ATI Fundamentals Study Guide
___ ___ can be used to enhance access to and delivery of knowledge - ANS -information technology
\___ influences how much and how quickly a person learns - ANS -motivation
\___ is an intentional gain of new information and represents a change in behavior - ANS -learning
\___ is an interactive process driven by specific client goals - ANS -teaching
\-pain in the chest wall may ___ respiration depth
-onset of acute pain may ___ respiration rate
-anxiety ___ respiration rate and depth
-smoking causes resting respiration rate to ___
-neuro injury to the brainstem ___ respiratory rate and depth - ANS --decrease
-increase
-increases
-increase
-decreases
\-systolic murmurs are heard just after ___
-diastolic murmurs are heard just after ___ - ANS --S1
-S2
\-tympanic membranes should be ___ ___ & ___
-light reflex should be ___ and in a ___-___ ___ ___
-___ & ___ landmarks are readily visible
-ear canals are ___ with ___ ___ - ANS --pearly gray & intact
-visible & well-defined cone shape
-umbo & manubrium
-pink w/fine hairs
\5 elements necessary to prove negligence - ANS -1) duty to provide care as defined by a standard
2) breach of duty by failure to meet standard
,3) foreseeability of harm
4) breach of duty has potential to cause harm (combines 2&3)
5) harm occurs
\5 rights of delegation help decide: - ANS --what task should be delegated (right task)
-under what circumstances (right circumstance)
-to whom (right person)
-what info should be communicated (right direction/communication)
-how to supervise/evaluate (right supervision /evaluation)
\A determination of death must be made: - ANS -in accordance with accordance with accepted medical standards
\a diagnosis of hypertension is made is made if readings are elevated on at least - ANS -3 separate occasions over
several weeks
\a disaster is a ___ ___ or ___-___ event that overwhelms or interrupts, at least temporarily, the normal flow of services of
a hospital and include ___ & ___ emergencies - ANS -- mass casualty
-intra-facility
-internal
-external
\a murmur sounds like a - ANS --blowing or swishing sound
-best heard with bell of steth
\A problem is an ethical dilemma if: - ANS --it cannot be solved solely by a review of scientific data
-it involves a conflict between two moral imperatives
-the answer will have a profound effect on the situation/client
\abduction - ANS -movement of extremity away from midline
\absence of breath sounds should: - ANS -be noted
\According to the UDDA, death is determined by one of two criteria: - ANS --an irreversible cessation of circulatory and
respiratory functions
-irreversible cessation of all functions of the entire brain, including the brain stem
\Accountability - ANS -ability to answer for one's own actions
\adaptation - ANS -coping behavior that describes how an individual handles demands imposed by the environment
\additional safety risks in home/community include: - ANS --passive smoking
,-carbon monoxide poisoning
-food poisoning
-bioterrorism
\adduction - ANS -movement of extremity toward midline
\adequate fluid intake/hydration prevents: - ANS --the stasis of urine by flushing the urinary tract and decreasing the
growth of micro-organisms
-the skin from breaking down which will help prevent micro-organisms from entering the body
\adherence - ANS -...
\adult BP tends to ___ with age and older adults may have a slightly ___ SBP due to ___ elasticity of blood vessels - ANS
--increase
-elevated
-decreased
\Advanced directives - ANS --communicate client's end-of-life care wishes for them if they become unable to
-PSDA requires all clients be asked if they have advanced directives upon admission
-clients with out advanced directives must be provided with written information about their health care rights and how to
formulate advanced directives
-a health care rep should be available to help with the process
\Advocacy - ANS -support of the cause of the client regarding health, safety, and personal rights
\affective learning - ANS --involves feelings, beliefs, and ideals
-example: a client listens to the nurse explain life changes necessary to manage diabetes and then discusses feelings
regarding the diagnosis
\airborne precautions - ANS --used to protect against droplet infections smaller than 5mcg (measles, varicella, pulmonary
or laryngeal TB)
-require a private room, masks/respiratory devices for caregivers and visitors (N95 or HEPA respirator for
known/suspected TB), and negative pressure airflow exchange room of at least 6 exchanges per hr
\all health care staff should: - ANS --follow facility protocols for isolation and protection
-wash hair frequently and keep it short or pulled back to prevent contamination of care area or client
-not wear artificial nails while providing care and keep natural nails short and clean
-remove jewelry from hands and wrists to facilitate hand disinfection
, \all staff must be instructed in fire response procedures including: - ANS --location of exits, fire extinguishers, and O2
shut-off valves
-evacuation plan for the unit and facility
\always count the apical pulse rate for - ANS -1 min
\an older client's average body temperature is - ANS -36* C (96.8* F)
\anterior cervical lymph node located - ANS -along the sternocleidomastoid muscle
\asepsis - ANS --the absence of illness-producing micro-organisms
-maintained through the use of aseptic technique with hand hygiene as the primary associated behavior
\Assault - ANS -example: the conduct of one person makes another person fearful and apprehensive (threatening to place
a nasogastric tube in a client who is refusing to eat).
\assessment/data collection related to client education includes: - ANS --assess/monitor the client's learning needs
-assess the learning environment
-assess/monitor the client's learning style (auditory, visual, kinesthetic)
-identify areas of concern
-assess/monitor available resources (financial, social, community)
-identify the client's developmental stage
-determine the client's physical and cognitive ability
-identify special needs (visual impairment, decreased manual dexterity)
-determine the client's motivation and readiness to learn
\atrophy - ANS -a decrease in muscle size due to disuse
\Attitudes - ANS -mindsets that affect how a nurse approaches a problem. Attitudes of critical thinkers include: confidence,
independence, fairness, responsibility, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility
\auscultation of the lungs (abnormal or adventitious sound): crackles or rales - ANS -fine to coarse popping heard as air
passes through fluid or re-expands collapsed small airways
\auscultation of the lungs (abnormal or adventitious sound): pleural friction rub - ANS -grating sound produced as the
inflamed visceral and parietal pleura rub against each other during inspiration or expiration
\auscultation of the lungs (abnormal or adventitious sound): rhonchi - ANS -coarse sound heard during either inspiration
or expiration resulting from fluid or mucus, may clear with coughing
___ ___ can be used to enhance access to and delivery of knowledge - ANS -information technology
\___ influences how much and how quickly a person learns - ANS -motivation
\___ is an intentional gain of new information and represents a change in behavior - ANS -learning
\___ is an interactive process driven by specific client goals - ANS -teaching
\-pain in the chest wall may ___ respiration depth
-onset of acute pain may ___ respiration rate
-anxiety ___ respiration rate and depth
-smoking causes resting respiration rate to ___
-neuro injury to the brainstem ___ respiratory rate and depth - ANS --decrease
-increase
-increases
-increase
-decreases
\-systolic murmurs are heard just after ___
-diastolic murmurs are heard just after ___ - ANS --S1
-S2
\-tympanic membranes should be ___ ___ & ___
-light reflex should be ___ and in a ___-___ ___ ___
-___ & ___ landmarks are readily visible
-ear canals are ___ with ___ ___ - ANS --pearly gray & intact
-visible & well-defined cone shape
-umbo & manubrium
-pink w/fine hairs
\5 elements necessary to prove negligence - ANS -1) duty to provide care as defined by a standard
2) breach of duty by failure to meet standard
,3) foreseeability of harm
4) breach of duty has potential to cause harm (combines 2&3)
5) harm occurs
\5 rights of delegation help decide: - ANS --what task should be delegated (right task)
-under what circumstances (right circumstance)
-to whom (right person)
-what info should be communicated (right direction/communication)
-how to supervise/evaluate (right supervision /evaluation)
\A determination of death must be made: - ANS -in accordance with accordance with accepted medical standards
\a diagnosis of hypertension is made is made if readings are elevated on at least - ANS -3 separate occasions over
several weeks
\a disaster is a ___ ___ or ___-___ event that overwhelms or interrupts, at least temporarily, the normal flow of services of
a hospital and include ___ & ___ emergencies - ANS -- mass casualty
-intra-facility
-internal
-external
\a murmur sounds like a - ANS --blowing or swishing sound
-best heard with bell of steth
\A problem is an ethical dilemma if: - ANS --it cannot be solved solely by a review of scientific data
-it involves a conflict between two moral imperatives
-the answer will have a profound effect on the situation/client
\abduction - ANS -movement of extremity away from midline
\absence of breath sounds should: - ANS -be noted
\According to the UDDA, death is determined by one of two criteria: - ANS --an irreversible cessation of circulatory and
respiratory functions
-irreversible cessation of all functions of the entire brain, including the brain stem
\Accountability - ANS -ability to answer for one's own actions
\adaptation - ANS -coping behavior that describes how an individual handles demands imposed by the environment
\additional safety risks in home/community include: - ANS --passive smoking
,-carbon monoxide poisoning
-food poisoning
-bioterrorism
\adduction - ANS -movement of extremity toward midline
\adequate fluid intake/hydration prevents: - ANS --the stasis of urine by flushing the urinary tract and decreasing the
growth of micro-organisms
-the skin from breaking down which will help prevent micro-organisms from entering the body
\adherence - ANS -...
\adult BP tends to ___ with age and older adults may have a slightly ___ SBP due to ___ elasticity of blood vessels - ANS
--increase
-elevated
-decreased
\Advanced directives - ANS --communicate client's end-of-life care wishes for them if they become unable to
-PSDA requires all clients be asked if they have advanced directives upon admission
-clients with out advanced directives must be provided with written information about their health care rights and how to
formulate advanced directives
-a health care rep should be available to help with the process
\Advocacy - ANS -support of the cause of the client regarding health, safety, and personal rights
\affective learning - ANS --involves feelings, beliefs, and ideals
-example: a client listens to the nurse explain life changes necessary to manage diabetes and then discusses feelings
regarding the diagnosis
\airborne precautions - ANS --used to protect against droplet infections smaller than 5mcg (measles, varicella, pulmonary
or laryngeal TB)
-require a private room, masks/respiratory devices for caregivers and visitors (N95 or HEPA respirator for
known/suspected TB), and negative pressure airflow exchange room of at least 6 exchanges per hr
\all health care staff should: - ANS --follow facility protocols for isolation and protection
-wash hair frequently and keep it short or pulled back to prevent contamination of care area or client
-not wear artificial nails while providing care and keep natural nails short and clean
-remove jewelry from hands and wrists to facilitate hand disinfection
, \all staff must be instructed in fire response procedures including: - ANS --location of exits, fire extinguishers, and O2
shut-off valves
-evacuation plan for the unit and facility
\always count the apical pulse rate for - ANS -1 min
\an older client's average body temperature is - ANS -36* C (96.8* F)
\anterior cervical lymph node located - ANS -along the sternocleidomastoid muscle
\asepsis - ANS --the absence of illness-producing micro-organisms
-maintained through the use of aseptic technique with hand hygiene as the primary associated behavior
\Assault - ANS -example: the conduct of one person makes another person fearful and apprehensive (threatening to place
a nasogastric tube in a client who is refusing to eat).
\assessment/data collection related to client education includes: - ANS --assess/monitor the client's learning needs
-assess the learning environment
-assess/monitor the client's learning style (auditory, visual, kinesthetic)
-identify areas of concern
-assess/monitor available resources (financial, social, community)
-identify the client's developmental stage
-determine the client's physical and cognitive ability
-identify special needs (visual impairment, decreased manual dexterity)
-determine the client's motivation and readiness to learn
\atrophy - ANS -a decrease in muscle size due to disuse
\Attitudes - ANS -mindsets that affect how a nurse approaches a problem. Attitudes of critical thinkers include: confidence,
independence, fairness, responsibility, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility
\auscultation of the lungs (abnormal or adventitious sound): crackles or rales - ANS -fine to coarse popping heard as air
passes through fluid or re-expands collapsed small airways
\auscultation of the lungs (abnormal or adventitious sound): pleural friction rub - ANS -grating sound produced as the
inflamed visceral and parietal pleura rub against each other during inspiration or expiration
\auscultation of the lungs (abnormal or adventitious sound): rhonchi - ANS -coarse sound heard during either inspiration
or expiration resulting from fluid or mucus, may clear with coughing
