Med-Surge ATI Practice A Focused Review Questions and Answers 2023

Med-Surge ATI Practice A Focused Review Questions and Answers 2023 A nurse is preparing information for change of shift report. Which of the following information should the nurse include in the report? A. Input and output for the shift B. Blood pressure from the previous day C. Bone scan scheduled for today D. Medication routine from the medication admin record Answer: C Bone scan is the most important information because the nurse may have to modify patient's care to accommodate the departure from the unit What do change of shift formats include? They include face-to-face, audiotaping, or presentation during walking rounds in each client's room What should an effective report include? significant objective information about the client's health problems What are the five rights of delegation? Right: task, circumstance, person, direction and communication, supervision and evaluation Is this the right person to delegate to or the wrong person to delegate to? Delegate an AP to administer enteral feedings to a client who has a head injury. Answer: wrong person to delegate to A nurse manager of a med-surg unit is assigning care responsibilities. A client is awaiting a transfer back to the unit from the PACU following thoracic surgery. To which of the following staff should the nurse assign this client? A. Charge Nurse B. RN C. PN D. AP Answer: B A client returning from surgery requires an RN's assessment and establishment of care Which part of the nursing process includes the following: Establish priorities and optimal outcomes of care to measure and evaluate. Answer: planning A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate? A. Confidence B. Perseverance C. Integrity D. Discipline Answer: D Discipline is developing a systematic approach to thinking. Psychosocial Assessment Aspects 1. Alcohol, tobacco, drug and caffeine use 2. History of mental illness 3. History of abuse or homelessness home 4. Situation/significant others What other professionals should be included in a client's discharge planning? Social worker, occupational therapist, physical therapist A nurse is performing an admission assessment for an older adult patient. After gathering the assessment data and performing the ROS, which of the following actions is priority for the nurse? A. Orient the client to his room B. Conduct a client care conference C. Review medical prescriptions D. Develop a plan of care Answer: A The greatest risk to this patient is injury from unfamiliar surroundings. What are the three essential components of hand washing? 1. Soap 2. Running water 3. Friction Describe the sterile field set-up Open the covering of the package per the manufacturer's directions, slipping the package onto the center of the workspace with the top flap of the wrapper opening away from the body. Grasp the tip of the top flap of the package and with arm positioned away from the sterile field, unfold the top flap away from the body. Next, open the side flaps. Grasp the last flap and turn it down toward the body. When should you put on sterile gloves? AFTER the sterile field is set up What are examples of the Reservoir part of the chain of infection? Human, animal, food, organic matter on inanimate surfaces, water, soil, insects What are the stages of infection? Incubation, prodromal stage, illness stage, convalescence What is the prodromal stage of infection? interval from onset of general symptoms to more distinct symptoms (the pathogen is multiplying) Which of the following individuals have compromised health? A. Those who are immunocompromised B. A patient with a break in the skin C. Those with impaired circulation D. Those with chronic or acute diabetes E. All of the above Answer: E What are findings in the nursing assessment of a generalized or systemic infection? Fever, chills, increased pulse, increase respiratory rate, malaise, fatigue, anorexia, N/V, abdominal cramping and diarrhea, enlarged lymph nodes What kind of mask should you use with airborne precautions in a client who is known or suspected to have TB? An N95 Mask or high-efficiency particulate air (HEPA) respiratory What do droplet precautions require? -A private room or a room with other clients who have the same infectious disease -Masks for providers and visitors When pushing or pulling a load you should: 1. Widen your base of support 2. Face direction of movement 3. Use your own body as a counterweight when pushing or pulling to make movement easier 4. Avoid twisting thoracic spine and bending back while your hips and knees are straight