ATI FUNDAMENTALS RN EXAM TESTBANK
QUESTIONS AND ANSWERS WITH
RATIONALES.
Telephone orders: best practice - ANSWER--have a
second RN listen in
-repeat the prescription back
-make sure the provider signs the prescription within 24
hr
Information Security - ANSWER--HIPPA: ensures
confidentiality of health info
-Only those responsible for patient's care may access the
medical record.
-Do not use patient names on display boards
-communication about the pt should happen in a private
place or at the nurse's station
-password protect electronic records. Do not share
passwords.
-Do not share pt information with unauthorized people.
code system can be used.
,living will - ANSWER-communicates patient's wishes
regarding medical treatment if patient becomes
incapacitated.
DPOA - ANSWER-durable power of attorney
patient designates health care proxy to make medical
decisions for them if they become incapacitated.
Provider's orders - ANSWER-Prescription for DNR
and/or AND
Mandatory reporting for RN - ANSWER--suspicion of
abuse (child, elderly, domestic violence)
-communicable diseases to local/state health department
(mandated by state)
informed consent: Provider responsibility - ANSWER--
communicate purpose of procedure, and complete
description of procedure in the patient's primary language
(use medical interpreter if needed)
-explain risks vs. benefits
-describe other options to treat the condition
informed consent: RN responsibility - ANSWER--ensure
the provider gave the pt the above information
-ensure pt is competent to give informed consent (adult,
emancipated minor, not impaired)
-have patient sign consent document
,-notify provider if pt has more questions or doesn't
understand any information provided.
nonspecific immunity - ANSWER-defense mechanisms
(barriers) in the body that respond immediately to all
antigens. Barriers include: skin, stomach acid, mucus,
inflammatory response, phagocytic cells.
specific adaptive immunity - ANSWER-body produces
antibodies in response to a specific antigen through action
of B and T lymphocytes. Requires more time, but the
immune response against that antigen in the future is
more efficient.
incubation - ANSWER-time from when the pathogen
enters the body until the first symptom appears.
prodromal stage - ANSWER-time from the onset of
general symptoms (malaise, fatigue) to specific
symptoms.
illness stage - ANSWER-time when specific symptoms
occur
convalescence - ANSWER-time from when symptoms
disappear to complete recovery (can take months)
, primary prevention - ANSWER-prevents initial
occurrence of disease
ex: education, immunizations, prenatal classes
secondary prevention - ANSWER-focuses on early
detection of disease, limiting severity of disease.
ex: screenings, control of outbreaks
tertiary prevention - ANSWER-maximize recovery after
injury /illness
ex: rehab, PT/OT, support groups
active natural immunity - ANSWER-body produces
antibodies in response to exposure to live pathogen
active artificial immunity - ANSWER-body produces
antibodies in response to vaccine
passive natural immunity - ANSWER-antibodies are
passed from the mom to her baby through the placenta or
breast milk
passive artificial immunity - ANSWER-immunoglobulins
are administered to an individual after they have been
exposed to a pathogen
QUESTIONS AND ANSWERS WITH
RATIONALES.
Telephone orders: best practice - ANSWER--have a
second RN listen in
-repeat the prescription back
-make sure the provider signs the prescription within 24
hr
Information Security - ANSWER--HIPPA: ensures
confidentiality of health info
-Only those responsible for patient's care may access the
medical record.
-Do not use patient names on display boards
-communication about the pt should happen in a private
place or at the nurse's station
-password protect electronic records. Do not share
passwords.
-Do not share pt information with unauthorized people.
code system can be used.
,living will - ANSWER-communicates patient's wishes
regarding medical treatment if patient becomes
incapacitated.
DPOA - ANSWER-durable power of attorney
patient designates health care proxy to make medical
decisions for them if they become incapacitated.
Provider's orders - ANSWER-Prescription for DNR
and/or AND
Mandatory reporting for RN - ANSWER--suspicion of
abuse (child, elderly, domestic violence)
-communicable diseases to local/state health department
(mandated by state)
informed consent: Provider responsibility - ANSWER--
communicate purpose of procedure, and complete
description of procedure in the patient's primary language
(use medical interpreter if needed)
-explain risks vs. benefits
-describe other options to treat the condition
informed consent: RN responsibility - ANSWER--ensure
the provider gave the pt the above information
-ensure pt is competent to give informed consent (adult,
emancipated minor, not impaired)
-have patient sign consent document
,-notify provider if pt has more questions or doesn't
understand any information provided.
nonspecific immunity - ANSWER-defense mechanisms
(barriers) in the body that respond immediately to all
antigens. Barriers include: skin, stomach acid, mucus,
inflammatory response, phagocytic cells.
specific adaptive immunity - ANSWER-body produces
antibodies in response to a specific antigen through action
of B and T lymphocytes. Requires more time, but the
immune response against that antigen in the future is
more efficient.
incubation - ANSWER-time from when the pathogen
enters the body until the first symptom appears.
prodromal stage - ANSWER-time from the onset of
general symptoms (malaise, fatigue) to specific
symptoms.
illness stage - ANSWER-time when specific symptoms
occur
convalescence - ANSWER-time from when symptoms
disappear to complete recovery (can take months)
, primary prevention - ANSWER-prevents initial
occurrence of disease
ex: education, immunizations, prenatal classes
secondary prevention - ANSWER-focuses on early
detection of disease, limiting severity of disease.
ex: screenings, control of outbreaks
tertiary prevention - ANSWER-maximize recovery after
injury /illness
ex: rehab, PT/OT, support groups
active natural immunity - ANSWER-body produces
antibodies in response to exposure to live pathogen
active artificial immunity - ANSWER-body produces
antibodies in response to vaccine
passive natural immunity - ANSWER-antibodies are
passed from the mom to her baby through the placenta or
breast milk
passive artificial immunity - ANSWER-immunoglobulins
are administered to an individual after they have been
exposed to a pathogen
