Ati pn comprehensive exit exam

ATI PN COMPRE
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HENSIVE EXIT E
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XAM

, ATI PN COMPREHENSIVE EXIT EXAM
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1. The nurse is preparing to assist the patient in using the incentive spirometer.
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Which nursing intervention should the nurse provide first?
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a. Perform hand hygiene. B B




b. Explain use of the mouthpiece. B B B B


c. Instruct the patient to inhale slowly.
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d. Place in the reverse Trendelenburg position.
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ANS: A B


Performing hand hygiene reduces microorganisms and should be performed first.P
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lacing the patient in the correct position such as high Fowler’s for the typical posto
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perative patient or reverse Trendelenburg for the bariatric patient would be the nex
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t step in the process. Demonstration of use of the mouthpiece followed bythe instru
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ction to inhale slowly would be the last step in this scenario.
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2. The nurse and the nursing assistive personnel (NAP) are caring for a group of
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postoperative patients who need turning, coughing, deep breathing, incentive
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spirometer, and leg exercises. Which task will the nurse assign to the NAP?
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a. Teach postoperative exercises.
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b. Do nothing associated with postoperative exercises.
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c. Document in the medical record when exercises are completed.
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d. Inform the nurse if the patient is unwilling to perform exercises.
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ANS: D B


The nurse can delegate to the NAP to encourage patients to practice postoperativee
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xercises regularly after instruction and to inform the nurse if the patient is unwillin
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g to perform these exercises. The skills of
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demonstrating and teaching postoperative exercises and documenting are notwithi
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n the scope of practice for the nursing assistant. Doing nothing is not appropriate.
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3. The nurse is providing preoperative teaching for the ambulatory surgery
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patient who will be having a cyst removed from the right arm. Which will be the
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best explanation for diet progression after surgery?
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, “Start with clear liquids, soup, and crackers. Advance to a normal diet
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a. as tolerated.” B

“Stay with ice chips for several hours. After that, you can have
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b. whatever you want.” B B

“Stay on clear liquids for 24 hours. Then you can progress to a normal
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c. diet.”
“Start with clear liquids for 2 hours and then full liquids for 2 hours.
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d. Then progress to a normal diet.” B B B B B



ANS: A B


Patients usually receive a normal diet the first evening after surgery unless they hav
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e undergone surgery on GI structures. Implement diet intake while judging thepatie
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nt’s response. For example, provide clear liquids such as water, apple juice, broth, o
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r tea after nausea subsides. If the patient tolerates liquids without nausea, advance th
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e diet as ordered. There is no need to stay on ice chips for several hoursor clear liqui
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ds for 24 hours after this procedure. Putting a time frame on the progression is too p
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rescriptive. Progression should be adjusted for the patient’s needs.
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4. The nurse explains the pain relief measures available after surgery during
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preoperative teaching for a surgical patient. Which comment from the patientindic
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ates the need for additional education on this topic?
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a. “I will be asked to rate my pain on a pain scale.”
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b. “I will have minimal pain because of the anesthesia.”
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c. “I will take the pain medication as the
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provider prescribes it.” “I will take my B B B B B B B


pain medications before doing postope
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rative
d. exercises.”
ANS: B B


Anesthesia will be provided during the procedure itself, and the patient should not e
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xperience pain during the procedure; however, this will not minimize the pain after
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surgery. Pain management is utilized after the postoperative phase. Inform thepatie
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nt of interventions available for pain relief, including medication, relaxation, and di
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straction. The patient needs to know and understand how to take the medications th
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at the health care provider will prescribe postoperatively. During thestay in the facil
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ity, the level of pain is frequently assessed by the nurses.
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Coordinating pain medication with postoperative exercises helps to minimizediscomf
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ort and allows the exercises to be more effective.
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5. The nurse is making a preoperative education appointment with a patient.
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The patient asks if a family member should come to the appointment. Whichis
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the best response by the nurse?
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