Medical surgical ATI proctored Latest exam with all correct answers 2024/2025

What would you do for wound Evisceration ( removal of internal organs) , Emergency management? - ANSWER--Saline cover wound


1) Position client on the floor

2)Provide a patent airway

3) Turn client to side

4) Loosen restrictive clothing

Cancer treatment options: Protective Isolation - ANSWER--If WBC drops below 1,000, place the client in a private room and initiate neutropenic precautions.

- Have client remain in his room unless he needs to leave for a diagnostic procedure, in that case transport patient and place a mask on him.

- Protect from possible sources of infection (plants, change water in equipment daily)

- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors

- Avoid invasive procedures (rectal temps, injections)

- Administer (neupogen, neulasta) to stimulate WBC production

Infection control: Appropriate room assignment - ANSWER--Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and water )
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or spraying of body fluids

Droplet:
1. private room or with someone with same illness
2. masks

Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible

Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag without touching the outside of the bag

TB: Priority action for a client in the emergency department - ANSWER---Wear an N95 or HEPA respirator

-Place client in negative airflow room and implement airborne precautions

-use barrier protection when the risk of hand or clothing contamination exists

Immunizations: Recommended vaccinations for older adult clients - ANSWER--Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine

Triage priority setting - ANSWER--1) Red tag

2) Yellow Tag

3) Green tag

4) Black tag

What would you do for an ASTHMA emergency management of a bee sting allergies? - ANSWER--Epi Pen

Pulmonary Embolism: Risk factors for DVT - ANSWER--- Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age


Seizures and Epilepsy: Seizure precautions - ANSWER--During a seizure:


Non-modifiable risk factors ( Page 3 ATI ) - ANSWER--1) Age
2) Gender
3) Genetics
4) Developmental level

Modifiable risk factors ( Page 3 ATI ) - ANSWER