ATI MATERNAL NEWBO
v v
RN PROCTOREDEXAM
v v
,1. The nurse is preparing a patient for surgery. Which goal is a
v v v v v v v v v v v
priority for assessing the patient before surgery?
v v v v v v
a. Plan for care after the procedure.
v v v v v
b. Establish a patient’s baseline of normal function. v v v v v v
c. Educate the patient and family about the procedure.
v v v v v v v
d. Gather appropriate equipment for the patient’s needs.
v v v v v v
ANS: B v
The goal of the preoperative assessment is to identify a patient’s normal preoper
v v v v v v v v v v v v
ative function and the presence of any risks to recognize, prevent, and minimize
v v v v v v v v v v v v v
possible postoperative complications. Gathering appropriate equipment, plannin
v v v v v v
g care, and educating the patient and family are all important interventions that
v v v v v v v v v v v v v
must be provided for the surgical patient; they arepart of the nursing process but
v v v v v v v v v v v v v v v
are not the priority reason/goal for completing an assessment of the surgical pati
v v v v v v v v v v v v
ent.
2. The nurse is completing a medication history for the surgical patientin
v v v v v v v v v v v
preadmission testing. Which medication should the nurse instruct the
v v v v v v v v v
patient to hold (discontinue) in preparation for surgery according topro
v v v v v v v v v v
tocol?
a. Warfarin
b. Vitamin C v
c. Prednisone
d. Acetaminophen
ANS: A v
Medications such as warfarin or aspirin alter normal clotting factors and thusinc
v v v v v v v v v v v v
rease the risk of hemorrhaging. Discontinue at least 48 hours before
v v v v v v v v v v
, surgery. Acetaminophen is a pain reliever that has no special implications forsur
v v v v v v v v v v v v
gery. Vitamin C actually assists in wound healing and has no special implication
v v v v v v v v v v v v
s for surgery. Prednisone is a corticosteroid, and dosages are oftentemporarily in
v v v v v v v v v v v v
creased rather than held.v v v
3. The nurse is prescreening a surgical patient in the preadmission testin
v v v v v v v v v v
g unit. The medication history indicates that the patient is
currently taking an anticoagulant. Which action should the nurse takew
v v v v v v v v v v
hen consulting with the health care provider?
v v v v v v
a. Ask for a radiological examination of the chest.
v v v v v v v
b. Ask for an international normalized ratio (INR).
v v v v v v
c. Ask for a blood urea nitrogen (BUN).
v v v v v v
d. Ask for a serum sodium (Na). v v v v v
ANS: B v
INR, PT (prothrombin time), APTT (activated partial thromboplastin time), andpl
v v v v v v v v v v
atelet counts reveal the clotting ability of the blood. Anticoagulants can be utilize
v v v v v v v v v v v v
d for different conditions, but its action is to increase the time it takes for the bloo
v v v v v v v v v v v v v v v v
d to clot. This action can put the surgical patient at risk for bleeding tendencies.
v v v v v v v v v v v v v v
Typically, if at all possible, this medication is held several days before a surgical
v v v v v v v v v v v v v v
procedure to decrease this risk. Chest x-v v v v v v
ray, BUN, and Na are diagnostic screening tools for surgery but are not specific t
v v v v v v v v v v v v v v
o anticoagulants.
v
4. The nurse is encouraging the postoperative patient to utilize diaphragmatic
v v v v v v v v v
breathing. Which priority goal is the nurse trying to achieve?
v v v v v v v v v
a. Manage pain v
b. Prevent atelectasis v
c. Reduce healing time v v
d. Decrease thrombus formation v v
ANS: B v
After surgery, patients may have reduced lung volume and may require greater
v v v v v v v v v v v v
effort to cough and deep breathe; inadequate lung expansion can lead
v v v v v v v v v v
v v
RN PROCTOREDEXAM
v v
,1. The nurse is preparing a patient for surgery. Which goal is a
v v v v v v v v v v v
priority for assessing the patient before surgery?
v v v v v v
a. Plan for care after the procedure.
v v v v v
b. Establish a patient’s baseline of normal function. v v v v v v
c. Educate the patient and family about the procedure.
v v v v v v v
d. Gather appropriate equipment for the patient’s needs.
v v v v v v
ANS: B v
The goal of the preoperative assessment is to identify a patient’s normal preoper
v v v v v v v v v v v v
ative function and the presence of any risks to recognize, prevent, and minimize
v v v v v v v v v v v v v
possible postoperative complications. Gathering appropriate equipment, plannin
v v v v v v
g care, and educating the patient and family are all important interventions that
v v v v v v v v v v v v v
must be provided for the surgical patient; they arepart of the nursing process but
v v v v v v v v v v v v v v v
are not the priority reason/goal for completing an assessment of the surgical pati
v v v v v v v v v v v v
ent.
2. The nurse is completing a medication history for the surgical patientin
v v v v v v v v v v v
preadmission testing. Which medication should the nurse instruct the
v v v v v v v v v
patient to hold (discontinue) in preparation for surgery according topro
v v v v v v v v v v
tocol?
a. Warfarin
b. Vitamin C v
c. Prednisone
d. Acetaminophen
ANS: A v
Medications such as warfarin or aspirin alter normal clotting factors and thusinc
v v v v v v v v v v v v
rease the risk of hemorrhaging. Discontinue at least 48 hours before
v v v v v v v v v v
, surgery. Acetaminophen is a pain reliever that has no special implications forsur
v v v v v v v v v v v v
gery. Vitamin C actually assists in wound healing and has no special implication
v v v v v v v v v v v v
s for surgery. Prednisone is a corticosteroid, and dosages are oftentemporarily in
v v v v v v v v v v v v
creased rather than held.v v v
3. The nurse is prescreening a surgical patient in the preadmission testin
v v v v v v v v v v
g unit. The medication history indicates that the patient is
currently taking an anticoagulant. Which action should the nurse takew
v v v v v v v v v v
hen consulting with the health care provider?
v v v v v v
a. Ask for a radiological examination of the chest.
v v v v v v v
b. Ask for an international normalized ratio (INR).
v v v v v v
c. Ask for a blood urea nitrogen (BUN).
v v v v v v
d. Ask for a serum sodium (Na). v v v v v
ANS: B v
INR, PT (prothrombin time), APTT (activated partial thromboplastin time), andpl
v v v v v v v v v v
atelet counts reveal the clotting ability of the blood. Anticoagulants can be utilize
v v v v v v v v v v v v
d for different conditions, but its action is to increase the time it takes for the bloo
v v v v v v v v v v v v v v v v
d to clot. This action can put the surgical patient at risk for bleeding tendencies.
v v v v v v v v v v v v v v
Typically, if at all possible, this medication is held several days before a surgical
v v v v v v v v v v v v v v
procedure to decrease this risk. Chest x-v v v v v v
ray, BUN, and Na are diagnostic screening tools for surgery but are not specific t
v v v v v v v v v v v v v v
o anticoagulants.
v
4. The nurse is encouraging the postoperative patient to utilize diaphragmatic
v v v v v v v v v
breathing. Which priority goal is the nurse trying to achieve?
v v v v v v v v v
a. Manage pain v
b. Prevent atelectasis v
c. Reduce healing time v v
d. Decrease thrombus formation v v
ANS: B v
After surgery, patients may have reduced lung volume and may require greater
v v v v v v v v v v v v
effort to cough and deep breathe; inadequate lung expansion can lead
v v v v v v v v v v
