRECT ANSWER>>>> - maintain patent airway
  • respiratory status every 1-2 hours
  • reposition endotracheal tube every 24 hours
  • provide adequate nutrition
  • have manual resuscitation bag with face mask ready at bedside
  • reposition client to promote mobility of secreations Priority action for abdominal trauma CORRECT ANSWER>>>> - maintain ABC - LOC Priority intervention for hyovolemic shock CORRECT ANSWER>>>> - investigate possible source of bleeding
  • continuously monitor airway and vitals
  • provide hemodynamic support by administration of fluids and medication - Have resuscitation equipment available Priority action for central venous access device complications CORRECT ANSWER>>>> Pulmonary embolism-planning interventions CORRECT ANSWER>>>> - Admin O therapy
  • High-flower's position
  • assess respiratory status q 30 mins
  • assess cardiac status
  • provide emotional support