ATI LEARNING SYSTEM RN: FUNDAMENTALS 1, 2, AND FINAL QUESTIONS AND ANSWERS

ATI LEARNING SYSTEM RN:
FUNDAMENTALS 1, 2, AND FINAL
QUESTIONS AND ANSWERS

terminalmsillnessmsandmsquestionsmsdirectedmstomsnursemsaboutmsreligionmsandmsdeathms-
msanswer--encouragemsthemspatientmstomsexpressmsfeelingmsaboutmsdeathmsandmsdyingms



-therapeuticmstechniquemsofmsreflection

firstmsprioritymsactionmswhenmsperformingmstracheostomymscarems-msanswer--
1.msperformmshandmshygiene

-Themsnursemsshouldmsalso-
msdonmssterilemsgloves,msopenmsallmssterilemssuppliesmsandmssolutions,msandmsstabilizemsth

emstracheostomymstubemsbutmstheymsallmswillmscomemsaftermshandmshygienemsinmsordermstom
spreventmscontaminationmsofmsthemstrachmstube



whatmsshouldmsamsnurse'smsprioritymsactionmsbemswhenmstheymsnoticemsamspatient'smspulsem
sismsirregular?ms-msanswer--

auscultatemsthemsapicalmspulsemsandmslistenmsforms1msminutemstomsobtainmsandmsaccuratems
ratemsandmsdocumentmsthemsirregularitymsinmsthemschart

-checkmsperipheralmspulsesmsbilaterallymstomsdeterminemsequalitymsofmsbloodmsperfusion
-checkmspedalmspulsesmstomsdeterminemscirculationmsinmsptsmslowermsextremities
-
amsdopplermsultrasoundmsshouldmsbemsusedmswhenmsamsptmshasmsamsnonpalpablemspulse/
msverymsdifficultmstomspalpate



firstmsnursingmsactionmswhenmsreceivingmsamsnewmspatientms-msanswer--
1.msobtainmsthemsptsmsinformation

-
othermsstepsmsthatmsfollowmsthismsinclude:msidentifymsgoalsmsofmscare,msdocumentmsnursing
msfindings,msevaluatemseffectivenessmsofmscare



transferringmsamspatientmsfrommsamsstretchermstomsamsbedmsfollowingmsanmsabdominalmssur
geryms-msanswer--lockmsthemswheelsmsofmsthemsstretchermsandmsthemsbed

-ptmsshouldmscrossmstheirmsarmsmsovermsthemschestmstomspreventmsinjury
-stretchermsshouldmsbemsnomsmoremsthanms1.3mscmmsabovemsthemsheightmsofmsbed
-
logrollmstechniquemsusedmstomspreventmsinjurymsofmsptsmsrequiringmsimmobilizationmsofmsne
ck,msback,msspine

,prioritymsnursingmsactionmsformsamspatientmsadmittedmswithmsdecreasedmscirculationmsofmsth
emsleftmslegms-msanswer--evaluatemspedalmspulses

-
nursemsshouldmsalsomsobtainmsamsmedicalmshistory,msassessmsvitalsmsandmsassessmsformsle
gmspainmsbutmsthesemsaren'tmsthemsfirstmspriority

abdominalmsassessmentmsofmsamspatientmspostoperativemswithmsamsparalyticmsileumms-
msanswer--absent msbowelmssoundsmsw/msdistention



-paralyticmsileusmsismsanmsimmobilemsbowelmsw/
msabsentmsbowelmssounds,msabdominalmsdistention,msdecreasedmsperistalsis,msnomsflatule

ncemsormsstool

teachingmsformsanmsoldermsadultmswhomshasmsconstipationms-msanswer--
sitmsonmsthemstoiletmsforms30msminutesmsaftermseatingmsamsmeal

-
increasedmsperistalsismsoccursmsaftermseating,mssittingmsonmsthemstoiletmsforms30msminmsafte
rmseatingmsismsrecommendedmsbowelmsretrainingmstomstreatmsconstipation
-consumemsamsminimummsofms1500msmLmsofmswater
increasemsintakemsofmscoarse-fibermsandmswholemsgrains,msnotmsrefined-fiber
-domsnotmsusemsdailymssoftenersmsbecausemsitmshindersmsbowelmsretrainingmsprocess

patientmswhomshasmschestmspainmsthatmsworsensmsuponmsinspirationmsandmsamshigh-
pitchedmsscratchingmssoundsmsismsauscultatedmsduringmssystolemsandmsdiastolemsbymsthem
snursemswithmsthemsdiaphragmmsofmsthemsstethoscopemspositionedmsatmsthemsleftmssternalms

border.msWhatmsheartmssoundmsshouldmsthemsnursemsdocument?ms-msanswer--
pericardialmsfrictionmsrub

-pericardialmsfrictionmsrubmshigh-
pitchedmsscratching,msgrating,mssqueakingmsleatherymssoundmsheardmsbestmsw/
msthemsdiaphragmmsofmsthemsstethoscopemsatmsthemsleftmssternalmsborder

-commonmsmanifestationmsofmspericardialmsinflammation;mscanmsbemsheardmsw/
msineffective mspericarditismsw/

msMI,msfollowingmscardiacmssurgerymsormstrauma,msormssomemsautoimmunemsdisordersmssu

chmsasmsrheumaticmsfever
-typicallymshasmssignsmsofmschestmspainmsthatmsincreasesmsw/
msinspirationmsormscoughingmsandmsismsrelievedmsbymssittingmsupmsormsleaningmsforward



-audiblemsclick,msoccursmsinmsptsmsaftermsprostheticmsvalvemsreplacementmssurgery
-murmurms=msswishing,mswhistlingmssound,mshearmsbestmsw/msbellmsofmsstethoscope
-thirdmsheartmssoundms=mslow-
pitchedmssoundmsafterms2ndmsheartmssoundmscausedmsbymsrapidmsventricularmsfillingmsdurin
gmsdiastole,msbestmsheardmsatmsmitralmsareamsw/
msptmsonmsLmsside;mscommonlymsheardmsinmsptsmsw/msHDmsandmsindicativemsofmsHF

, amsnursemsdemonstratesmspostopmsbreathingmsandmscoughingmsexcisesmstomsamspatientms
havingmsanmsemergencymssurgerymsformsappendicitis.msWhatmsstatementmsindicatesmsthem
spatientmshasmsamslackmsofmsreadinessmstomslearn?ms-msanswer--ptmsreportsmsseveremspain

-ptmsw/mspainmsismsunablemstomsconcentratemsandmsperformmsexercises

-
Ptmsaskingmstomsrepeatmsthemsinstructions,mshowmsoftenmstomsperformmsthemsexercises,msan
dmsstatingmsthatmsitmswillmsprobablymsbemspainfulmstomsperformmsthem.msAremsallmsstatement
smsthatmsshowmsamsreadinessmstomslearn

*F1*ms
nursemsteachingmsamsgroupmsofmsoldermsadultsmsaboutmsthemsexpectedmschangesmsofmsagin
g.mswhatmsstatementmsindicatesmsanmsunderstandingmsofmsthemsteaching?ms-
msanswer--"Imsshouldmsexpectmsmymsheartmsratemstomstakemslongermstomsreturnmstomsnormal

msaftermsexercisemsasmsImsgetmsolder."

-
d/
tmsdecreasedmscardiacmsoutputmswhichmscausesmsanmsincreasedmspulsemsratemsduringmsex
ercise
-Bladdermscapacitymsdecreasesmsw/
msagemsbutmsurinarymsincontinencemsismsnotmsanmsexpectedmsfindingmsofmsaging

-
Havemsanmsincreasemsofmsearmswaxmsbuildupmswhichmsmaymsincreasemsincidencemsproble
msmsw/mshearingmsloss
-Decreasedmsgastricmsemptyingmsismsanmsexpectedmsfinding

whatmsstatementmsshouldmsamsnursemsmakemswhenmsamspatientmswithmsDM1msismsresistant
mstomslearningmsself-injectionmsofmsinsulin?ms-

msanswer--"TellmsmemswhatmsImscanmsdomstomshelpmsyoumsovercomemsyourmsfearmsofmsgiving

msyourselfmsinjections."



-therapeutic,msptmsablemstomsexpressmsfeelings

Amspatientmsismsscheduledmsformsanmsarthroplastymsinmsthemsnextmsmonthmsandmsmaymsnee
dmsamsbloodmstransfusion.msThemspatientmsexpressesmsconcernmsaboutmsthemsriskmsofmsdev
elopingmsanmsinfectionmsfrommsthemstransfusion.msWhatmsstatementmsshouldmsthemsnursems
makemstomsthemspatient?ms-
msanswer--"donatemsautologousmsbloodmsbeforemsthemssurgery"



-collectionmsandmsreinfusionmsofmsthemsptsmsownmsblood,msbloodmsismsdrawnms3-
5msweeksmspriormstomssurgery;mssafestmsformmsofmsbloodmstranfusions
-
takingmsepoetinmspriormstomssurgerymscanmsboostmsHCTmslevelsmsbutmsismsinappropriatemsif
mstheirmslevelsmsaremsw/

inmsnormalmsandmsthismsmightmsnotmseliminatemsneedmsformstransfusion
-
takingmsironmssupplementmscanmsboostmshemoglobinmslevelsmsbutmsinappropriatemsifmsleve
lsmsaremsw/inmsrangemsandmsmaymsnotmseliminatemsneedmsformstransfusion