ATIPNCOMPREHENSIVEEXITEXAM f f f f
1. The nurse is preparing to assist the patient in using the incentive spirometer.
f f f f f f f f f f f f
Which nursing intervention should the nurse provide first?
f f f f f f f
a. Perform hand hygiene. f f
b. Explain use of the mouthpiece. f f f f
c. Instruct the patient to inhale slowly. f f f f f
d. Place in the reverse Trendelenburg position.
f f f f f
ANS: A f
Performing hand hygiene reduces microorganisms and should be performed f
f f f f f f f f f
ng the patient in the correct position such as high Fowler’s for the typical posto
f f f f f f f f f f f f f f
patient or reverse Trendelenburg for the bariatric patient would be the next step
f f f f f f f f f f f f
ocess. Demonstration of use of the mouthpiece followed by
f f f f f f f f
the instruction to inhale slowly would be the last step in this scenario.
f f f f f f f f f f f f
2. The nurse and the nursing assistive personnel (NAP) are caring for a group o
f f f f f f f f f f f f f
operative patients who need turning, coughing, deep breathing, incentive
f f f f f f f f
spirometer, and leg exercises. Which task will the nurse assign to the NAP?
f f f f f f f f f f f f
a. Teach postoperative exercises. f f
b. Do nothing associated with postoperative exercises.
f f f f f
c. Document in the medical record when exercises are completed. f f f f f f f f
d. Inform the nurse if the patient is unwilling to perform exercises.
f f f f f f f f f f
ANS: D f
The nurse can delegate to the NAP to encourage patients to practice postoperat
f f f f f f f f f f f f
cises regularly after instruction and to inform the nurse if the patient is unwillin
f f f f f f f f f f f f f
orm these exercises. The skills of
f f f f f
demonstrating and teaching postoperative exercises and documenting are not
f f f f f f f f
e scope of practice for the nursing assistant. Doing nothing is not appropriate.
f f f f f f f f f f f f
3. The nurse is providing preoperative teaching for the ambulatory surgery
f f f f f f f f f
, “Startwithclear liquids,soup,and crackers.Advance to a normal diet
f f f f f f f f f f f
a. as tolerated.” f
“Staywithicechipsforseveralhours.Afterthat,youcanhave
f f f f f f f f f f f
b. whatever you want.” f f
“Stay on clear liquids for 24 hours. Then you can progress to a normal
f f f f f f f f f f f f f
c. diet.”
“Startwith clear liquidsfor 2 hours and thenfull liquids for 2 hours.
f f f f f f f f f f f f f
d. Then progress to a normal diet.” f f f f f
ANS: A f
Patients usually receive a normal diet the first evening after surgery unless they
f f f f f f f f f f f f
have undergone surgery on GI structures. Implement diet intake while judging
f f f f f f f f f f
nt’s response. For example, provide clear liquids such as water, apple juice, bro
f f f f f f f f f f f f
a after nausea subsides. If the patient tolerates liquids without nausea, advance
f f f f f f f f f f f
as ordered. There is no need to stay on ice chips for several hoursor clear liquid
f f f f f f f f f f f f f f f f
ours after this procedure. Putting a time frame on the progression is too prescrip
f f f f f f f f f f f f f
ogression should be adjusted for the patient’s needs. f f f f f f f
4. The nurse explains the pain relief measures available after surgery during
f f f f f f f f f f
preoperative teaching for a surgical patient. Which comment from the patienti f f f f f f f f f f f
the need for additional education on this topic?
f f f f f f f
a. “I will be asked to rate my pain on a pain scale.”
f f f f f f f f f f f
b. “I will have minimal pain because of the anesthesia.”
f f f f f f f f
c. “I will take the pain medication as the pr
f f f f f f f f
ovider prescribes it.” “I will take mypain f f f f f f f
medications before doing postoperative
f f f f
d. exercises.”
ANS: B f
Anesthesia will be provided during the procedure itself, and the patient should f f f f f f f f f f f
rience pain during the procedure; however, this will not minimize the pain afte
f f f f f f f f f f f f
. Pain management is utilized after the postoperative phase. Inform thepatient o
f f f f f f f f f f f f
ntions available for pain relief, including medication, relaxation, and distractio
f f f f f f f f f
atient needs to know and understand how to take the medications that the health
f f f f f f f f f f f f f
vider will prescribe postoperatively. During thestay in the facility, the level of p
f f f f f f f f f f f f f
quently assessed by the nurses. f f f f
Coordinating pain medication with postoperative exercises helps to minimize f f f f f f f f
and allows the exercises to be more effective.
f f f f f f f
5. The nurse is making a preoperative education appointment with a patient.
f f f f f f f f f f
The patient asks if a family member should come to the appointment. Whichis
f f f f f f f f f f f f f
best response by the nurse?
f f f f f
, a. “There is no need for an additional person at the appointment.”
f f f f f f f f f f
b. “Your family can come and wait with you in the waiting room.”
f f f f f f f f f f f
c. “We recommend including family members at this appointment.”
f f f f f f f
d. “It is required that you have a family member at this appointment.”
f f f f f f f f f f f
ANS: C f
Including family members in perioperative education is advisable. Often a fam
f f f f f f f f f f
ber is a coach for postoperative exercises when the patient returns from surgery
f f f f f f f f f f f f
us relatives do not understand routine postoperative events, it is likely that thei
f f f f f f f f f f f f
will heighten the patient’s fears and concerns. Preoperativepreparation of fam
f f f f f f f f f f
ers before surgery helps to minimize anxiety and misunderstanding. An additi
f f f f f f f f f f
n is needed at the appointment if at all possible, and he or she needs to be involv
f f f f f f f f f f f f f f f f f
rocess, not just f f
LINKS FOR ALLATI RESOURCES: f f f f
ATI COMPREHENSIVE PREDICTOR EXAM ( 14 LA
f f f f f f
VERSION ,2021) / COMPREHENSIVE ATI PREDIC f f f f f
XAM / PREDICTOR COMPREHENSIVEATI EXAM f f f f f
ST DOCUMENT FOR EXAM) f f f
https://www.stuvia.com/doc/1113753/ati-comprehensive-predictor-exam-14-versionslatest-2021-a-high-sc
fdocument
https://www.coursemerit.com/solution-details/58749/ATI-COMPREHENSIVE-PREDICTOR-EXAM--14-LATEST
f2021
https://docmerit.com/doc/show/ati-comprehensive-predictor-exam-14-versions-comprehensive-predict
latest
ATICommunityHealthProctoredExam(13LATEST
f f f f f f f
1. The nurse is preparing to assist the patient in using the incentive spirometer.
f f f f f f f f f f f f
Which nursing intervention should the nurse provide first?
f f f f f f f
a. Perform hand hygiene. f f
b. Explain use of the mouthpiece. f f f f
c. Instruct the patient to inhale slowly. f f f f f
d. Place in the reverse Trendelenburg position.
f f f f f
ANS: A f
Performing hand hygiene reduces microorganisms and should be performed f
f f f f f f f f f
ng the patient in the correct position such as high Fowler’s for the typical posto
f f f f f f f f f f f f f f
patient or reverse Trendelenburg for the bariatric patient would be the next step
f f f f f f f f f f f f
ocess. Demonstration of use of the mouthpiece followed by
f f f f f f f f
the instruction to inhale slowly would be the last step in this scenario.
f f f f f f f f f f f f
2. The nurse and the nursing assistive personnel (NAP) are caring for a group o
f f f f f f f f f f f f f
operative patients who need turning, coughing, deep breathing, incentive
f f f f f f f f
spirometer, and leg exercises. Which task will the nurse assign to the NAP?
f f f f f f f f f f f f
a. Teach postoperative exercises. f f
b. Do nothing associated with postoperative exercises.
f f f f f
c. Document in the medical record when exercises are completed. f f f f f f f f
d. Inform the nurse if the patient is unwilling to perform exercises.
f f f f f f f f f f
ANS: D f
The nurse can delegate to the NAP to encourage patients to practice postoperat
f f f f f f f f f f f f
cises regularly after instruction and to inform the nurse if the patient is unwillin
f f f f f f f f f f f f f
orm these exercises. The skills of
f f f f f
demonstrating and teaching postoperative exercises and documenting are not
f f f f f f f f
e scope of practice for the nursing assistant. Doing nothing is not appropriate.
f f f f f f f f f f f f
3. The nurse is providing preoperative teaching for the ambulatory surgery
f f f f f f f f f
, “Startwithclear liquids,soup,and crackers.Advance to a normal diet
f f f f f f f f f f f
a. as tolerated.” f
“Staywithicechipsforseveralhours.Afterthat,youcanhave
f f f f f f f f f f f
b. whatever you want.” f f
“Stay on clear liquids for 24 hours. Then you can progress to a normal
f f f f f f f f f f f f f
c. diet.”
“Startwith clear liquidsfor 2 hours and thenfull liquids for 2 hours.
f f f f f f f f f f f f f
d. Then progress to a normal diet.” f f f f f
ANS: A f
Patients usually receive a normal diet the first evening after surgery unless they
f f f f f f f f f f f f
have undergone surgery on GI structures. Implement diet intake while judging
f f f f f f f f f f
nt’s response. For example, provide clear liquids such as water, apple juice, bro
f f f f f f f f f f f f
a after nausea subsides. If the patient tolerates liquids without nausea, advance
f f f f f f f f f f f
as ordered. There is no need to stay on ice chips for several hoursor clear liquid
f f f f f f f f f f f f f f f f
ours after this procedure. Putting a time frame on the progression is too prescrip
f f f f f f f f f f f f f
ogression should be adjusted for the patient’s needs. f f f f f f f
4. The nurse explains the pain relief measures available after surgery during
f f f f f f f f f f
preoperative teaching for a surgical patient. Which comment from the patienti f f f f f f f f f f f
the need for additional education on this topic?
f f f f f f f
a. “I will be asked to rate my pain on a pain scale.”
f f f f f f f f f f f
b. “I will have minimal pain because of the anesthesia.”
f f f f f f f f
c. “I will take the pain medication as the pr
f f f f f f f f
ovider prescribes it.” “I will take mypain f f f f f f f
medications before doing postoperative
f f f f
d. exercises.”
ANS: B f
Anesthesia will be provided during the procedure itself, and the patient should f f f f f f f f f f f
rience pain during the procedure; however, this will not minimize the pain afte
f f f f f f f f f f f f
. Pain management is utilized after the postoperative phase. Inform thepatient o
f f f f f f f f f f f f
ntions available for pain relief, including medication, relaxation, and distractio
f f f f f f f f f
atient needs to know and understand how to take the medications that the health
f f f f f f f f f f f f f
vider will prescribe postoperatively. During thestay in the facility, the level of p
f f f f f f f f f f f f f
quently assessed by the nurses. f f f f
Coordinating pain medication with postoperative exercises helps to minimize f f f f f f f f
and allows the exercises to be more effective.
f f f f f f f
5. The nurse is making a preoperative education appointment with a patient.
f f f f f f f f f f
The patient asks if a family member should come to the appointment. Whichis
f f f f f f f f f f f f f
best response by the nurse?
f f f f f
, a. “There is no need for an additional person at the appointment.”
f f f f f f f f f f
b. “Your family can come and wait with you in the waiting room.”
f f f f f f f f f f f
c. “We recommend including family members at this appointment.”
f f f f f f f
d. “It is required that you have a family member at this appointment.”
f f f f f f f f f f f
ANS: C f
Including family members in perioperative education is advisable. Often a fam
f f f f f f f f f f
ber is a coach for postoperative exercises when the patient returns from surgery
f f f f f f f f f f f f
us relatives do not understand routine postoperative events, it is likely that thei
f f f f f f f f f f f f
will heighten the patient’s fears and concerns. Preoperativepreparation of fam
f f f f f f f f f f
ers before surgery helps to minimize anxiety and misunderstanding. An additi
f f f f f f f f f f
n is needed at the appointment if at all possible, and he or she needs to be involv
f f f f f f f f f f f f f f f f f
rocess, not just f f
LINKS FOR ALLATI RESOURCES: f f f f
ATI COMPREHENSIVE PREDICTOR EXAM ( 14 LA
f f f f f f
VERSION ,2021) / COMPREHENSIVE ATI PREDIC f f f f f
XAM / PREDICTOR COMPREHENSIVEATI EXAM f f f f f
ST DOCUMENT FOR EXAM) f f f
https://www.stuvia.com/doc/1113753/ati-comprehensive-predictor-exam-14-versionslatest-2021-a-high-sc
fdocument
https://www.coursemerit.com/solution-details/58749/ATI-COMPREHENSIVE-PREDICTOR-EXAM--14-LATEST
f2021
https://docmerit.com/doc/show/ati-comprehensive-predictor-exam-14-versions-comprehensive-predict
latest
ATICommunityHealthProctoredExam(13LATEST
f f f f f f f
