1. ATI RN OB MATERNITY PROCTORED EXAM {3 LATEST
VERSIONS} 2024
2. Theoonurseooisoocompletingooaoomedicationoohistoryooforootheoosurgical
oopatientooinoopreadmissionootesting.ooWhichoomedicationooshouldootheoonu
rseooinstructoothe
patientootoooholdoo(discontinue)ooinoopreparationooforoosurgeryooaccordingootoo
oprotocol?
a. Warfarin
b. VitaminooC
c. Prednisone
d. Acetaminophen
ANS:ooA
Medicationsoosuchooasoowarfarinooorooaspirinooalteroonormalooclottingoofactors
ooandoothusooincreaseootheooriskooofoohemorrhaging.ooDiscontinueooatooleastoo4
8oohoursoobeforeoosurgery.ooAcetaminophenooisooaoopainoorelieveroothatoohasoo
nooospecialooimplicationsooforoosurgery.ooVitaminooCooactuallyooassistsooinoowo
undoohealingooandoohasoonooospecialooimplicationsooforoosurgery.ooPrednisone
ooisooaoocorticosteroid,ooandoodosagesooareoooftenootemporarilyooincreasedoora
theroothanooheld.
3. Theoonurseooisooprescreeningooaoosurgicaloopatientooinootheoopreadmissio
nootestingoounit.ooTheoomedicationoohistoryooindicatesoothatootheoopatientoo
is
currentlyootakingooanooanticoagulant.ooWhichooactionooshouldootheoonurseootak
eoowhenooconsultingoowithootheoohealthoocareooprovider?
a. Askooforooaooradiologicalooexaminationooofootheoochest.
b. Askooforooanoointernationaloonormalizedooratiooo(INR).
c. Askooforooaoobloodooureaoonitrogenoo(BUN).
, d. Askooforooaooserumoosodiumoo(Na).
ANS:ooB
INR,ooPToo(prothrombinootime),ooAPTToo(activatedoopartialoothromboplastinootim
e),ooandooplateletoocountsoorevealootheooclottingooabilityooofootheooblood.ooAntico
agulantsoocanoobeooutilizedooforoodifferentooconditions,oobutooitsooactionooisootooo
increaseootheootimeooitootakesooforootheoobloodootoooclot.ooThisooactionoocanooput
ootheoosurgicaloopatientooatooriskooforoobleedingootendencies.
Typically,ooifooatooalloopossible,oothisoomedicationooisooheldooseveraloodaysoobef
oreooaoosurgicalooprocedureootooodecreaseoothisoorisk.ooChestoox-
ray,ooBUN,ooandooNaooareoodiagnosticooscreeningootoolsooforoosurgeryoobutooar
eoonotoospecificootoooanticoagulants.
4. Theoonurseooisoopreparingooaoopatientooforoosurgery.ooWhichoogoalooisooa
priorityooforooassessingootheoopatientoobeforeoosurgery?
a. Planooforoocareooafterootheooprocedure.
b. Establishooaoopatient’soobaselineooofoonormaloofunction.
c. Educateootheoopatientooandoofamilyooaboutootheooprocedure.
d. Gatherooappropriateooequipmentooforootheoopatient’sooneeds.
ANS:ooB
Theoogoalooofootheoopreoperativeooassessmentooisootoooidentifyooaoopatient’soono
rmaloopreoperativeoofunctionooandootheoopresenceooofooanyoorisksootooorecognize
,ooprevent,ooandoominimizeoopossibleoopostoperativeoocomplications.ooGatherin
gooappropriateooequipment,ooplanningoocare,ooandooeducatingootheoopatientooan
doofamilyooareooallooimportantoointerventionsoothatoomustoobeooprovidedooforooth
eoosurgicaloopatient;ootheyooareoopartooofootheoonursingooprocessoobutooareoonotoo
theoopriorityooreason/goalooforoocompletingooanooassessmentooofootheoosurgicalo
opatient.
, 5. Theoonurseooisooencouragingootheoopostoperativeoopatientootoo
outilizeoodiaphragmatic
breathing.ooWhichoopriorityoogoalooisootheoonurseootryingootoooachieve?
a. Manageoopain
b. Preventooatelectasis
c. Reduceoohealingootime
d. Decreaseoothrombusooformation
ANS:ooB
Afteroosurgery,oopatientsoomayoohaveooreducedoolungoovolumeooandoomayoore
quireoogreaterooeffortootooocoughooandoodeepoobreathe;ooinadequateoolungooe
xpansionoocanooleadootoooatelectasisooandoopneumonia.ooPurposelyooutilizingo
odiaphragmaticoobreathingoocanoodecreaseoothisoorisk.ooDuringoogeneralooanes
thesia,ootheoolungsooareoonotoofullyooinflatedooduringoosurgeryooandootheoocoug
hooreflexooisoosuppressed,oosooomucusoocollectsoowithinooairwayoopassages.ooD
iaphragmaticoobreathingoodoesoonotoomanageoopain;ooinoosomeoocases,ooifoospl
intingooandoopainoomedicationsooareoonotoogiven,ooitoocanoocauseoopain.ooDiaph
ragmaticoobreathingoodoesoonotooreduceoohealingootimeoooroodecreaseoothro
mbusooformation.ooBetter,oomoreooeffectiveoointerventionsooareooavailableoof
orootheseoosituations.
6. Theoonurseooisoocaringooforooaoopostoperativeoopatientooonootheoomedical-
surgical
floor.ooWhichooactivityoowillootheoonurseooencourageootooopreventoovenousoost
asisooandootheooformationooofoothrombus?
a. Diaphragmaticoobreathing
b. Incentiveoospirometry
c. Legooexercises
d. Coughing
VERSIONS} 2024
2. Theoonurseooisoocompletingooaoomedicationoohistoryooforootheoosurgical
oopatientooinoopreadmissionootesting.ooWhichoomedicationooshouldootheoonu
rseooinstructoothe
patientootoooholdoo(discontinue)ooinoopreparationooforoosurgeryooaccordingootoo
oprotocol?
a. Warfarin
b. VitaminooC
c. Prednisone
d. Acetaminophen
ANS:ooA
Medicationsoosuchooasoowarfarinooorooaspirinooalteroonormalooclottingoofactors
ooandoothusooincreaseootheooriskooofoohemorrhaging.ooDiscontinueooatooleastoo4
8oohoursoobeforeoosurgery.ooAcetaminophenooisooaoopainoorelieveroothatoohasoo
nooospecialooimplicationsooforoosurgery.ooVitaminooCooactuallyooassistsooinoowo
undoohealingooandoohasoonooospecialooimplicationsooforoosurgery.ooPrednisone
ooisooaoocorticosteroid,ooandoodosagesooareoooftenootemporarilyooincreasedoora
theroothanooheld.
3. Theoonurseooisooprescreeningooaoosurgicaloopatientooinootheoopreadmissio
nootestingoounit.ooTheoomedicationoohistoryooindicatesoothatootheoopatientoo
is
currentlyootakingooanooanticoagulant.ooWhichooactionooshouldootheoonurseootak
eoowhenooconsultingoowithootheoohealthoocareooprovider?
a. Askooforooaooradiologicalooexaminationooofootheoochest.
b. Askooforooanoointernationaloonormalizedooratiooo(INR).
c. Askooforooaoobloodooureaoonitrogenoo(BUN).
, d. Askooforooaooserumoosodiumoo(Na).
ANS:ooB
INR,ooPToo(prothrombinootime),ooAPTToo(activatedoopartialoothromboplastinootim
e),ooandooplateletoocountsoorevealootheooclottingooabilityooofootheooblood.ooAntico
agulantsoocanoobeooutilizedooforoodifferentooconditions,oobutooitsooactionooisootooo
increaseootheootimeooitootakesooforootheoobloodootoooclot.ooThisooactionoocanooput
ootheoosurgicaloopatientooatooriskooforoobleedingootendencies.
Typically,ooifooatooalloopossible,oothisoomedicationooisooheldooseveraloodaysoobef
oreooaoosurgicalooprocedureootooodecreaseoothisoorisk.ooChestoox-
ray,ooBUN,ooandooNaooareoodiagnosticooscreeningootoolsooforoosurgeryoobutooar
eoonotoospecificootoooanticoagulants.
4. Theoonurseooisoopreparingooaoopatientooforoosurgery.ooWhichoogoalooisooa
priorityooforooassessingootheoopatientoobeforeoosurgery?
a. Planooforoocareooafterootheooprocedure.
b. Establishooaoopatient’soobaselineooofoonormaloofunction.
c. Educateootheoopatientooandoofamilyooaboutootheooprocedure.
d. Gatherooappropriateooequipmentooforootheoopatient’sooneeds.
ANS:ooB
Theoogoalooofootheoopreoperativeooassessmentooisootoooidentifyooaoopatient’soono
rmaloopreoperativeoofunctionooandootheoopresenceooofooanyoorisksootooorecognize
,ooprevent,ooandoominimizeoopossibleoopostoperativeoocomplications.ooGatherin
gooappropriateooequipment,ooplanningoocare,ooandooeducatingootheoopatientooan
doofamilyooareooallooimportantoointerventionsoothatoomustoobeooprovidedooforooth
eoosurgicaloopatient;ootheyooareoopartooofootheoonursingooprocessoobutooareoonotoo
theoopriorityooreason/goalooforoocompletingooanooassessmentooofootheoosurgicalo
opatient.
, 5. Theoonurseooisooencouragingootheoopostoperativeoopatientootoo
outilizeoodiaphragmatic
breathing.ooWhichoopriorityoogoalooisootheoonurseootryingootoooachieve?
a. Manageoopain
b. Preventooatelectasis
c. Reduceoohealingootime
d. Decreaseoothrombusooformation
ANS:ooB
Afteroosurgery,oopatientsoomayoohaveooreducedoolungoovolumeooandoomayoore
quireoogreaterooeffortootooocoughooandoodeepoobreathe;ooinadequateoolungooe
xpansionoocanooleadootoooatelectasisooandoopneumonia.ooPurposelyooutilizingo
odiaphragmaticoobreathingoocanoodecreaseoothisoorisk.ooDuringoogeneralooanes
thesia,ootheoolungsooareoonotoofullyooinflatedooduringoosurgeryooandootheoocoug
hooreflexooisoosuppressed,oosooomucusoocollectsoowithinooairwayoopassages.ooD
iaphragmaticoobreathingoodoesoonotoomanageoopain;ooinoosomeoocases,ooifoospl
intingooandoopainoomedicationsooareoonotoogiven,ooitoocanoocauseoopain.ooDiaph
ragmaticoobreathingoodoesoonotooreduceoohealingootimeoooroodecreaseoothro
mbusooformation.ooBetter,oomoreooeffectiveoointerventionsooareooavailableoof
orootheseoosituations.
6. Theoonurseooisoocaringooforooaoopostoperativeoopatientooonootheoomedical-
surgical
floor.ooWhichooactivityoowillootheoonurseooencourageootooopreventoovenousoost
asisooandootheooformationooofoothrombus?
a. Diaphragmaticoobreathing
b. Incentiveoospirometry
c. Legooexercises
d. Coughing
