[NGN] ATI RN COMPREHENSIVE PREDICTOR RETAKE EXAML
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ATEST UPDATE 2023_2024 QUESTIONS WITH VERIFIED ANSW
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ERS AND RATIONALES
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1. Thefpostanesthesiaf caref unitf (PACU)f nursef transportsf thef inpatientf surgicalf patientf tof thef medical-surgicalfloor.f Beforef leavingf thef floor,f thef medical-
surgicalf nursef obtainsf af completef setfoffvitalfsigns.fWhatfisfthefrationalefforfthisfnursingfaction?
a. Thisfisfdoneftof completef theffirstf actionfinf af head-to-toef assessment.
Thisfisfdoneftofcomparefandfmonitorfforfvitalfsignfvariationfduring
b. transport.
Thisfisf donef tof ensuref thatf thef medical-surgicalf nursef checksfonf the
c. postoperativef patient.
Thisfisfdoneftoffollowfhospitalfpolicyfandfprocedurefforfcarefoffthe
d. surgicalfpatient.
ANS:f B
Beforefthef PACUfnursefleavesfthef acutef caref area,f thef stafff nursef assumingf caref forfthef patientftakesf af completef setf offvitalf signsf tof comparef withf PACUffindings.f Minorfvitalf signf variationsfnormallyf occurfafter
transportingfthefpatient.fThefPACUfnursefreviewsfthefpatient’sfinformationfwithfthefmedical-
surgicalfnurse,fincludingfthefsurgicalfandfPACUfcourse,fphysicianforders,fandfthefpatient’sfcondition.fWhilefvitalfsignsf mayforfmayf notfbeftheffirstfactionfinfafhead-to-
toefassessment,f thisfisfnotfthefrationalef forf thisfsituation.f Whileffollowingf policyforfascertainingf thatftheffloorf nursef checksf onfthef patientfarefgoodfreasonsfforfsafefcare,ftheyfarefnotfthefbestfrationalefforfo
btainingfvitalfsigns.
2. Thefnursefisfcaringfforfafpatientfwhofwillfundergofafremovalfoffaflungflobe.fWhichflevelfoffcarefwillfthepatientfrequirefimmediatelyfpostfprocedure?
a. Acutef care—medical-surgicalf unit
b. Acutefcare—intensivefcarefunit
c. Ambulatoryfsurgery
d. Ambulatoryfsurgery—extendedf stay
ANS:f B
Patientsf undergoingf extensivef surgeryf andf requiringf anesthesiaf off longf durationf recoverf slowly.f Iff af patientf isf undergoingf majorf surgeryf suchf asf af proceduref onf thef lung,f af stayf inf thef hospitalf andfspecificallyfinfthef
intensivefcarefunitfisfrequiredftofmonitorfforfpotentialfrisksftofwell-being.fThisfpatientfwouldfrequirefmorefcarefthanfcanfbefprovidedfonfafmedical-
surgicalfunit.fItfisfnotfappropriatefforfthisftypefoffpatientftofgofhomefafterfthefproceduref orftofstayf infanfextendedfstayfareafoffanfambulatoryfsurgeryfareafbecausefoffthefcomplexityfandfassociate
df risks.
,3. Thefnursef isf caringf forf afgroupfoffpatients.fWhichf patientfwillf thef nursefseef first?
a. Af patientf whof hadf cataractf surgeryf isf coughing.
Af patientf whof hadf vascularf repairf offthef rightf legfisf notfdoingf rightfleg
b. exercises.
Af patientf afterf kneefsurgeryf isf wearingf intermittentf pneumatic
c. compressionf devicesf andf receivingf heparin.
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, Af patientf afterf surgeryf hasf vitalf signsf takenf everyf 15f minutesf twice,
d. everyf30fminutesftwice,f hourlyfforf2f hoursfthenfeveryf4f hours.
ANS:f A
Forf patientsf whof havef hadf eye,f intracranial,f orf spinalf surgery,f coughingf mayf bef contraindicatedf becausef off thef potentialf increasef inf intraocularf orf intracranialf pressure.f Thef nursef willf needf tof seef thisfpatientffirstft
ofcontrolfthefcoughfandfintraocularfpressure.fAllfthefrestfarefnormalfpostoperativefpatients.fLegfexercisefshouldfnotfbefperformedfonfthefoperativeflegfwithfvascularfsurgery.fAfpatientfafterfkneefsurgeryf shouldfrecei
vef heparinfandfbef wearingfintermittentf pneumaticf compressionf devices;f whilefthef nursef willf checkfonfthefpatient,f itf doesf notf haveftof bef first.f Monitoringfvitalfsignsfafterfsurgeryfisfrequiredfandfthisfisfthefstandar
dfschedule.
4. Thefnursefdemonstratesfpostoperativefexercisesfforfafpatient.fInfwhichforderfwillfthefnursefinstructfthepatientftofperformfthefexercises?
1. Turning
2. Breathing
3. Coughing
4. Legfexercises
a. 4,f 1,f 2,f 3
b. 1,f2,f3,f4
c. 2,f3,f4,f1
d. 3,f 1,f 4,f 2
ANS:f A
Thef sequencef off exercisesf isf legf exercises,f turning,f breathing,f andf coughing.fMULTIPLEfRE
SPONSE
1. Thefnursefisf participatingfinf af“time-out.”fInfwhichfactivitiesfwillfthef nursefbef involved?f (Selectfallthatfapply.)
a. Verifyfthefcorrectfsite.
b. Verifyfthefcorrectf patient.
c. Verifyfthefcorrectfprocedure.
d. Performf“time-out”fafterfsurgery.
e. Performfthef actualfmarkingf offthefoperativefsite.
ANS:f A,f B,f C
f f f f f f f
ATEST UPDATE 2023_2024 QUESTIONS WITH VERIFIED ANSW
f f f f f f
ERS AND RATIONALES
f f
1. Thefpostanesthesiaf caref unitf (PACU)f nursef transportsf thef inpatientf surgicalf patientf tof thef medical-surgicalfloor.f Beforef leavingf thef floor,f thef medical-
surgicalf nursef obtainsf af completef setfoffvitalfsigns.fWhatfisfthefrationalefforfthisfnursingfaction?
a. Thisfisfdoneftof completef theffirstf actionfinf af head-to-toef assessment.
Thisfisfdoneftofcomparefandfmonitorfforfvitalfsignfvariationfduring
b. transport.
Thisfisf donef tof ensuref thatf thef medical-surgicalf nursef checksfonf the
c. postoperativef patient.
Thisfisfdoneftoffollowfhospitalfpolicyfandfprocedurefforfcarefoffthe
d. surgicalfpatient.
ANS:f B
Beforefthef PACUfnursefleavesfthef acutef caref area,f thef stafff nursef assumingf caref forfthef patientftakesf af completef setf offvitalf signsf tof comparef withf PACUffindings.f Minorfvitalf signf variationsfnormallyf occurfafter
transportingfthefpatient.fThefPACUfnursefreviewsfthefpatient’sfinformationfwithfthefmedical-
surgicalfnurse,fincludingfthefsurgicalfandfPACUfcourse,fphysicianforders,fandfthefpatient’sfcondition.fWhilefvitalfsignsf mayforfmayf notfbeftheffirstfactionfinfafhead-to-
toefassessment,f thisfisfnotfthefrationalef forf thisfsituation.f Whileffollowingf policyforfascertainingf thatftheffloorf nursef checksf onfthef patientfarefgoodfreasonsfforfsafefcare,ftheyfarefnotfthefbestfrationalefforfo
btainingfvitalfsigns.
2. Thefnursefisfcaringfforfafpatientfwhofwillfundergofafremovalfoffaflungflobe.fWhichflevelfoffcarefwillfthepatientfrequirefimmediatelyfpostfprocedure?
a. Acutef care—medical-surgicalf unit
b. Acutefcare—intensivefcarefunit
c. Ambulatoryfsurgery
d. Ambulatoryfsurgery—extendedf stay
ANS:f B
Patientsf undergoingf extensivef surgeryf andf requiringf anesthesiaf off longf durationf recoverf slowly.f Iff af patientf isf undergoingf majorf surgeryf suchf asf af proceduref onf thef lung,f af stayf inf thef hospitalf andfspecificallyfinfthef
intensivefcarefunitfisfrequiredftofmonitorfforfpotentialfrisksftofwell-being.fThisfpatientfwouldfrequirefmorefcarefthanfcanfbefprovidedfonfafmedical-
surgicalfunit.fItfisfnotfappropriatefforfthisftypefoffpatientftofgofhomefafterfthefproceduref orftofstayf infanfextendedfstayfareafoffanfambulatoryfsurgeryfareafbecausefoffthefcomplexityfandfassociate
df risks.
,3. Thefnursef isf caringf forf afgroupfoffpatients.fWhichf patientfwillf thef nursefseef first?
a. Af patientf whof hadf cataractf surgeryf isf coughing.
Af patientf whof hadf vascularf repairf offthef rightf legfisf notfdoingf rightfleg
b. exercises.
Af patientf afterf kneefsurgeryf isf wearingf intermittentf pneumatic
c. compressionf devicesf andf receivingf heparin.
326
, Af patientf afterf surgeryf hasf vitalf signsf takenf everyf 15f minutesf twice,
d. everyf30fminutesftwice,f hourlyfforf2f hoursfthenfeveryf4f hours.
ANS:f A
Forf patientsf whof havef hadf eye,f intracranial,f orf spinalf surgery,f coughingf mayf bef contraindicatedf becausef off thef potentialf increasef inf intraocularf orf intracranialf pressure.f Thef nursef willf needf tof seef thisfpatientffirstft
ofcontrolfthefcoughfandfintraocularfpressure.fAllfthefrestfarefnormalfpostoperativefpatients.fLegfexercisefshouldfnotfbefperformedfonfthefoperativeflegfwithfvascularfsurgery.fAfpatientfafterfkneefsurgeryf shouldfrecei
vef heparinfandfbef wearingfintermittentf pneumaticf compressionf devices;f whilefthef nursef willf checkfonfthefpatient,f itf doesf notf haveftof bef first.f Monitoringfvitalfsignsfafterfsurgeryfisfrequiredfandfthisfisfthefstandar
dfschedule.
4. Thefnursefdemonstratesfpostoperativefexercisesfforfafpatient.fInfwhichforderfwillfthefnursefinstructfthepatientftofperformfthefexercises?
1. Turning
2. Breathing
3. Coughing
4. Legfexercises
a. 4,f 1,f 2,f 3
b. 1,f2,f3,f4
c. 2,f3,f4,f1
d. 3,f 1,f 4,f 2
ANS:f A
Thef sequencef off exercisesf isf legf exercises,f turning,f breathing,f andf coughing.fMULTIPLEfRE
SPONSE
1. Thefnursefisf participatingfinf af“time-out.”fInfwhichfactivitiesfwillfthef nursefbef involved?f (Selectfallthatfapply.)
a. Verifyfthefcorrectfsite.
b. Verifyfthefcorrectf patient.
c. Verifyfthefcorrectfprocedure.
d. Performf“time-out”fafterfsurgery.
e. Performfthef actualfmarkingf offthefoperativefsite.
ANS:f A,f B,f C
