Ati pn pediatrics proctored exam pdf

ATI PN PEDIATRICS PROCTORED
d d d




EXAM

1. Thednursedcompletesdadthoroughdassessmentdofdadpatientdanddanalyzesdthe

datadtodidentifydnursingddiagnoses.dWhichdstepdwilldthednursedtakednextdindthenursingdprocess?
a. Assessment


b. Diagnosis

c. Planning
d. Implementation


ANS:dC
Afterdidentifyingdadpatient’sdnursingddiagnosesdanddcollaborativedproblems,dadnurseprioritizesdtheddiagnoses,dsetsd
patient-
centereddgoalsdanddexpecteddoutcomes,danddchoosesdnursingdinterventionsdappropriatedfordeachddiagnosis.dThisdisd
thedthirddstepofdthednursingdprocess,dplanning.dThedassessmentdphasedofdthednursingdprocessdinvolvesdgatheringdd
ata.dThedimplementationdphasedinvolvesdcarryingdoutdappropriatednursingdinterventions.dDuringdthedevaluationdph
ase,dthednursedassessesdthedachievementdofdgoalsdanddeffectivenessdofdinterventions.

2. Adpatient’sdplandofdcaredincludesdthedgoaldofdincreasingd mobilitydthisdshift.dAsthed patientd isd ambulatingd tod
thed bathroomd atd thed beginningd ofd thed shift,d thed patient


suffersd ad fall.d Whichd initiald actiond willd thed nursed taked nextd tod revised thed pland ofcare?
a. Consultdphysicaldtherapy.


b. Establishdadnewdplandofdcare.
c. Setdnewdprioritiesdfordthedpatient.

d. Assessdthedpatient.


ANS:dD


1

,Nursesdrevisedadplandwhendadpatient’sdstatusdchanges;dassessmentdisdthedfirstdstep.dKnowdalsodthatdadplandofdcaredisdd
ynamicdanddchangesdasdthedpatient’sdneedsdchange.dAskingdphysicaldtherapydtodassistdthedpatientdisdprematuredbefor
edassessingdthedpatientdanddawaitingdthedhealthdcaredprovider’sdorders.dThednursedmaydnotdneeddtoddisregarddalldprevi
ousddiagnoses.dSomeddiagnosesdmaydstilldapply,dbutdthedpatientneedsdtodbedassesseddfirst.dSettingdnewdprioritiesdisdnot
drecommendeddbeforedassessmentdanddestablishingddiagnoses.



3. Whichdinformationdindicatesdadnursedhasdadgooddunderstandingdofdadgoal?
Itdisdadstatementddescribingdthedpatient’sdaccomplishmentsdwithoutda
a. timedrestriction.
Itdisdadrealisticdstatementdpredictingdanydnegativedresponsesdto
b. treatments.
Itdisdadbroaddstatementddescribingdaddesireddchangedindadpatient’s
c. behavior.
d. Itdisdadmeasurabledchangedindadpatient’sdphysicaldstate.

ANS:dC
Adgoaldisdadbroaddstatementdthatddescribesdaddesireddchangedindadpatient’sdconditionordbehavior.dAdgoaldisdmutuallydsetd
withdthedpatient.dAndexpecteddoutcomedisdthedmeasurabledchangesd(patientdbehavior,dphysicaldstate,dordperception)dth
atdmustdbedachieveddtodreachdadgoal.dExpecteddoutcomesdaredtimedlimited,dmeasurabledwaysdofdeterminingdifdadgoaldis
dmet.



4. Adnursedisddevelopingdadcaredplandfordadpatientdwithdadpelvicdfracturedond

beddrest.dWhichdgoaldstatementdisdrealisticdfordthednursedtodassigndtodthisdpatient?

a. Patientdwilldincreasedactivitydleveldthisdshift.
b. Patientdwilldturndsidedtodbackdtodsidedwithassistancedeveryd
2dhours.dPatientdwilldusethedwalkerdcorrectlydtodambulated
todthedbathroomdas



c. needed.
Patientdwilldusedadslidingdboarddcorrectlydtodtransferdtodthedbedside
d. commoded asd needed.ANS:d A
Adgoaldisdadbroaddstatementdofddesireddchange;dthedpatientdwilldincreasedactivitydlev
eldisdadbroaddstatement.dTurningdisdthedexpecteddoutcome.dWhenddetermining
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, goals,dthednursedneedsdtodensuredthatdthedgoaldisdindividualizeddanddrealisticdfordthepatient.dSincedthedpatientdisdond
beddrest,dusingdadwalkerdanddbedsidedcommodedisdcontraindicated.



5. Thedfollowingdstatementsdaredondadpatient’sdnursingdcaredplan.dWhichstatementdwilldthednursedused

asdandoutcomedfordadgoaldofdcare?
Thedpatientdwilldverbalizedaddecreaseddpaindleveldlessdthand3dondad0dto
a. 10dscaledbydthedenddofdthisdshift.
Thedpatientdwillddemonstratedincreaseddtolerancedtodactivitydoverdthe
b. nextdmonth.

c. Thedpatientdwilldunderstanddneededddietarydchangesdbyddischarge.

d. Thedpatientdwillddemonstratedincreaseddmobilitydind2ddays.


ANS:dA
Andexpecteddoutcomedisdadspecificdanddmeasurabledchangedthatdisdexpecteddasdadresultdofdnursingdcare.dVerbalizingdd
ecreaseddpaindondad0dtod10dscaledisdandoutcome.Thedotherdthreedoptionsdindthisdquestiondaredgoals.dDemonstratingdinc
reaseddmobilitydind2ddaysdanddunderstandingdnecessaryddietarydchangesdbyddischargedaredshort-
termdgoalsdbecausedtheydaredexpecteddtodoccurdindlessdthandadweek.
Demonstratingdincreaseddtolerancedtodactivitydoverdadmonth-longdperioddisdadlong-
termdgoaldbecauseditdisdexpecteddtodoccurdoverdadlongerdperioddofdtime.

6. AdchargednursedisdreviewingdoutcomedstatementsdusingdthedSMART

approach.dWhichdpatientdoutcomedstatementdwilldthedchargednursedpraisedtothednewdnurse?

a. Thedpatientdwilldambulatedindhallways.
Thednursedwilldmonitordthedpatient’sdheartdrhythmdcontinuouslydthis
b. shift.
Thedpatientdwilldfeeddselfdatdalldmealtimesdtodaydwithoutdreportsdof
c. shortnessdofdbreath.
Thednursedwilldadministerdpaindmedicationdeveryd4dhoursdtodkeepdthe
d. patientdfreedfromddiscomfort.ANS:dC
Andexpecteddoutcomedshoulddbedpatientdcentered;dshoulddaddressdonedpatientdrespo
nse;dshoulddbedspecific,dmeasurable,dattainable,drealistic,danddtimedd(SMART
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