[NGN] ATI RN COMPREHENSIVE PREDICTOR RETAKE EXAML
n n n n n n n
ATEST UPDATE 2023_2024 QUESTIONS WITH VERIFIED ANS
n n n n n n
WERS AND RATIONALES n n
1. Thenpostanesthesian caren unitn (PACU)n nursen transportsn then inpatientn surgicaln patientnton then medical-surgicalfloor.n Beforen leavingn then floor,n then medical-
surgicaln nursen obtainsn an completen setn ofnvitalnsigns.nWhatnisnthenrationalenfornthisnnursingnaction?
a. Thisnisndonenton completen thenfirstn actionninn an head-to-toen assessment.
Thisnisndonen toncomparenandnmonitornfornvitalnsignnvariationnduring
b. transport.
Thisn isn donen ton ensuren thatn then medical-surgicaln nursen checksnonn the
c. postoperativen patient.
Thisnisndonentonfollownhospitalnpolicynandnprocedurenforncarenofnthe
d. surgicalnpatient.
ANS:n B
Beforenthen PACUnnursen leavesnthen acuten caren area,n then staffn nursen assumingn caren forn then patientntakesn an completen setn ofnvitaln signsn ton comparen withn PACUnfindings.n Minornvitaln signn variationsnnormallyn occurnafte
r
transportingnthenpatient.nThenPACUnnursenreviewsnthenpatient’sninformationnwithnthenmedical-
surgicalnnurse,nincludingnthensurgicalnandnPACUncourse,nphysiciannorders,nandnthenpatient’sncondition.nWhilenvitaln signsn maynornmayn notnbenthenfirstnactionninnanhead-to-
toenassessment,n thisnisnnotnthen rationalen forn thisnsituation.n Whilenfollowingn policynornascertainingn thatnthen floorn nursen checksn onnthen patientnarengoodnreasonsnfornsafencare,ntheynarennotnthenbestnratio
nalenfornobtainingnvitalnsigns.
2. Thennursenisncaringnfornanpatientnwhonwillnundergonanremovalnofnanlungnlobe.nWhichnlevelnofncarenwillnthepatientnrequirenimmediatelynpostnprocedure?
a. Acuten care—medical-surgicaln unit
b. Acutencare—intensivencarenunit
c. Ambulatorynsurgery
d. Ambulatorynsurgery—extendedn stay
ANS:n B
Patientsn undergoingn extensiven surgeryn andn requiringn anesthesian ofn longn durationn recovern slowly.n Ifn an patientn isn undergoingn majorn surgeryn suchn asn an proceduren onn then lung,n an stayninn then hospitaln andnspecifi
callyninnthenintensivencarenunitnisnrequiredntonmonitornfornpotentialnrisksntonwell-being.nThisnpatientnwouldnrequirenmorencarenthanncannbenprovidednonnanmedical-
surgicalnunit.nItnisnnotnappropriatenfornthisntypenofnpatientntongonhomenafternthenprocedurenorntonstayninnannextendednstaynareanofnannambulatorynsurgerynareanbecausenofnthencomplexitynand
,n associatedn risks.
, 3. Thennursen isn caringn forn angroupn ofnpatients.nWhichn patientnwillnthen nursen seenfirst?
a. An patientn whon hadn cataractn surgeryn isn coughing.
An patientn whon hadn vascularn repairn ofnthen rightnlegnisn notndoingn rightn leg
b. exercises.
An patientn aftern kneen surgeryn isn wearingn intermittentn pneumatic
c. compressionn devicesn andn receivingn heparin.
326
n n n n n n n
ATEST UPDATE 2023_2024 QUESTIONS WITH VERIFIED ANS
n n n n n n
WERS AND RATIONALES n n
1. Thenpostanesthesian caren unitn (PACU)n nursen transportsn then inpatientn surgicaln patientnton then medical-surgicalfloor.n Beforen leavingn then floor,n then medical-
surgicaln nursen obtainsn an completen setn ofnvitalnsigns.nWhatnisnthenrationalenfornthisnnursingnaction?
a. Thisnisndonenton completen thenfirstn actionninn an head-to-toen assessment.
Thisnisndonen toncomparenandnmonitornfornvitalnsignnvariationnduring
b. transport.
Thisn isn donen ton ensuren thatn then medical-surgicaln nursen checksnonn the
c. postoperativen patient.
Thisnisndonentonfollownhospitalnpolicynandnprocedurenforncarenofnthe
d. surgicalnpatient.
ANS:n B
Beforenthen PACUnnursen leavesnthen acuten caren area,n then staffn nursen assumingn caren forn then patientntakesn an completen setn ofnvitaln signsn ton comparen withn PACUnfindings.n Minornvitaln signn variationsnnormallyn occurnafte
r
transportingnthenpatient.nThenPACUnnursenreviewsnthenpatient’sninformationnwithnthenmedical-
surgicalnnurse,nincludingnthensurgicalnandnPACUncourse,nphysiciannorders,nandnthenpatient’sncondition.nWhilenvitaln signsn maynornmayn notnbenthenfirstnactionninnanhead-to-
toenassessment,n thisnisnnotnthen rationalen forn thisnsituation.n Whilenfollowingn policynornascertainingn thatnthen floorn nursen checksn onnthen patientnarengoodnreasonsnfornsafencare,ntheynarennotnthenbestnratio
nalenfornobtainingnvitalnsigns.
2. Thennursenisncaringnfornanpatientnwhonwillnundergonanremovalnofnanlungnlobe.nWhichnlevelnofncarenwillnthepatientnrequirenimmediatelynpostnprocedure?
a. Acuten care—medical-surgicaln unit
b. Acutencare—intensivencarenunit
c. Ambulatorynsurgery
d. Ambulatorynsurgery—extendedn stay
ANS:n B
Patientsn undergoingn extensiven surgeryn andn requiringn anesthesian ofn longn durationn recovern slowly.n Ifn an patientn isn undergoingn majorn surgeryn suchn asn an proceduren onn then lung,n an stayninn then hospitaln andnspecifi
callyninnthenintensivencarenunitnisnrequiredntonmonitornfornpotentialnrisksntonwell-being.nThisnpatientnwouldnrequirenmorencarenthanncannbenprovidednonnanmedical-
surgicalnunit.nItnisnnotnappropriatenfornthisntypenofnpatientntongonhomenafternthenprocedurenorntonstayninnannextendednstaynareanofnannambulatorynsurgerynareanbecausenofnthencomplexitynand
,n associatedn risks.
, 3. Thennursen isn caringn forn angroupn ofnpatients.nWhichn patientnwillnthen nursen seenfirst?
a. An patientn whon hadn cataractn surgeryn isn coughing.
An patientn whon hadn vascularn repairn ofnthen rightnlegnisn notndoingn rightn leg
b. exercises.
An patientn aftern kneen surgeryn isn wearingn intermittentn pneumatic
c. compressionn devicesn andn receivingn heparin.
326
