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MedSurg II ATI Test

Enter the letter for the matching Answer
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1.
Signs of digoxin toxicity
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2.
post bronchoscopy important assessment
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3.
hormone replacement therapy side effect
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4.
sign/symptom of retinal detachment – acute ___ ___
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5.
sign treatment is effective for myxedema coma
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6.
meningitis assessment finding
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7.
reason for compression wrap on below the knee amputation
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8.
Nitro patient teaching – position, tablet placement, details of timing of use
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9.
best way to check placement of ET tube
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10.
colostomy education, empty bag when?
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11.
when to hold digoxin
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12.
(3) signs, symptoms of a perforated ulcer
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13.
First action when patient experiences VFIB
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14.
Patient has a chest tube and the water seal chamber is low on water, nursing action?
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15.
skin ulcer care
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16.
an ostomy should appear ___, ___, ___
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17.
patient has esophageal varices, how are they fed?
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18.
IV medication administration through PICC line, flush with ___ ___
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19.
signs, symptoms of hypervolemia
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20.
peritoneal dialysis bag placement
A.
increase in O2 saturation, able to breathe
B.
nuchal rigidity
C.
pink frothy sputum, HTN, crackles
D.
refill water
E.
reduce swelling
F.
Keep outflow bag lower than client’s abdomen (drain by gravity, prevent reflux)
G.
oxygen saturation
H.
normal saline
I.
at 1/4-1/2 full
J.
low heart rate (<60bpm), teach patient to check HR and hold medication if necessary
K.
shock first
L.
chest x-ray
M.
hypercalcemia
N.
rotate patient to relieve pressure
O.
vision loss
P.
sit down, nitroglycerin tablet under tongue, If pain is unrelieved in 5 minutes, client should call 911 or be driven to ER, take up to 2 more doses at 5 minute intervals
Q.
PEG tube
R.
muscle cramps, weakness (hypocalcemia)
S.
red, beefy, moist
T.
increased temperature, increased WBC, dark stools
Type the Answer that corresponds to the displayed Question.
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21.
teach patients with SLE to use
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22.
lab value - glucose
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23.
a trach/intubated patient needs suction when an assessment of breath sounds is ___ and there is a presence of ___
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24.
patient on Lasik, sign that its working
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25.
patient has a positive Mantoux skin test, next action is to perform what diagnostic procedure
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26.
What is hypervolemia?
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27.
HF management, report weight gain of ___ pounds per ___ to HCP
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28.
gout is an excess of ___ ___
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29.
patient receiving RBC transfusing, becomes flushed, first nursing action
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30.
total hip replacement, can never ___ ___ again

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