ATI PN COMPRE
B B
HENSIVE EXIT E
B B B
XAM
, ATI PN COMPREHENSIVE EXIT EXAM
B B B B
1. The nurse is preparing to assist the patient in using the incentive spirometer.
B B B B B B B B B B B B B
Which nursing intervention should the nurse provide first?
B B B B B B B
a. Perform hand hygiene. B B
b. Explain use of the mouthpiece. B B B B
c. Instruct the patient to inhale slowly.
B B B B B
d. Place in the reverse Trendelenburg position.
B B B B B
ANS: A B
Performing hand hygiene reduces microorganisms and should be performed first.P
B B B B B B B B B B
lacing the patient in the correct position such as high Fowler’s for the typical posto
B B B B B B B B B B B B B B
perative patient or reverse Trendelenburg for the bariatric patient would be the nex
B B B B B B B B B B B B
t step in the process. Demonstration of use of the mouthpiece followed bythe instru
B B B B B B B B B B B B B B
ction to inhale slowly would be the last step in this scenario.
B B B B B B B B B B B
2. The nurse and the nursing assistive personnel (NAP) are caring for a group of
B B B B B B B B B B B B B B
postoperative patients who need turning, coughing, deep breathing, incentive
B B B B B B B B
spirometer, and leg exercises. Which task will the nurse assign to the NAP?
B B B B B B B B B B B B
a. Teach postoperative exercises.
B B
b. Do nothing associated with postoperative exercises.
B B B B B
c. Document in the medical record when exercises are completed.
B B B B B B B B
d. Inform the nurse if the patient is unwilling to perform exercises.
B B B B B B B B B B
ANS: D B
The nurse can delegate to the NAP to encourage patients to practice postoperativee
B B B B B B B B B B B B B
xercises regularly after instruction and to inform the nurse if the patient is unwillin
B B B B B B B B B B B B B
g to perform these exercises. The skills of
B B B B B B B
demonstrating and teaching postoperative exercises and documenting are notwithi
B B B B B B B B B
n the scope of practice for the nursing assistant. Doing nothing is not appropriate.
B B B B B B B B B B B B B
3. The nurse is providing preoperative teaching for the ambulatory surgery
B B B B B B B B B
patient who will be having a cyst removed from the right arm. Which will be the
B B B B B B B B B B B B B B B
best explanation for diet progression after surgery?
B B B B B B
, “Start with clear liquids, soup, and crackers. Advance to a normal diet
B B B B B B B B B B B
a. as tolerated.” B
“Stay with ice chips for several hours. After that, you can have
B B B B B B B B B B B
b. whatever you want.” B B
“Stay on clear liquids for 24 hours. Then you can progress to a normal
B B B B B B B B B B B B B
c. diet.”
“Start with clear liquids for 2 hours and then full liquids for 2 hours.
B B B B B B B B B B B B B
d. Then progress to a normal diet.” B B B B B
ANS: A B
Patients usually receive a normal diet the first evening after surgery unless they hav
B B B B B B B B B B B B B
e undergone surgery on GI structures. Implement diet intake while judging thepatie
B B B B B B B B B B B B
nt’s response. For example, provide clear liquids such as water, apple juice, broth, o
B B B B B B B B B B B B B
r tea after nausea subsides. If the patient tolerates liquids without nausea, advance th
B B B B B B B B B B B B B
e diet as ordered. There is no need to stay on ice chips for several hoursor clear liqui
B B B B B B B B B B B B B B B B B B
ds for 24 hours after this procedure. Putting a time frame on the progression is too p
B B B B B B B B B B B B B B B B
rescriptive. Progression should be adjusted for the patient’s needs.
B B B B B B B B
4. The nurse explains the pain relief measures available after surgery during
B B B B B B B B B B
preoperative teaching for a surgical patient. Which comment from the patientindic
B B B B B B B B B B B
ates the need for additional education on this topic?
B B B B B B B B
a. “I will be asked to rate my pain on a pain scale.”
B B B B B B B B B B B
b. “I will have minimal pain because of the anesthesia.”
B B B B B B B B
c. “I will take the pain medication as the
B B B B B B B B
provider prescribes it.” “I will take my B B B B B B B
pain medications before doing postope
B B B B
rative
d. exercises.”
ANS: B B
Anesthesia will be provided during the procedure itself, and the patient should not e
B B B B B B B B B B B B B
xperience pain during the procedure; however, this will not minimize the pain after
B B B B B B B B B B B B B
surgery. Pain management is utilized after the postoperative phase. Inform thepatie
B B B B B B B B B B B
nt of interventions available for pain relief, including medication, relaxation, and di
B B B B B B B B B B B
straction. The patient needs to know and understand how to take the medications th
B B B B B B B B B B B B B
at the health care provider will prescribe postoperatively. During thestay in the facil
B B B B B B B B B B B B B
ity, the level of pain is frequently assessed by the nurses.
B B B B B B B B B B
Coordinating pain medication with postoperative exercises helps to minimizediscomf
B B B B B B B B B
ort and allows the exercises to be more effective.
B B B B B B B B
5. The nurse is making a preoperative education appointment with a patient.
B B B B B B B B B B
The patient asks if a family member should come to the appointment. Whichis
B B B B B B B B B B B B B
the best response by the nurse?
B B B B B B
B B
HENSIVE EXIT E
B B B
XAM
, ATI PN COMPREHENSIVE EXIT EXAM
B B B B
1. The nurse is preparing to assist the patient in using the incentive spirometer.
B B B B B B B B B B B B B
Which nursing intervention should the nurse provide first?
B B B B B B B
a. Perform hand hygiene. B B
b. Explain use of the mouthpiece. B B B B
c. Instruct the patient to inhale slowly.
B B B B B
d. Place in the reverse Trendelenburg position.
B B B B B
ANS: A B
Performing hand hygiene reduces microorganisms and should be performed first.P
B B B B B B B B B B
lacing the patient in the correct position such as high Fowler’s for the typical posto
B B B B B B B B B B B B B B
perative patient or reverse Trendelenburg for the bariatric patient would be the nex
B B B B B B B B B B B B
t step in the process. Demonstration of use of the mouthpiece followed bythe instru
B B B B B B B B B B B B B B
ction to inhale slowly would be the last step in this scenario.
B B B B B B B B B B B
2. The nurse and the nursing assistive personnel (NAP) are caring for a group of
B B B B B B B B B B B B B B
postoperative patients who need turning, coughing, deep breathing, incentive
B B B B B B B B
spirometer, and leg exercises. Which task will the nurse assign to the NAP?
B B B B B B B B B B B B
a. Teach postoperative exercises.
B B
b. Do nothing associated with postoperative exercises.
B B B B B
c. Document in the medical record when exercises are completed.
B B B B B B B B
d. Inform the nurse if the patient is unwilling to perform exercises.
B B B B B B B B B B
ANS: D B
The nurse can delegate to the NAP to encourage patients to practice postoperativee
B B B B B B B B B B B B B
xercises regularly after instruction and to inform the nurse if the patient is unwillin
B B B B B B B B B B B B B
g to perform these exercises. The skills of
B B B B B B B
demonstrating and teaching postoperative exercises and documenting are notwithi
B B B B B B B B B
n the scope of practice for the nursing assistant. Doing nothing is not appropriate.
B B B B B B B B B B B B B
3. The nurse is providing preoperative teaching for the ambulatory surgery
B B B B B B B B B
patient who will be having a cyst removed from the right arm. Which will be the
B B B B B B B B B B B B B B B
best explanation for diet progression after surgery?
B B B B B B
, “Start with clear liquids, soup, and crackers. Advance to a normal diet
B B B B B B B B B B B
a. as tolerated.” B
“Stay with ice chips for several hours. After that, you can have
B B B B B B B B B B B
b. whatever you want.” B B
“Stay on clear liquids for 24 hours. Then you can progress to a normal
B B B B B B B B B B B B B
c. diet.”
“Start with clear liquids for 2 hours and then full liquids for 2 hours.
B B B B B B B B B B B B B
d. Then progress to a normal diet.” B B B B B
ANS: A B
Patients usually receive a normal diet the first evening after surgery unless they hav
B B B B B B B B B B B B B
e undergone surgery on GI structures. Implement diet intake while judging thepatie
B B B B B B B B B B B B
nt’s response. For example, provide clear liquids such as water, apple juice, broth, o
B B B B B B B B B B B B B
r tea after nausea subsides. If the patient tolerates liquids without nausea, advance th
B B B B B B B B B B B B B
e diet as ordered. There is no need to stay on ice chips for several hoursor clear liqui
B B B B B B B B B B B B B B B B B B
ds for 24 hours after this procedure. Putting a time frame on the progression is too p
B B B B B B B B B B B B B B B B
rescriptive. Progression should be adjusted for the patient’s needs.
B B B B B B B B
4. The nurse explains the pain relief measures available after surgery during
B B B B B B B B B B
preoperative teaching for a surgical patient. Which comment from the patientindic
B B B B B B B B B B B
ates the need for additional education on this topic?
B B B B B B B B
a. “I will be asked to rate my pain on a pain scale.”
B B B B B B B B B B B
b. “I will have minimal pain because of the anesthesia.”
B B B B B B B B
c. “I will take the pain medication as the
B B B B B B B B
provider prescribes it.” “I will take my B B B B B B B
pain medications before doing postope
B B B B
rative
d. exercises.”
ANS: B B
Anesthesia will be provided during the procedure itself, and the patient should not e
B B B B B B B B B B B B B
xperience pain during the procedure; however, this will not minimize the pain after
B B B B B B B B B B B B B
surgery. Pain management is utilized after the postoperative phase. Inform thepatie
B B B B B B B B B B B
nt of interventions available for pain relief, including medication, relaxation, and di
B B B B B B B B B B B
straction. The patient needs to know and understand how to take the medications th
B B B B B B B B B B B B B
at the health care provider will prescribe postoperatively. During thestay in the facil
B B B B B B B B B B B B B
ity, the level of pain is frequently assessed by the nurses.
B B B B B B B B B B
Coordinating pain medication with postoperative exercises helps to minimizediscomf
B B B B B B B B B
ort and allows the exercises to be more effective.
B B B B B B B B
5. The nurse is making a preoperative education appointment with a patient.
B B B B B B B B B B
The patient asks if a family member should come to the appointment. Whichis
B B B B B B B B B B B B B
the best response by the nurse?
B B B B B B
