ATI PN Comprehensive
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ATI PN Comprehensive Predictor
... [Show More] Exam Q&A
1. The nurse has administered a preoperative medication to the patient going
to surgery. Which action will the nurse take next?
a. Notify the operating suite that the medication has been given.
b. Instruct the patient to call for help to go to the restroom.
c. Waste any unused medication according to policy.
d. Ask the patient to sign the consent for
surgery. ANS: B
Once a preoperative medication has been administered, instruct the patient to call for
help when getting out of bed to prevent falls. For patient safety, explain the purpose of
a preoperative medication and its effects.
Notifying the operating suite that the medication has been given may be part of a
facilities procedure but is not the best next step. It is important to have the patient sign
consents before the patient has received medication that may make him/her drowsy.
Wasting unused medication according to policy is important but is not the best next
step.
2. The nurse has completed a preoperative assessment for a patient going to
surgery and gathers assessment data. Which will be the most important next
step for the nurse to take?
a. Notify the operating suite that the patient has a latex allergy.
b. Document that the patient had a bath at home this morning.
c. Administer the ordered preoperative intravenous antibiotic.
d. Ask the nursing assistive personnel to obtain vital
signs. ANS: A
The most important step is notifying the operating suite of the patient’s latex
allergy. Many products that contain latex are used in the operating suite and the
postanesthesia care unit (PACU). When preparing for a patient with this allergy,
special considerations are required from preparation of the room to the types of
tubes, gloves, drapes, and instruments utilized. Obtaining vital signs, documenting,
and administering medications are all part of the process and should be done—
with the latex allergy in mind. However, making sure that the patient has a safe
environment is the first step.
3. The nurse is preparing a patient for a surgical procedure on the right great
toe. Which action will be mostimportant to include in this patient’s
preparation?
a. Place the patient in a clean surgical gown.
b. Ask the patient to remove all hairpins and cosmetics.
c. Ascertain that the surgical site has been correctly marked.
d. Determine where the family will be located during the
procedure. ANS: C
Because errors have occurred in the past with patients undergoing the wrong surgery
on the wrong site, the universal protocol guidelines have been implemented and are
used with all invasive procedures. Part of this protocol includes marking the operative
site with indelible ink. Knowing where the family
is during a procedure, placing the patient in a clean gown, and asking the patient to
remove all hairpins and cosmetics are important but are not most important in this list
of items.
4. A co-worker asks the nurse to explain spirituality. What is the nurse’s
best response?
a. It has a minor effect on health.
b. It is awareness of one’s inner self.
c. It is not as essential as physical needs.
d. It refers to fire or giving of life to a person.
ANS: B [Show Less]