ATI Fundamentals RN 2019 Exam
Telephone orders: best practice - ............ANSWER..........-have a second
RN listen in
-repeat the prescription back
-make sure the provider signs the prescription within 24 hr
Information Security - ............ANSWER..........-HIPPA: ensures
confidentiality of health info
-Only those responsible for patient's care may access the medical record.
-Do not use patient names on display boards
-communication about the pt should happen in a private place or at the
nurse's station
-password protect electronic records. Do not share passwords.
-Do not share pt information with unauthorized people.
code system can be used.
living will - ............ANSWER..........communicates patient's wishes
regarding medical treatment if patient becomes incapacitated.
DPOA - ............ANSWER..........durable power of attorney
patient designates health care proxy to make medical decisions for them
if they become incapacitated.
Provider's orders - ............ANSWER..........Prescription for DNR and/or
AND
,Mandatory reporting for RN - ............ANSWER..........-suspicion of
abuse (child, elderly, domestic violence)
-communicable diseases to local/state health department (mandated by
state)
informed consent: Provider responsibility - ............ANSWER..........-
communicate purpose of procedure, and complete description of
procedure in the patient's primary language (use medical interpreter if
needed)
-explain risks vs. benefits
-describe other options to treat the condition
informed consent: RN responsibility - ............ANSWER..........-ensure the
provider gave the pt the above information
-ensure pt is competent to give informed consent (adult, emancipated
minor, not impaired)
-have patient sign consent document
-notify provider if pt has more questions or doesn't understand any
information provided.
nonspecific immunity - ............ANSWER..........defense mechanisms
(barriers) in the body that respond immediately to all antigens. Barriers
include: skin, stomach acid, mucus, inflammatory response, phagocytic
cells.
specific adaptive immunity - ............ANSWER..........body produces
antibodies in response to a specific antigen through action of B and T
,lymphocytes. Requires more time, but the immune response against that
antigen in the future is more efficient.
incubation - ............ANSWER..........time from when the pathogen enters
the body until the first symptom appears.
prodromal stage - ............ANSWER..........time from the onset of general
symptoms (malaise, fatigue) to specific symptoms.
illness stage - ............ANSWER..........time when specific symptoms
occur
convalescence - ............ANSWER..........time from when symptoms
disappear to complete recovery (can take months)
primary prevention - ............ANSWER..........prevents initial occurrence
of disease
ex: education, immunizations, prenatal classes
secondary prevention - ............ANSWER..........focuses on early detection
of disease, limiting severity of disease.
ex: screenings, control of outbreaks
tertiary prevention - ............ANSWER..........maximize recovery after
injury /illness
ex: rehab, PT/OT, support groups
, active natural immunity - ............ANSWER..........body produces
antibodies in response to exposure to live pathogen
active artificial immunity - ............ANSWER..........body produces
antibodies in response to vaccine
passive natural immunity - ............ANSWER..........antibodies are passed
from the mom to her baby through the placenta or breast milk
passive artificial immunity - ............ANSWER..........immunoglobulins
are administered to an individual after they have been exposed to a
pathogen
ABCDE Principle - ............ANSWER..........A (airway): ensure pt airway.
Stabilize cervical spine if neck/head trauma is suspected
B (breathing): assess for respirations
C (circulation): check heart rate, blood pressure, and capillary refill
D (disability): assess the patient's level of consciousness
E (exposure): assess the patient's body for trauma, exposure to heat/cold
Using an interpreter - ............ANSWER..........-DO NOT use patient's
family or friends
-use certified medical interpreter
-explain purpose of meeting to interpreter prior to approaching the patient
-direct questions at family, not interpreter
-use layman's terms (NOT medical jargon)
-DO NOT supplement words with gestures or nonverbal reinforcement
Telephone orders: best practice - ............ANSWER..........-have a second
RN listen in
-repeat the prescription back
-make sure the provider signs the prescription within 24 hr
Information Security - ............ANSWER..........-HIPPA: ensures
confidentiality of health info
-Only those responsible for patient's care may access the medical record.
-Do not use patient names on display boards
-communication about the pt should happen in a private place or at the
nurse's station
-password protect electronic records. Do not share passwords.
-Do not share pt information with unauthorized people.
code system can be used.
living will - ............ANSWER..........communicates patient's wishes
regarding medical treatment if patient becomes incapacitated.
DPOA - ............ANSWER..........durable power of attorney
patient designates health care proxy to make medical decisions for them
if they become incapacitated.
Provider's orders - ............ANSWER..........Prescription for DNR and/or
AND
,Mandatory reporting for RN - ............ANSWER..........-suspicion of
abuse (child, elderly, domestic violence)
-communicable diseases to local/state health department (mandated by
state)
informed consent: Provider responsibility - ............ANSWER..........-
communicate purpose of procedure, and complete description of
procedure in the patient's primary language (use medical interpreter if
needed)
-explain risks vs. benefits
-describe other options to treat the condition
informed consent: RN responsibility - ............ANSWER..........-ensure the
provider gave the pt the above information
-ensure pt is competent to give informed consent (adult, emancipated
minor, not impaired)
-have patient sign consent document
-notify provider if pt has more questions or doesn't understand any
information provided.
nonspecific immunity - ............ANSWER..........defense mechanisms
(barriers) in the body that respond immediately to all antigens. Barriers
include: skin, stomach acid, mucus, inflammatory response, phagocytic
cells.
specific adaptive immunity - ............ANSWER..........body produces
antibodies in response to a specific antigen through action of B and T
,lymphocytes. Requires more time, but the immune response against that
antigen in the future is more efficient.
incubation - ............ANSWER..........time from when the pathogen enters
the body until the first symptom appears.
prodromal stage - ............ANSWER..........time from the onset of general
symptoms (malaise, fatigue) to specific symptoms.
illness stage - ............ANSWER..........time when specific symptoms
occur
convalescence - ............ANSWER..........time from when symptoms
disappear to complete recovery (can take months)
primary prevention - ............ANSWER..........prevents initial occurrence
of disease
ex: education, immunizations, prenatal classes
secondary prevention - ............ANSWER..........focuses on early detection
of disease, limiting severity of disease.
ex: screenings, control of outbreaks
tertiary prevention - ............ANSWER..........maximize recovery after
injury /illness
ex: rehab, PT/OT, support groups
, active natural immunity - ............ANSWER..........body produces
antibodies in response to exposure to live pathogen
active artificial immunity - ............ANSWER..........body produces
antibodies in response to vaccine
passive natural immunity - ............ANSWER..........antibodies are passed
from the mom to her baby through the placenta or breast milk
passive artificial immunity - ............ANSWER..........immunoglobulins
are administered to an individual after they have been exposed to a
pathogen
ABCDE Principle - ............ANSWER..........A (airway): ensure pt airway.
Stabilize cervical spine if neck/head trauma is suspected
B (breathing): assess for respirations
C (circulation): check heart rate, blood pressure, and capillary refill
D (disability): assess the patient's level of consciousness
E (exposure): assess the patient's body for trauma, exposure to heat/cold
Using an interpreter - ............ANSWER..........-DO NOT use patient's
family or friends
-use certified medical interpreter
-explain purpose of meeting to interpreter prior to approaching the patient
-direct questions at family, not interpreter
-use layman's terms (NOT medical jargon)
-DO NOT supplement words with gestures or nonverbal reinforcement
