ATI LEARNING SYSTEM 3.0 ASSESSMENT
STUDY SHEET 2026 ACCURATE ANSWERS
VERIFIED
-pt should cross their arms over the chest to prevent injury
-stretcher should be no more than 1.3 cm above the height of bed
-logroll technique used to prevent injury of pts requiring
immobilization of neck, back, spine
◍ priority nursing action for a patient admitted with decreased
circulation of the left leg Answer: evaluate pedal pulses
-nurse should also obtain a medical history, assess vitals and assess
for leg pain but these aren't the first priority
◍ What action by a newly licensed nurse during tracheostomy care
requires intervention? Answer: obtaining cotton balls for
tracheostomy care
-cotton balls can be aspirated possible causing tracheal abscess
-high-strength peroxide solution is used to clean inner cannula
-trach care is sterile procedure and sterile gloves are needed
-pipe cleaners, small sterile brush can be used to remove thick/crusty
secretions from inner cannula
,◍ what should a nurse do first, prior to being transferred for a chest
xray? Answer: ID the pt using 2 pt identifiers
-pt safety is key and a pt should only receive what has been prescribed
to them
-nurse should explain the procedure, nurse should have the pt ready
for the procedures, and should ask if the pt has any questions
◍ secondary prevention of the seasonal influenza Answer: screening
groups of older adults in a nursing care facility for early influenza
manifestations
-2ndary prevention focusses on preventing complications of illness
and providing care to prevent illness from becoming severe
-holding a comm clinical and administering a vaccine is ex. of
primary prevention
-education on the dangers of influenza is ex. of primary prevention
-finding rehabilitation programs for older adults w/ influenza
complications is ex of tertiary prevention
◍ proper surgical hand-washing tehcnique Answer: nurse washes w/
hands held higher than elbows
-water and soapsuds wash frain away from clean area to dirty area
, -nails should be stroked w/ 15 strokes and each other part of the hand
w/ 10 strokes
-scrub hands first then work your way to the elbows
-scrubbing is done w/ special brush and mechanical friction is
necessary
◍ a nurse is obtaining a lower extremity B/P. what action should the
nurse take? Answer: place the bladder of the cuff over the posterior
aspect of the thigh
-should position the cuff 2.5 cm above popliteal artery
-measure w/ pt prone or supine w/ knees flexed
-auscultate B/P at popliteal artery
◍ what action should a nurse plan to take when performing oral care
to an unresponsive patient? Answer: raise the level of the bed
-allow proper body mechanics
-raise HOB to 30 degrees or turn pt to side-lying position to prevent
aspiration
-lower side rail on the side you are standing on to prevent strain and
promote use of proper body mechanics
-do not insert finger into mouth of unresponsive pt to avoid care-giver
injury
STUDY SHEET 2026 ACCURATE ANSWERS
VERIFIED
-pt should cross their arms over the chest to prevent injury
-stretcher should be no more than 1.3 cm above the height of bed
-logroll technique used to prevent injury of pts requiring
immobilization of neck, back, spine
◍ priority nursing action for a patient admitted with decreased
circulation of the left leg Answer: evaluate pedal pulses
-nurse should also obtain a medical history, assess vitals and assess
for leg pain but these aren't the first priority
◍ What action by a newly licensed nurse during tracheostomy care
requires intervention? Answer: obtaining cotton balls for
tracheostomy care
-cotton balls can be aspirated possible causing tracheal abscess
-high-strength peroxide solution is used to clean inner cannula
-trach care is sterile procedure and sterile gloves are needed
-pipe cleaners, small sterile brush can be used to remove thick/crusty
secretions from inner cannula
,◍ what should a nurse do first, prior to being transferred for a chest
xray? Answer: ID the pt using 2 pt identifiers
-pt safety is key and a pt should only receive what has been prescribed
to them
-nurse should explain the procedure, nurse should have the pt ready
for the procedures, and should ask if the pt has any questions
◍ secondary prevention of the seasonal influenza Answer: screening
groups of older adults in a nursing care facility for early influenza
manifestations
-2ndary prevention focusses on preventing complications of illness
and providing care to prevent illness from becoming severe
-holding a comm clinical and administering a vaccine is ex. of
primary prevention
-education on the dangers of influenza is ex. of primary prevention
-finding rehabilitation programs for older adults w/ influenza
complications is ex of tertiary prevention
◍ proper surgical hand-washing tehcnique Answer: nurse washes w/
hands held higher than elbows
-water and soapsuds wash frain away from clean area to dirty area
, -nails should be stroked w/ 15 strokes and each other part of the hand
w/ 10 strokes
-scrub hands first then work your way to the elbows
-scrubbing is done w/ special brush and mechanical friction is
necessary
◍ a nurse is obtaining a lower extremity B/P. what action should the
nurse take? Answer: place the bladder of the cuff over the posterior
aspect of the thigh
-should position the cuff 2.5 cm above popliteal artery
-measure w/ pt prone or supine w/ knees flexed
-auscultate B/P at popliteal artery
◍ what action should a nurse plan to take when performing oral care
to an unresponsive patient? Answer: raise the level of the bed
-allow proper body mechanics
-raise HOB to 30 degrees or turn pt to side-lying position to prevent
aspiration
-lower side rail on the side you are standing on to prevent strain and
promote use of proper body mechanics
-do not insert finger into mouth of unresponsive pt to avoid care-giver
injury
