ATI PN Comprehensive Exit Exam with NGN 2023/2024

ATI PN COMPREHENSIVE EXIT EXAM o o o o




1. The nurse is preparing to assist the patient in using the incentive spiromete
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Which nursing intervention should the nurse provide first?
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a. Perform hand hygiene. o o




b. Explain use of the mouthpiece. o o o o



c. Instruct the patient to inhale slowly. o o o o o




d. Place in the reverse Trendelenburg position.
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ANS: A o



Performing hand hygiene reduces microorganisms and should be performed
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cing the patient in the correct position such as high Fowler’s for the typical po
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ive patient or reverse Trendelenburg for the bariatric patient would be the nex
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the process. Demonstration of use of the mouthpiece followed by
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the instruction to inhale slowly would be the last step in this scenario.
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2. The nurse and the nursing assistive personnel (NAP) are caring for a group
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stoperative patients who need turning, coughing, deep breathing, incentive
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spirometer, and leg exercises. Which task will the nurse assign to the NAP?
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a. Teach postoperative exercises.o o




b. Do nothing associated with postoperative exercises.
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c. Document in the medical record when exercises are completed.
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d. Inform the nurse if the patient is unwilling to perform exercises.
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ANS: D o



The nurse can delegate to the NAP to encourage patients to practice postoper
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rcises regularly after instruction and to inform the nurse if the patient is unwil
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erform these exercises. The skills of
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demonstrating and teaching postoperative exercises and documenting are no
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he scope of practice for the nursing assistant. Doing nothing is not appropriat
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3. The nurse is providing preoperative teaching for the ambulatory surgery
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, “Start with clear liquids, soup, and crackers. Advance to a normal diet
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a. as tolerated.”
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“Stay with ice chips for several hours. After that, you can have
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b. whatever you want.” o o


“Stay on clear liquids for 24 hours. Then you can progress to a normal
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c. diet.”
“Start with clear liquids for 2 hours and then full liquids for 2 hours.
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d. Then progress to a normal diet.”o o o o o




ANS: A o


Patients usually receive a normal diet the first evening after surgery unless th
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have undergone surgery on GI structures. Implement diet intake while judgin
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ient’s response. For example, provide clear liquids such as water, apple juice
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r tea after nausea subsides. If the patient tolerates liquids without nausea, adv
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diet as ordered. There is no need to stay on ice chips for several hoursor clear
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or 24 hours after this procedure. Putting a time frame on the progression is too
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ptive. Progression should be adjusted for the patient’s needs.
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4. The nurse explains the pain relief measures available after surgery during
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preoperative teaching for a surgical patient. Which comment from the patien
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s the need for additional education on this topic?
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a. “I will be asked to rate my pain on a pain scale.”
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b. “I will have minimal pain because of the anesthesia.”
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c. “I will take the pain medication as the p
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rovider prescribes it.” “I will take mypa o o o o o o o



in medications before doing postoperati
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ve
d. exercises.”
ANS: B o



Anesthesia will be provided during the procedure itself, and the patient shoul
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perience pain during the procedure; however, this will not minimize the pain
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gery. Pain management is utilized after the postoperative phase. Inform thepa
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nterventions available for pain relief, including medication, relaxation, and d
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n. The patient needs to know and understand how to take the medications that
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h care provider will prescribe postoperatively. During thestay in the facility, t
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of pain is frequently assessed by the nurses.
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Coordinating pain medication with postoperative exercises helps to minimiz o o o o o o o o


t and allows the exercises to be more effective.
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5. The nurse is making a preoperative education appointment with a patient.
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The patient asks if a family member should come to the appointment. Which
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, a. “There is no need for an additional person at the appointment.”
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b. “Your family can come and wait with you in the waiting room.”
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c. “We recommend including family members at this appointment.”
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d. “It is required that you have a family member at this appointment.”
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ANS: C o


Including family members in perioperative education is advisable. Often a fa
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mber is a coach for postoperative exercises when the patient returns from sur
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xious relatives do not understand routine postoperative events, it is likely tha
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iety will heighten the patient’s fears and concerns. Preoperativepreparation o
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members before surgery helps to minimize anxiety and misunderstanding. A
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nal person is needed at the appointment if at all possible, and he or she needs t
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ved in the process, not just
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LINKS FOR ALLATI RESOURCES: o o o o




ATI COMPREHENSIVE PREDICTOR EXAM ( 14 L
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T VERSION ,2021) / COMPREHENSIVE ATI PRED
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R EXAM / PREDICTOR COMPREHENSIVEATI EX
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ATI Community Health Proctored Exam ( 13 LATES
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