ATI RN COMPREHENSIVE PREDICTOR EXAM
N N N N
1. TheNpostanesthesiaNcareNunitN(PACU)NnurseNtransportsNtheNinpatientNsurgicalNpatientNtoNtheNmedical-
surgicalNfloor.NBeforeNleavingNtheNfloor,NtheNmedical-
surgicalNnurseNobtainsNaNcompleteNsetNofNvitalNsigns.NWhatNisNtheNrationaleNforNthisNnursingNaction?
a. ThisNisNdoneNtoNcompleteNtheNfirstNactionNinNaNhead-to-toeN assessment.
ThisNisNdoneNtoNcompareNandNmonitorNforNvitalNsignNvariationNduring
b. transport.
ThisNisNdoneNtoNensureNthatNtheNmedical-surgicalNnurseNchecksNonNthe
c. postoperativeNpatient.
ThisNisNdoneNtoNfollowNhospitalNpolicyNandNprocedureNforNcareNofNthe
d. surgicalNpatient.
ANS:NB
BeforeNtheNPACUNnurseNleavesNtheNacuteNcareNarea,NtheNstaffNnurseNassumingNcareNforNtheNpatientNtakesNaNco
mpleteNsetNofNvitalNsignsNtoNcompareNwithNPACUNfindings.NMinorNvitalNsignNvariationsNnormallyNoccurNafterNt
ransportingNtheNpatient.NTheNPACUNnurseNreviewsNtheNpatient’sNinformationNwithNtheNmedical-
surgicalNnurse,NincludingNtheNsurgicalNandNPACUNcourse,NphysicianNorders,NandNtheNpatient’sNcondition.NWhile
NvitalNsignsNmayNorNmayNnotNbeNtheNfirstNactionNinNaNhead-to-
toeNassessment,NthisNisNnotNtheNrationaleNforNthisNsituation.NWhileNfollowingNpolicyNorNascertainingNthatNtheNflo
orNnurseNchecksNonNtheNpatientNareNgoodNreasonsNforNsafeNcare,NtheyNareNnotNtheNbestNrationaleNforNobtainingNv
italNsigns.
2. TheNnurseNisNcaringNforNaNpatientNwhoNwillNundergoNaNremovalNofNaNlungNlobe.NWhichNlevelNofNcareNwil
lNtheNpatientNrequireNimmediatelyNpostNprocedure?
a. AcuteNcare—medical-surgicalNunit
b. AcuteNcare—intensiveNcareNunit
c. AmbulatoryNsurgery
d. AmbulatoryNsurgery—extendedNstay
ANS:NB
PatientsNundergoingNextensiveNsurgeryNandNrequiringNanesthesiaNofNlongNdurationNrecoverNslowly.NIfNaNpatient
NisNundergoingNmajorNsurgeryNsuchNasNaNprocedureNonNtheNlung,NaNstayNinNtheNhospitalNandNspecificallyNinNtheN
intensiveNcareNunitNisNrequiredNtoNmonitorNforNpotentialNrisksNtoNwell-
being.NThisNpatientNwouldNrequireNmoreNcareNthanNcanNbeNprovidedNonNaNmedical-
surgicalNunit.NItNisNnotNappropriateNforNthisNtypeNofNpatientNtoNgoNhomeNafterNtheNprocedureNorNtoNstayNinNanNex
tendedNstayNareaNofNanNambulatoryNsurgeryNareaNbecauseNofNtheNcomplexityNandNassociatedNrisks.
3. TheNnurseNisNcaringNforNaNgroupNofNpatients.NWhichNpatientNwillNtheNnurseNseeNfirst?
a. ANpatientNwhoNhadNcataractNsurgeryNisNcoughing.
ANpatientNwhoNhadNvascularNrepairNofNtheNrightNlegNisNnotNdoingNrightNleg
b. exercises.
ANpatientNafterNkneeNsurgeryNisNwearingNintermittentNpneumatic
c. compressionNdevicesNandNreceivingNheparin.
326
, ANpatientNafterNsurgeryNhasNvitalNsignsNtakenNeveryN15NminutesNtwice,
d. everyN30NminutesNtwice,NhourlyNforN2NhoursNthenNeveryN4Nhours.
ANS:NA
ForNpatientsNwhoNhaveNhadNeye,Nintracranial,NorNspinalNsurgery,NcoughingNmayNbeNcontraindicatedNbecauseNofN
theNpotentialNincreaseNinNintraocularNorNintracranialNpressure.NTheNnurseNwillNneedNtoNseeNthisNpatientNfirstNtoN
controlNtheNcoughNandNintraocularNpressure.NAllNtheNrestNareNnormalNpostoperativeNpatients.NLegNexerciseNshou
ldNnotNbeNperformedNonNtheNoperativeNlegNwithNvascularNsurgery.NANpatientNafterNkneeNsurgeryNshouldNreceiveN
heparinNandNbeNwearingNintermittentNpneumaticNcompressionNdevices;NwhileNtheNnurseNwillNcheckNonNtheNpati
ent,NitNdoesNnotNhaveNtoNbeNfirst.NMonitoringNvitalNsignsNafterNsurgeryNisNrequiredNandNthisNisNtheNstandardNsch
edule.
4. TheNnurseNdemonstratesNpostoperativeNexercisesNforNaNpatient.NInNwhichNorderNwillNtheNnurseNinstructN
theNpatientNtoNperformNtheNexercises?
1. Turning
2. Breathing
3. Coughing
4. LegNexercises
a. 4,N1,N2,N3
b. 1,N2,N3,N4
c. 2,N3,N4,N1
d. 3,N1,N4,N2
ANS:NA
TheNsequenceNofNexercisesNisNlegNexercises,Nturning,Nbreathing,NandNcoughing.
MULTIPLENRESPONSE
1. TheNnurseNisNparticipatingNinNaN“time-
out.”NInNwhichNactivitiesNwillNtheNnurseNbeNinvolved?N(SelectNallNthatNapply.)
a. VerifyNtheNcorrectNsite.
b. VerifyNtheNcorrectNpatient.
c. VerifyNtheNcorrectNprocedure.
d. PerformN“time-out”NafterNsurgery.
e. PerformNtheNactualNmarkingNofNtheNoperativeNsite.
ANS:NA,NB,NC
327
N N N N
1. TheNpostanesthesiaNcareNunitN(PACU)NnurseNtransportsNtheNinpatientNsurgicalNpatientNtoNtheNmedical-
surgicalNfloor.NBeforeNleavingNtheNfloor,NtheNmedical-
surgicalNnurseNobtainsNaNcompleteNsetNofNvitalNsigns.NWhatNisNtheNrationaleNforNthisNnursingNaction?
a. ThisNisNdoneNtoNcompleteNtheNfirstNactionNinNaNhead-to-toeN assessment.
ThisNisNdoneNtoNcompareNandNmonitorNforNvitalNsignNvariationNduring
b. transport.
ThisNisNdoneNtoNensureNthatNtheNmedical-surgicalNnurseNchecksNonNthe
c. postoperativeNpatient.
ThisNisNdoneNtoNfollowNhospitalNpolicyNandNprocedureNforNcareNofNthe
d. surgicalNpatient.
ANS:NB
BeforeNtheNPACUNnurseNleavesNtheNacuteNcareNarea,NtheNstaffNnurseNassumingNcareNforNtheNpatientNtakesNaNco
mpleteNsetNofNvitalNsignsNtoNcompareNwithNPACUNfindings.NMinorNvitalNsignNvariationsNnormallyNoccurNafterNt
ransportingNtheNpatient.NTheNPACUNnurseNreviewsNtheNpatient’sNinformationNwithNtheNmedical-
surgicalNnurse,NincludingNtheNsurgicalNandNPACUNcourse,NphysicianNorders,NandNtheNpatient’sNcondition.NWhile
NvitalNsignsNmayNorNmayNnotNbeNtheNfirstNactionNinNaNhead-to-
toeNassessment,NthisNisNnotNtheNrationaleNforNthisNsituation.NWhileNfollowingNpolicyNorNascertainingNthatNtheNflo
orNnurseNchecksNonNtheNpatientNareNgoodNreasonsNforNsafeNcare,NtheyNareNnotNtheNbestNrationaleNforNobtainingNv
italNsigns.
2. TheNnurseNisNcaringNforNaNpatientNwhoNwillNundergoNaNremovalNofNaNlungNlobe.NWhichNlevelNofNcareNwil
lNtheNpatientNrequireNimmediatelyNpostNprocedure?
a. AcuteNcare—medical-surgicalNunit
b. AcuteNcare—intensiveNcareNunit
c. AmbulatoryNsurgery
d. AmbulatoryNsurgery—extendedNstay
ANS:NB
PatientsNundergoingNextensiveNsurgeryNandNrequiringNanesthesiaNofNlongNdurationNrecoverNslowly.NIfNaNpatient
NisNundergoingNmajorNsurgeryNsuchNasNaNprocedureNonNtheNlung,NaNstayNinNtheNhospitalNandNspecificallyNinNtheN
intensiveNcareNunitNisNrequiredNtoNmonitorNforNpotentialNrisksNtoNwell-
being.NThisNpatientNwouldNrequireNmoreNcareNthanNcanNbeNprovidedNonNaNmedical-
surgicalNunit.NItNisNnotNappropriateNforNthisNtypeNofNpatientNtoNgoNhomeNafterNtheNprocedureNorNtoNstayNinNanNex
tendedNstayNareaNofNanNambulatoryNsurgeryNareaNbecauseNofNtheNcomplexityNandNassociatedNrisks.
3. TheNnurseNisNcaringNforNaNgroupNofNpatients.NWhichNpatientNwillNtheNnurseNseeNfirst?
a. ANpatientNwhoNhadNcataractNsurgeryNisNcoughing.
ANpatientNwhoNhadNvascularNrepairNofNtheNrightNlegNisNnotNdoingNrightNleg
b. exercises.
ANpatientNafterNkneeNsurgeryNisNwearingNintermittentNpneumatic
c. compressionNdevicesNandNreceivingNheparin.
326
, ANpatientNafterNsurgeryNhasNvitalNsignsNtakenNeveryN15NminutesNtwice,
d. everyN30NminutesNtwice,NhourlyNforN2NhoursNthenNeveryN4Nhours.
ANS:NA
ForNpatientsNwhoNhaveNhadNeye,Nintracranial,NorNspinalNsurgery,NcoughingNmayNbeNcontraindicatedNbecauseNofN
theNpotentialNincreaseNinNintraocularNorNintracranialNpressure.NTheNnurseNwillNneedNtoNseeNthisNpatientNfirstNtoN
controlNtheNcoughNandNintraocularNpressure.NAllNtheNrestNareNnormalNpostoperativeNpatients.NLegNexerciseNshou
ldNnotNbeNperformedNonNtheNoperativeNlegNwithNvascularNsurgery.NANpatientNafterNkneeNsurgeryNshouldNreceiveN
heparinNandNbeNwearingNintermittentNpneumaticNcompressionNdevices;NwhileNtheNnurseNwillNcheckNonNtheNpati
ent,NitNdoesNnotNhaveNtoNbeNfirst.NMonitoringNvitalNsignsNafterNsurgeryNisNrequiredNandNthisNisNtheNstandardNsch
edule.
4. TheNnurseNdemonstratesNpostoperativeNexercisesNforNaNpatient.NInNwhichNorderNwillNtheNnurseNinstructN
theNpatientNtoNperformNtheNexercises?
1. Turning
2. Breathing
3. Coughing
4. LegNexercises
a. 4,N1,N2,N3
b. 1,N2,N3,N4
c. 2,N3,N4,N1
d. 3,N1,N4,N2
ANS:NA
TheNsequenceNofNexercisesNisNlegNexercises,Nturning,Nbreathing,NandNcoughing.
MULTIPLENRESPONSE
1. TheNnurseNisNparticipatingNinNaN“time-
out.”NInNwhichNactivitiesNwillNtheNnurseNbeNinvolved?N(SelectNallNthatNapply.)
a. VerifyNtheNcorrectNsite.
b. VerifyNtheNcorrectNpatient.
c. VerifyNtheNcorrectNprocedure.
d. PerformN“time-out”NafterNsurgery.
e. PerformNtheNactualNmarkingNofNtheNoperativeNsite.
ANS:NA,NB,NC
327