ATI MATERNAL NEWBO
c c
RNPROCTORED EXAM
c c
,1. The nurse is preparing a patient for surgery. Which goal is a
c c c c c c c c c c c
priority for assessing the patient before surgery?
c c c c c c
a. Plan for care after the procedure.
c c c c c
b. Establish a patient’s baseline of normal function. c c c c c c
c. Educate the patient and family about the procedure.
c c c c c c c
d. Gather appropriate equipment for the patient’s needs.
c c c c c c
ANS: B c
The goal of the preoperative assessment is to identify a patient’s normal preopera
c c c c c c c c c c c c
tive function and the presence of any risks to recognize, prevent, and minimize p
c c c c c c c c c c c c c
ossible postoperative complications. Gathering appropriate equipment, planning
c c c c c c
ccare, and educating the patient and family are all important interventions that mu
c c c c c c c c c c c c
st be provided for the surgical patient; they are part of the nursing process but are
c c c c c c c c c c c c c c c c
not the priority reason/goal for completing an assessment of the surgical patient.
c c c c c c c c c c c
2. The nurse is completing a medication history for the surgical patient in
c c c c c c c c c c c c
preadmission testing. Which medication should the nurse instruct the
c c c c c c c c
patient to hold (discontinue) in preparation for surgery according to protocol
c c c c c c c c c c
?
a. Warfarin
b. Vitamin C c
c. Prednisone
d. Acetaminophen
ANS: A c
Medications such as warfarin or aspirin alter normal clotting factors and thus in
c c c c c c c c c c c c
crease the risk of hemorrhaging. Discontinue at least 48 hours before
c c c c c c c c c c
, surgery. Acetaminophen is a pain reliever that has no special implications for sur
c c c c c c c c c c c c
gery. Vitamin C actually assists in wound healing and has no special implication
c c c c c c c c c c c c
s for surgery. Prednisone is a corticosteroid, and dosages are often temporarily in
c c c c c c c c c c c c
creased rather than held. c c c
3. The nurse is prescreening a surgical patient in the preadmission testing
c c c c c c c c c c
unit. The medication history indicates that the patient is
currently taking an anticoagulant. Which action should the nurse take when
c c c c c c c c c c c
consulting with the health care provider? c c c c c
a. Ask for a radiological examination of the chest.
c c c c c c c
b. Ask for an international normalized ratio (INR).
c c c c c c
c. Ask for a blood urea nitrogen (BUN). c c c c c c
d. Ask for a serum sodium (Na). c c c c c
ANS: B c
INR, PT (prothrombin time), APTT (activated partial thromboplastin time), and pl
c c c c c c c c c c
atelet counts reveal the clotting ability of the blood. Anticoagulants can be utilized
c c c c c c c c c c c c c
for different conditions, but its action is to increase the time it takes for the blood to
c c c c c c c c c c c c c c c c
clot. This action can put the surgical patient at risk for bleeding tendencies.
c c c c c c c c c c c c c
Typically, if at all possible, this medication is held several days before a surgica
c c c c c c c c c c c c c
l procedure to decrease this risk. Chest x-
c c c c c c c
ray, BUN, and Na are diagnostic screening tools for surgery but are not specific
c c c c c c c c c c c c c c
to anticoagulants.
c
4. The nurse is encouraging the postoperative patient to utilize diaphragmatic
c c c c c c c c c
breathing. Which priority goal is the nurse trying to achieve?
c c c c c c c c c
a. Manage pain c
b. Prevent atelectasis c
c. Reduce healing time c c
d. Decrease thrombus formation c c
ANS: B c
After surgery, patients may have reduced lung volume and may require greater
c c c c c c c c c c c c
effort to cough and deep breathe; inadequate lung expansion can lead
c c c c c c c c c c
c c
RNPROCTORED EXAM
c c
,1. The nurse is preparing a patient for surgery. Which goal is a
c c c c c c c c c c c
priority for assessing the patient before surgery?
c c c c c c
a. Plan for care after the procedure.
c c c c c
b. Establish a patient’s baseline of normal function. c c c c c c
c. Educate the patient and family about the procedure.
c c c c c c c
d. Gather appropriate equipment for the patient’s needs.
c c c c c c
ANS: B c
The goal of the preoperative assessment is to identify a patient’s normal preopera
c c c c c c c c c c c c
tive function and the presence of any risks to recognize, prevent, and minimize p
c c c c c c c c c c c c c
ossible postoperative complications. Gathering appropriate equipment, planning
c c c c c c
ccare, and educating the patient and family are all important interventions that mu
c c c c c c c c c c c c
st be provided for the surgical patient; they are part of the nursing process but are
c c c c c c c c c c c c c c c c
not the priority reason/goal for completing an assessment of the surgical patient.
c c c c c c c c c c c
2. The nurse is completing a medication history for the surgical patient in
c c c c c c c c c c c c
preadmission testing. Which medication should the nurse instruct the
c c c c c c c c
patient to hold (discontinue) in preparation for surgery according to protocol
c c c c c c c c c c
?
a. Warfarin
b. Vitamin C c
c. Prednisone
d. Acetaminophen
ANS: A c
Medications such as warfarin or aspirin alter normal clotting factors and thus in
c c c c c c c c c c c c
crease the risk of hemorrhaging. Discontinue at least 48 hours before
c c c c c c c c c c
, surgery. Acetaminophen is a pain reliever that has no special implications for sur
c c c c c c c c c c c c
gery. Vitamin C actually assists in wound healing and has no special implication
c c c c c c c c c c c c
s for surgery. Prednisone is a corticosteroid, and dosages are often temporarily in
c c c c c c c c c c c c
creased rather than held. c c c
3. The nurse is prescreening a surgical patient in the preadmission testing
c c c c c c c c c c
unit. The medication history indicates that the patient is
currently taking an anticoagulant. Which action should the nurse take when
c c c c c c c c c c c
consulting with the health care provider? c c c c c
a. Ask for a radiological examination of the chest.
c c c c c c c
b. Ask for an international normalized ratio (INR).
c c c c c c
c. Ask for a blood urea nitrogen (BUN). c c c c c c
d. Ask for a serum sodium (Na). c c c c c
ANS: B c
INR, PT (prothrombin time), APTT (activated partial thromboplastin time), and pl
c c c c c c c c c c
atelet counts reveal the clotting ability of the blood. Anticoagulants can be utilized
c c c c c c c c c c c c c
for different conditions, but its action is to increase the time it takes for the blood to
c c c c c c c c c c c c c c c c
clot. This action can put the surgical patient at risk for bleeding tendencies.
c c c c c c c c c c c c c
Typically, if at all possible, this medication is held several days before a surgica
c c c c c c c c c c c c c
l procedure to decrease this risk. Chest x-
c c c c c c c
ray, BUN, and Na are diagnostic screening tools for surgery but are not specific
c c c c c c c c c c c c c c
to anticoagulants.
c
4. The nurse is encouraging the postoperative patient to utilize diaphragmatic
c c c c c c c c c
breathing. Which priority goal is the nurse trying to achieve?
c c c c c c c c c
a. Manage pain c
b. Prevent atelectasis c
c. Reduce healing time c c
d. Decrease thrombus formation c c
ANS: B c
After surgery, patients may have reduced lung volume and may require greater
c c c c c c c c c c c c
effort to cough and deep breathe; inadequate lung expansion can lead
c c c c c c c c c c
