RN Fundamentals Proctored ATI Final Exam 2023 Questions and Answers
What are the four aims of the nursing profession? - 1. Promote Illness
2.
... [Show More] Prevent Illness
3. Restore Health
4. Facilitate Coping with Death and Disability
What types of skills are needed by nurses to fulfill the aims of nursing? - 1. Cognitive-Know
and understand information. Be able to teach and analyze information.
2. Technical-Skills like taking BP, medication administration. Be able to demonstrate your
skills.
3. Interpersonal-Get your patients, Dr., and coworkers to trust you in a short period of time.
Come across as a compassionate, capable, and competent nurse.
4. Legal/Ethical-Be able to work ethically, legally, working within your scope of practice.
What are nurses accountable for? - Nurses are accountable for their own actions and
behaviors as well as the actions of others such as trainees and subordinates.
What are nurses responsible for? - Nurses are responsible for performing their assigned
tasks reliably, dependably, and to the best of their ability.
Describe professional dress - No excessive jewelry, long fingernails or artificial nails, or
chewing gum.
Hair secured away from contact with the individual receiving care.
Personal cleanliness, avoiding strong odors and perfumes.
Clean uniform or clothing.
No visible body modifications or unusual ear piercings.
No tattoos visible on parts of the body not covered by scrubs.
Describe professional demeanor - Avoid loud talking
Maintain a positive attitude and instill hope
Maintain a clean, uncluttered workstation
Avoid taking personal calls at work
Do not discuss personal problems with patients
Never breach patient confidentiality
Avoid gossiping with and bullying coworkers
Do not complain to patients or family members
Do not use illegal substances
Describe professional electronic media use - Do not use personal cell phones to document
patients
Do not share patient information over social media
What are the roles of the nurse? - Caregiver
Manager
Teacher
Advocator
Collaborator
**A professional nurse needs to be doing these things at all times**
What is nursing? - A profession focused on assisting individuals, families, and communities
to attain, recover, and maintain optimum health and function from birth to old age.
What are the phases of the nursing process? - Assessment
Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
How is the nursing process dynamic, patient-centered, and collaborative? - The nursing process if dynamic because it can adapt to changes in the patients status. Patient-centered because the nurse organizes the plan of care according to the patients needs to achieve goals and outcomes. And collaborative because nurses collaborate with other members of the healthcare team in a joint effort to provide quality patient care. As well as collaborating with patient and their family.
What is happening in the assessment phase of the nursing process? - The nurse will:
Collect, organize, validate, and document patients assessment data.
Establish a database: perform a head to toe assessment, obtain a nursing health history, review patient records, speak with family members and significant support persons, speak with other health professionals.
Update data: Update the data to keep it current. Add new data with ongoing assessments.
Organize data: Look for significant cue clusters and patterns. This phase will point you in a
direction of a diagnosis to select.
Validate data: Seek more assessment data to clarify cue clusters and patterns. Ask different
questions or use different equipment to verify data.
Communicate data: This involves documenting data and verbally communicating with other
providers and colleagues.
Constant Data - information that does not change over time such as race or blood type
Variable Data - information can change quickly, frequently, or rarely. e.g age, BP, pain level.
What is an initial assessment? - made during first nurse-client encounter and is usually comprehensive, consisting of all subjective and objective data pertinent to client health status. Usually gathering information on all the body systems. (Head to toe assessment)
What is a focused assessment? - Performed to assess a specific problem identified in an
earlier assessment. (System specific)
What is an emergency assessment? - A quick focused assessment in an emergency
situation to identify life-threatening problems. Or to identify new or overlooked problems.
What is an ongoing assessment? - performed as needed, after the initial database is completed, and after EVERY interaction with a patient. To compare patients current status to baseline data previously obtained. (Appropriate in long term care or home health)
What is subjective data? - Data that only the subject or "patient" can feel and will tell you.
Usually in a statement. e.g. pain, feelings of anxiety, nausea, itching, fear.
What is objective data? - What you observe and can measure or test against acceptable
standard. Can be seen, heard, smelled, or felt. e.g. BP reading, discoloration of the skin,
temperature, incision measurement.
What is the primary source of assessment data? - The Patient
What are secondary sources of assessment data? - Family or other support people
Other healthcare professionals
Records and reports
Laboratory and diagnostic analysis
Reports from other nurses
All sources other than the patient are considered secondary sources of assessment data.
What are the principle methods of collecting data? - Observing-noticing things about your patient and selecting, organizing and interpreting the data. Things you can observe using your 5 senses.
Interviewing-planned communication with a purpose. asking about health history, a review of systems questions.
Examining-using all your senses. doing a head to toe assessment, touching the patient. using inspection, percussion, palpation, and auscultation.
What are the four primary techniques used during physical examination? - 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
Describe inspection - Inspection begins the moment you meet a client; overall appearance,
clothing, demeanor, eye contact, interactions w/ health care workers and family. Skin color,
hair, nail beds, skeletal deformities, congruence of verbal / nonverbal behavior, sense of
smell: does the client have a peculiar odor? What might that mean?
Describe palpation - touch with hands - feel for resistance, resilience, roughness, moisture, organ location and size, temperature and mobility,
clean warm hands,
Light (1/2 ") or deep
Describe percussion - taps body with fingertips to produce a vibration. Can evaluate size, [Show Less]