ATI RN Maternal Newborn 2024/2025 with NGN (proctored) with verified answers

ATI MATERNAL NEWBO
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RN PROCTOREDEXAM
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,1. The nurse is preparing a patient for surgery. Which goal is a
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priority for assessing the patient before surgery?
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a. Plan for care after the procedure.
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b. Establish a patient’s baseline of normal function. o o o o o o




c. Educate the patient and family about the procedure.
o o o o o o o



d. Gather appropriate equipment for the patient’s needs.
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ANS: B o


The goal of the preoperative assessment is to identify a patient’s normal preoper
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ative function and the presence of any risks to recognize, prevent, and minimize
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possible postoperative complications. Gathering appropriate equipment, plannin
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g care, and educating the patient and family are all important interventions that
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must be provided for the surgical patient; they arepart of the nursing process but
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are not the priority reason/goal for completing an assessment of the surgical pati
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ent.
2. The nurse is completing a medication history for the surgical patientin
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preadmission testing. Which medication should the nurse instruct the
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patient to hold (discontinue) in preparation for surgery according topro
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tocol?
a. Warfarin

b. Vitamin C o




c. Prednisone
d. Acetaminophen


ANS: A o


Medications such as warfarin or aspirin alter normal clotting factors and thusinc
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rease the risk of hemorrhaging. Discontinue at least 48 hours before
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, surgery. Acetaminophen is a pain reliever that has no special implications forsur
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gery. Vitamin C actually assists in wound healing and has no special implication
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s for surgery. Prednisone is a corticosteroid, and dosages are oftentemporarily in
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creased rather than held.o o o



3. The nurse is prescreening a surgical patient in the preadmission testin
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g unit. The medication history indicates that the patient is
currently taking an anticoagulant. Which action should the nurse takew
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hen consulting with the health care provider?
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a. Ask for a radiological examination of the chest.
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b. Ask for an international normalized ratio (INR).
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c. Ask for a blood urea nitrogen (BUN).
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d. Ask for a serum sodium (Na). o o o o o




ANS: B o


INR, PT (prothrombin time), APTT (activated partial thromboplastin time), andpl
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atelet counts reveal the clotting ability of the blood. Anticoagulants can be utilize
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d for different conditions, but its action is to increase the time it takes for the bloo
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d to clot. This action can put the surgical patient at risk for bleeding tendencies.
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Typically, if at all possible, this medication is held several days before a surgical
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procedure to decrease this risk. Chest x-o o o o o o

ray, BUN, and Na are diagnostic screening tools for surgery but are not specific t
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o anticoagulants.
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4. The nurse is encouraging the postoperative patient to utilize diaphragmatic
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breathing. Which priority goal is the nurse trying to achieve?
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a. Manage pain o




b. Prevent atelectasis o



c. Reduce healing time o o



d. Decrease thrombus formation o o




ANS: B o


After surgery, patients may have reduced lung volume and may require greater
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effort to cough and deep breathe; inadequate lung expansion can lead
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