ATI Nutrition Proctored Exam () with NGN
Questions and Verified Rationalized Answers, 100%
Guarantee Pass
The nurse is using a forced air warmer for a surgical patient preoperatively.
Which goals is the nurse trying to achieve? (Select all that apply.) - ANSWER
B.Reduce blood loss.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
ANS: B, D, E
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.) - ANSWER A.
Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient.
ANS: A, E
A nurse is assigned the following four clients for the current shift. Which of the
following clients should the nurse assess first? - ANSWER D. 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.) - ANSWER Verify the correct site.
Verify the correct patient.
Verify the correct procedure.
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? - ANSWER 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 client advocacy? - ANSWER The nurse
investigates potential resources to help the client purchase wig
, Which of the following items must be discarded in a biohazard waste receptacle? -
ANSWER An empty IV bag removed from a client who has HIV
A nurse tells the unit manager, "Iam tired of all the changes on the unit. If things
don't get better, I'm going to quit. "Which of the following responses appropriate? -
ANSWER 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? - ANSWER Informing housekeeping staff that the client is in
dialysis unit
According to the HIPAA regulations, which of the following is a violation of client
confidentiality? - ANSWER Informing housekeeping staff that the client is in
dialysis unit
A Nurse preceptor is evaluating a newly licensed nurse's competency in assisting
with a sterile procedure. Which of the following actions indicates the nurse is
maintaining sterile technique? (Select all that apply.) - ANSWER Open the sterile
pack by first unfolding the flap farthest from her body
Removes the outside packaging of a sterile instrument before dropping into the
sterile
Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field
A nurse is providing care for 4 post-opt clients. The nurse should first assess the
client: - ANSWER Who is reporting a pain level of 8 on a scale of 0 to 10.
A nurse is preparing a client who speaks limited English for surgery. Which of the
following is the most appropriate nursing action in obtaining informed consent from
this client? Select one: - ANSWER Seek the assistance of a nurse on the floor who
is fluent in the client's language
A nurse is performing initial teaching with a client who will be receiving
electroconvulsive therapy (ECT). Which statement by the client indicates a need for
further teaching? - ANSWER My Dilantin dose will be increased several days
before the procedure
A daughter of a client with a terminal illness pulls a nurse to the side and says,
"Although my mother's living will states she is not to be resuscitated, the family
wants everything done to save her if she has a cardiac arrest." How should the nurse
respond? - ANSWER "The living will documents your mother's wishes and must be
followed."
The post anesthesia 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? -
ANSWER This is done to compare and monitor for vital sign variation during
transport
Questions and Verified Rationalized Answers, 100%
Guarantee Pass
The nurse is using a forced air warmer for a surgical patient preoperatively.
Which goals is the nurse trying to achieve? (Select all that apply.) - ANSWER
B.Reduce blood loss.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
ANS: B, D, E
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.) - ANSWER A.
Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient.
ANS: A, E
A nurse is assigned the following four clients for the current shift. Which of the
following clients should the nurse assess first? - ANSWER D. 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.) - ANSWER Verify the correct site.
Verify the correct patient.
Verify the correct procedure.
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? - ANSWER 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 client advocacy? - ANSWER The nurse
investigates potential resources to help the client purchase wig
, Which of the following items must be discarded in a biohazard waste receptacle? -
ANSWER An empty IV bag removed from a client who has HIV
A nurse tells the unit manager, "Iam tired of all the changes on the unit. If things
don't get better, I'm going to quit. "Which of the following responses appropriate? -
ANSWER 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? - ANSWER Informing housekeeping staff that the client is in
dialysis unit
According to the HIPAA regulations, which of the following is a violation of client
confidentiality? - ANSWER Informing housekeeping staff that the client is in
dialysis unit
A Nurse preceptor is evaluating a newly licensed nurse's competency in assisting
with a sterile procedure. Which of the following actions indicates the nurse is
maintaining sterile technique? (Select all that apply.) - ANSWER Open the sterile
pack by first unfolding the flap farthest from her body
Removes the outside packaging of a sterile instrument before dropping into the
sterile
Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field
A nurse is providing care for 4 post-opt clients. The nurse should first assess the
client: - ANSWER Who is reporting a pain level of 8 on a scale of 0 to 10.
A nurse is preparing a client who speaks limited English for surgery. Which of the
following is the most appropriate nursing action in obtaining informed consent from
this client? Select one: - ANSWER Seek the assistance of a nurse on the floor who
is fluent in the client's language
A nurse is performing initial teaching with a client who will be receiving
electroconvulsive therapy (ECT). Which statement by the client indicates a need for
further teaching? - ANSWER My Dilantin dose will be increased several days
before the procedure
A daughter of a client with a terminal illness pulls a nurse to the side and says,
"Although my mother's living will states she is not to be resuscitated, the family
wants everything done to save her if she has a cardiac arrest." How should the nurse
respond? - ANSWER "The living will documents your mother's wishes and must be
followed."
The post anesthesia 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? -
ANSWER This is done to compare and monitor for vital sign variation during
transport
