ATI PN Management Online Practice 2023 B, Answers
Explained
The nurse is using a forced air warmer for a surgical patient preoperatively. Which
goals are the nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - b. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia.Prevention of hypothermia (core temperature < 36° C)
helps to reduce complications such as shivering, cardiac arrest, blood loss, SSI,
pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will
the nurse take to decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
f. Administer antibiotics within 60 minutes before surgical incision. - a. maintain
normoglycemia
e. perform hand hygiene before and after contact with the patient.
Performing hand hygiene before and after contact with the patient helps to
decrease the number of microorganisms and break thechain of infection.
Maintaining blood glucose levels at less than 150 mg/dL has resulted in decreased
wound infection. Removingunwanted hair by clipping instead of shaving decreases
the numbers of nicks and cuts caused by a razor and the potential for the
,introduction of microbes. The patient is postoperative; administration of an
antibiotic 60 minutes before the surgical incisionsupports the defense against
infection preoperatively. Providing a bath and linen change daily is positive but is
not necessarily important for infection control. Many surgeons prefer to change
surgical dressings the first time so they can inspect the incisional area, but this is
done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the
following clients should thenurse assess first? - A client who has a C diff infection
and needs a stool specimen collected.
The nurse is participating in a "time-out." In which activities will the nurse be
involved? (Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of
the correct patient, procedure, site, and any implants. The marking and time-out
most commonly occur in the holding area, just before the patient enters the OR.
The individual performing surgery and who is accountable for it must personally
mark the site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with
external rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions
should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
, C. Apply a warm compress to the hip
D. Reposition the client for comfort - A. notify the nursing supervisor about the
issues.
The mother of a client with breast cancer states, it's been hard for her, especially
after losing her hair. And it has been difficult to pay for all the treatments. Which
of the following actions is appropriate for client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother's concerns.
D. The nurse suggests counseling for the client's body image issues. - A. The nurse
investigates potential resources to help the client purchase wig.
Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bagremoved from a client who has HIV - D. An empty IV bag
removed from a client who has HIV.
A nurse tells the unit manager, "I am tired of all the changes on the unit. If things
don't get better, I'm going toquit. "Which of the following responses appropriate?
A. "So you are upset about all the changes on the Unit"
B. "I think you have a right to be upset, I am tired of the changes too"
C. "Just stick with it a little longer. Things will get better soon
D. "You should file complaints with hospital administrator - A. "So you are upset
about all the changes on the Unit"
According to the HIPAA regulations, which of the following is a violation of client
confidentiality?
A. Telephone the pharmacy with a prescription for the spouse to pick up
Explained
The nurse is using a forced air warmer for a surgical patient preoperatively. Which
goals are the nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - b. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia.Prevention of hypothermia (core temperature < 36° C)
helps to reduce complications such as shivering, cardiac arrest, blood loss, SSI,
pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will
the nurse take to decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
f. Administer antibiotics within 60 minutes before surgical incision. - a. maintain
normoglycemia
e. perform hand hygiene before and after contact with the patient.
Performing hand hygiene before and after contact with the patient helps to
decrease the number of microorganisms and break thechain of infection.
Maintaining blood glucose levels at less than 150 mg/dL has resulted in decreased
wound infection. Removingunwanted hair by clipping instead of shaving decreases
the numbers of nicks and cuts caused by a razor and the potential for the
,introduction of microbes. The patient is postoperative; administration of an
antibiotic 60 minutes before the surgical incisionsupports the defense against
infection preoperatively. Providing a bath and linen change daily is positive but is
not necessarily important for infection control. Many surgeons prefer to change
surgical dressings the first time so they can inspect the incisional area, but this is
done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the
following clients should thenurse assess first? - A client who has a C diff infection
and needs a stool specimen collected.
The nurse is participating in a "time-out." In which activities will the nurse be
involved? (Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of
the correct patient, procedure, site, and any implants. The marking and time-out
most commonly occur in the holding area, just before the patient enters the OR.
The individual performing surgery and who is accountable for it must personally
mark the site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with
external rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions
should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
, C. Apply a warm compress to the hip
D. Reposition the client for comfort - A. notify the nursing supervisor about the
issues.
The mother of a client with breast cancer states, it's been hard for her, especially
after losing her hair. And it has been difficult to pay for all the treatments. Which
of the following actions is appropriate for client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother's concerns.
D. The nurse suggests counseling for the client's body image issues. - A. The nurse
investigates potential resources to help the client purchase wig.
Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bagremoved from a client who has HIV - D. An empty IV bag
removed from a client who has HIV.
A nurse tells the unit manager, "I am tired of all the changes on the unit. If things
don't get better, I'm going toquit. "Which of the following responses appropriate?
A. "So you are upset about all the changes on the Unit"
B. "I think you have a right to be upset, I am tired of the changes too"
C. "Just stick with it a little longer. Things will get better soon
D. "You should file complaints with hospital administrator - A. "So you are upset
about all the changes on the Unit"
According to the HIPAA regulations, which of the following is a violation of client
confidentiality?
A. Telephone the pharmacy with a prescription for the spouse to pick up
