ATI PN MED SURGERY FINAL EXAM PROTOCTORED RETAKE GUIDE QUESTIONS AND ANSWERS WITH DETAILED RATIONALES EXAM ELABORATIONS GRADED A+ GUARANTEED PASS

ATI PN MED SURGERY FINAL EXAM PROTOCTORED RETAKE GUIDE QUESTIONS AND ANSWERS WITH DETAILED RATIONALES EXAM ELABORATIONS GRADED A+ GUARANTEED PASS Which method of data collection will the nurse use to establish a patient’s database? Reviewing the current literature to determine evidence-based nursing a. actions b. Checking ordersfor diagnostic and laboratory tests c. Performing a physical examination d. Ordering medications ANS: C You will learn to conduct different types of assessments: the patient-centered interview during a nursing health history, a physical examination, and the periodic assessments you make during rounding or administering care. A nursing database includes a physical examination. The nurse reviews the current literature in the implementation phase of the nursing process to determine evidence-based actions, and the health care provider is responsible for ordering medications. The nurse uses results from the diagnostic and laboratory tests to establish a patient database, not checking orders for tests. A nurse is gathering information about a patient’s habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information? e. Carefully review lab results. f. Conduct the physical assessment. g. Perform a thorough nursing health history. h. Prolong the termination phase of the interview. ANS: C The nursing health history also includes a description of a patient’s habits and lifestyle patterns. Lab results and physical assessment will not reveal as much about the patient’s habits and lifestyle patterns as the nursing health history. 1 Collecting data is part of the working phase of the interview. While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do? i. Consider cultural differences during this assessment. j. Ask the patient to make eye contact to determine her affect. Continue with the interviewand document that the patient is k. depressed. Notify the health care provider to recommend a psychological l. evaluation. ANS: A To conduct an accurate and complete assessment, consider a patient’s cultural background. This nurse needs to practice culturally competent care and appreciate the cultural differences. Assuming that the patient is depressed or in need of a psychological evaluation or to force eye contact is inappropriate. A nurse has already set the agenda during a patient-centered interview. What will the nurse do next? m. Begin with introductions. n. Ask about the chief concerns or problems. o. Explain that the interview will be over in a few minutes. p. Tell the patient “I will be back to administer medications in 1 hour.” ANS: B After setting the agenda, the nurse should conduct the actual interview and proceed with data collection, such as asking about the patient’s current chief concerns or problems. Introductions occur before setting the agenda. Begin an interview by introducing yourself and your position and explaining the purpose of the interview. Your aim is to set an agenda for how you will gather information about a patient’s current chief concerns or problems. The termination phase includes telling the patient when the interview is nearing an end. Telling the patient that medications will be given later when the nurse returns would typically take place during the termination phase of the interview. A nurse who is caring for a patient with a pressure ulcer applies the recommended dressing according to hospital policy. Which standard isthe nurse following? 2 | P a g e a. Fairness b. Intellectualstandards c. Independent reasoning d. Institutional practice guidelines ANS: D The standards of professional responsibility that a nurse tries to achieve are the standards cited in Nurse Practice Acts, institutional practice guidelines (hospital/facility policy), and professional organizations’ standards of practice (e.g., The American Nurses Association Standards of Professional Performance). Intellectual standards are guidelines or principles for rational thought. Fairness and independent reasoning are two examples of critical thinking attitudes that are designed to help nurses make clinical decisions. A nurse is reviewing care plans. Which finding, if identified in a plan of care,should the registered nurse revise? e. Patient’s outcomesfor learning f. Nurse’s assumptions about hospital discharge g. Identification ofseveral actual health problems h. Documentation of patient’s ability to meet the goal ANS: B The nurse should not assume when a patient is going to be discharged and document this information in a plan of care. Making assumptions is not an example of a critical thinking skill. The purpose of the nursing process is to diagnose and treat human responses (e.g., patient symptoms, need for knowledge) to actual or potential health problems. Use of the process allows nurses to help patients meet agreed-on outcomes for better health. The patient’s outcomes, having several actual health problems, and a description 1 of the patient’s abilities to meet the goal are all appropriate to document in the