ATI RN COMPREHENSIVE PREDICTOR EXAM

ATI RN COMPREHENSIVE PREDICTOR EXAM
b b b b




1. Thebpostanesthesiabcarebunitb(PACU)bnursebtransportsbthebinpatientbsurgicalbpatientbtobthebmedical-
surgicalbfloor.bBeforebleavingbthebfloor,bthebmedical-
surgicalbnursebobtainsbabcompletebsetbofbvitalbsigns.bWhatbisbthebrationalebforbthisbnursingbaction?
a. Thisbisbdonebtobcompletebthebfirstbactionbinbabhead-to-toebassessment.

Thisbisbdonebtobcomparebandbmonitorbforbvitalbsignbvariationbduring

b. transport.
Thisbisbdonebtobensurebthatbthebmedical-surgicalbnursebchecksbonbthe
c. postoperativebpatient.
Thisbisbdonebtobfollowbhospitalbpolicybandbprocedurebforbcarebofbthe
d. surgicalbpatient.

ANS:bB
BeforebthebPACUbnursebleavesbthebacutebcarebarea,bthebstaffbnursebassumingbcarebforbthebpatientbtakesbabcomplet
ebsetbofbvitalbsignsbtobcomparebwithbPACUbfindings.bMinorbvitalbsignbvariationsbnormallyboccurbafterbtransportin
gbthebpatient.bThebPACUbnursebreviewsbthebpatient’sbinformationbwithbthebmedical-
surgicalbnurse,bincludingbthebsurgicalbandbPACUbcourse,bphysicianborders,bandbthebpatient’sbcondition.bWhilebvit
albsignsbmayborbmaybnotbbebthebfirstbactionbinbabhead-to-
toebassessment,bthisbisbnotbthebrationalebforbthisbsituation.bWhilebfollowingbpolicyborbascertainingbthatbthebfloorbn
ursebchecksbonbthebpatientbarebgoodbreasonsbforbsafebcare,btheybarebnotbthebbestbrationalebforbobtainingbvitalbsigns
.
2. Thebnursebisbcaringbforbabpatientbwhobwillbundergobabremovalbofbablungblobe.bWhichblevelbofbcarebwillbtheb
patientbrequirebimmediatelybpostbprocedure?
a. Acutebcare—medical-surgicalbunit

b. Acutebcare—intensivebcarebunit

c. Ambulatorybsurgery

d. Ambulatorybsurgery—extendedbstay



ANS:bB


Patientsbundergoingbextensivebsurgerybandbrequiringbanesthesiabofblongbdurationbrecoverbslowly.bIfbabpatientbisbu
ndergoingbmajorbsurgerybsuchbasbabprocedurebonbtheblung,babstaybinbthebhospitalbandbspecificallybinbthebintensiveb
carebunitbisbrequiredbtobmonitorbforbpotentialbrisksbtobwell-
being.bThisbpatientbwouldbrequirebmorebcarebthanbcanbbebprovidedbonbabmedical-
surgicalbunit.bItbisbnotbappropriatebforbthisbtypebofbpatientbtobgobhomebafterbthebprocedureborbtobstaybinbanbextende
dbstaybareabofbanbambulatorybsurgerybareabbecausebofbthebcomplexitybandbassociatedbrisks.
3. Thebnursebisbcaringbforbabgroupbofbpatients.bWhichbpatientbwillbthebnursebseebfirst?
a. Abpatientbwhobhadbcataractbsurgerybisbcoughing.

Abpatientbwhobhadbvascularbrepairbofbthebrightblegbisbnotbdoingbrightbleg

b. exercises.
Abpatientbafterbkneebsurgerybisbwearingbintermittentbpneumatic
c. compressionbdevicesbandbreceivingbheparin.

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, Abpatientbafterbsurgerybhasbvitalbsignsbtakenbeveryb15bminutesbtwice,
d. everyb30bminutesbtwice,bhourlybforb2bhoursbthenbeveryb4bhours.

ANS:bA
Forbpatientsbwhobhavebhadbeye,bintracranial,borbspinalbsurgery,bcoughingbmaybbebcontraindicatedbbecausebofbtheb
potentialbincreasebinbintraocularborbintracranialbpressure.bThebnursebwillbneedbtobseebthisbpatientbfirstbtobcontrolbt
hebcoughbandbintraocularbpressure.bAllbthebrestbarebnormalbpostoperativebpatients.bLegbexercisebshouldbnotbbebper
formedbonbtheboperativeblegbwithbvascularbsurgery.bAbpatientbafterbkneebsurgerybshouldbreceivebheparinbandbbebw
earingbintermittentbpneumaticbcompressionbdevices;bwhilebthebnursebwillbcheckbonbthebpatient,bitbdoesbnotbhavebt
obbebfirst.bMonitoringbvitalbsignsbafterbsurgerybisbrequiredbandbthisbisbthebstandardbschedule.
4. Thebnursebdemonstratesbpostoperativebexercisesbforbabpatient.bInbwhichborderbwillbthebnursebinstructbtheb
patientbtobperformbthebexercises?
1. Turning
2. Breathing
3. Coughing
4. Legbexercises

a. 4,b1,b2,b3

b. 1,b2,b3,b4
c. 2,b3,b4,b1

d. 3,b1,b4,b2



ANS:bA
Thebsequencebofbexercisesbisblegbexercises,bturning,bbreathing,bandbcoughing.
MULTIPLEbRESPONSE
1. Thebnursebisbparticipatingbinbab“time-
out.”bInbwhichbactivitiesbwillbthebnursebbebinvolved?b(Selectballbthatbapply.)
a. Verifybthebcorrectbsite.

b. Verifybthebcorrectbpatient.
c. Verifybthebcorrectbprocedure.

d. Performb“time-out”bafterbsurgery.
e. Performbthebactualbmarkingbofbtheboperativebsite.


ANS:bA,bB,bC




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