Ati med surg proctored exam

ATI Med-
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Surg Proctored Exam Latest Updated Solution100% CO
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RRECT.

, ATI MED SURG PROCTORED EXAM
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(Detail Solutions) M




1. The nurse is attempting to prompt the patient to elaborate on the reports
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of daytime fatigue. Which question should the nurse ask?
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“Is there anything that you are stressed about right now that I should
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a. know?”
b. “What reasons do you think are contributing to your fatigue?”
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c. “What are your normal work hours?”
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d. “Are you sleeping 8 hours a night?”
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ANS: B M


The question asking the patient what factors might be contributing to the fati
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gue will elicit the best open-
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ended response. Asking whether the patient is stressed and asking if the patie
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nt is sleeping 8 hours a night are closed-
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Mended questions eliciting simple yes or no responses. Asking about normal
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work hours will elicit a matter-of-
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Mfact response and does not prompt the patient to elaborate on the daytime fa
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tigue or ask about the contributing reasons.
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2. A nurse is conducting a nursing health history. Which component will t
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he nurse address?
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a. Nurse’s concerns M




b. Patient expectationsM



c. Current treatment ordersM M



d. Nurse’s goals for the patient
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ANS: B M


Some components of a nursing health history include chief concern, patient ex
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pectations, spiritual health, and review of systems. Current treatment M M M M M
1
orders are located under the Orders section in the patient’s char
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t and are not
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, a part of the nursing health history. Patient concerns, not nurse’s concerns,
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are included in the database.
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Goals that are mutually established, not nurse’s goals, are part of the nursing
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care plan. M

3. While the patient’s lower extremity, which is in a cast, is assessed, the
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patient tells the nurse about an inability to rest at night. The nurse disregar
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ds this information, thinking that no correlation has been noted between ha
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ving
a leg cast and developing restless sleep. Which action would have been best
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for the nurse to take?
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a. Tell the patient to just focus on the leg and cast right now.
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b. Document the sleep patterns and information in the patient’s chart.
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c. Explain that a more thorough assess M M M M M


ment will be needed next shift. Ask
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the patient about usual sleep pattern
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s and the onset of having
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d. difficulty resting M




. ANS: D
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The nurse must use critical thinking skills in this situation to assess first in
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Mthis situation. The best response is to gather more assessment data by aski
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ng the patient about usual sleep patterns and the onset of having difficulty r
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esting. The nurse should assess before documenting and should not ignore
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the patient’s report of a problem or postpone it till the next shift.
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4. The nurse begins a shift assessment by examining a surgical dressing that
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Mis saturated with serosanguineous drainage on a patient who had open abdo
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minal
surgery yesterday (or 1 day ago). Which type of assessment approach is the n
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urse using? M



a. Gordon’s Functional Health Patterns M M M




b. Activity-exercise pattern assessment M M




c. General to specific assessment M M M



d. Problem-oriented assessment M




ANS: D M

2

The nurse is not doing a complete, general assessment and then focusing on
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