ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS

ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM


1. The postanesthesia care unit (PACU) nurse transports the inpatient surgical
patient to the medical-surgical floor. Before leaving the floor, the medical-surgical
nurse obtains a complete set of vital signs. What is the rationale for this nursing
action?
a. This is done to complete the first action in a head-to-toe assessment.
This is done to compare and monitor for vital sign variation during
b. transport.
This is done to ensure that the medical-surgical nurse checks on the
c. postoperative patient.
This is done to follow hospital policy and procedure for care of the
d. surgical patient.
ANS: B
Before the PACU nurse leaves the acute care area, the staff nurse assuming care for
the patient takes a complete set of vital signs to compare with PACU findings.
Minor vital sign variations normally occur after transporting the patient. The
PACU nurse reviews the patient’s information with the medical-surgical nurse,
including the surgical and PACU course, physician orders, and the patient’s
condition. While vital signs may or may not be the first action in a head-to-toe
assessment, this is not the rationale for this situation. While following policy or
ascertaining that the floor nurse checks on the patient are good reasons for safe
care, they are not the best rationale for obtaining vital signs.
2. The nurse is caring for a patient who will undergo a removal of a lung lobe.
Which level of care will the patient require immediately post procedure?
a. Acute care—medical-surgical unit
b. Acute care—intensive care unit
c. Ambulatory surgery
d. Ambulatory surgery—extended stay




325

,ANS: B




325

, A&E I Comprehensive Testbank




Patients undergoing extensive surgery and requiring anesthesia of long durat
XV XV XV XV XV XV XV XV XV



ion recover slowly. If a patient is undergoing major surgery such as a proce
XV XV XV XV XV XV XV XV XV XV XV XV XV



dure on the lung, a stay in the hospital and specifically in the intensive care
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV



unit is required to monitor for potential risks to well-
XV XV XV XV XV XV XV XV XV



being. This patient would require more care than can be provided on a medic
XV XV XV XV XV XV XV XV XV XV XV XV XV



al-
surgical unit. It isnot appropriate for this type of patient to go home after the
XV XV XV V
X XV XV XV XV XV XV XV XV XV XV XV



procedure or to stay in an extended stay area of an ambulatory surgery area
XV XV XV XV XV XV XV XV XV XV XV XV XV XV X



Vbecause of the complexity and associated risks.
XV XV XV XV XV XV




3. The nurse is caring for a group of patients. Which patient will the nurse see
XV XV XV XV XV XV XV XV XV XV XV XV XV XV




first?
a. A patient who had cataract surgery is coughing.
XV XV XV XV XV XV XV




A patient who had vascular repair of the right leg is not doing right leg
XV XV XV XV XV XV XV XV XV XV XV XV XV XV




b. exercises.
A patient after knee surgery is wearing intermittent pneumatic
XV XV XV XV XV XV XV XV




c. compression devices and receiving heparin. XV XV XV XV




A patient after surgery has vital signs taken every 15 minutes twice,
XV XV XV XV XV XV XV XV XV XV XV




d. every 30 minutes twice, hourly for 2 hours then every 4 hour
XV XV XV XV XV XV XV XV XV XV XV




s.ANS: A
V
X XV




For patients who have had eye, intracranial, or spinal surgery, coughing may
XV XV XV XV XV XV XV XV XV XV XV



be contraindicated because of the potential increase in intraocular or intracr
XV XV XV XV XV XV XV XV XV XV XV



anial pressure. The nurse will need to see this patient first to control thecoug
XV XV XV XV XV XV XV XV XV XV XV XV XV V
X



h and intraocular pressure. All the rest are normal postoperative patients. Le
XV XV XV XV XV XV XV XV XV XV XV



g exercise should not be performed on the operative leg with vascular surger
XV XV XV XV XV XV XV XV XV XV XV XV



y. A patient after knee surgery should receive heparin and be wearing interm
XV XV XV XV XV XV XV XV XV XV XV XV



ittent pneumatic compression devices; while the nurse will check on thepatie
XV XV XV XV XV XV XV XV XV XV V
X



nt, it does not have to be first. Monitoring vital signs after surgery is require
XV XV XV XV XV XV XV XV XV XV XV XV XV XV



d and this is the standard schedule.
XV XV XV XV XV XV




4. The nurse demonstrates postoperative exercises for a patient. In whic
XV XV XV XV XV XV XV XV XV



horder will the nurse instruct the patient to perform the exercises?
V
X XV XV XV XV XV XV XV XV XV XV




1. Turning
2. Breathing
3. Coughing
4. Leg exercises XV



3
a. 4, 1, 2, 3XV XV XV