ATI proctored final exam
Study online at https://quizlet.com/_a0ceuz
1. How can an RN delegate surgical aesepsis responsibilities to UAP's?: As the
circulating nurse, the RN can have UAPs under her supervision involved in activities
requiring surgical asepsis. On the unit, situations requiring surgical asepsis are not
delegated to UAP.
2. How can an RN delegate transmission-based precaution responsibilities
to UAP's?: The RN can delegate care of a client requiring precautions to UAP.
The nurse cannot delegate the assessment of need for precautions, evaluation of
effectiveness of client compliance with precautions, or teaching of client & family
member's precaution techniques. The nurse delegating care of an isolated client
should be sure the UAP knows appropriate procedures.
3. When should traditional hand washing be used instead of using alco-
hol-based sanitizer?: When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
4. Contradictions of good hand hygiene: Nail polish
Long nails
Using lotions
Wearing jewelry
5. Which of the following is a potential route of entry into the body for blood-
borne pathogens:
a. Mucous membranes
b. Puncture wounds
c. Burns on hands
d. Blood
e. All of the above: E. All of the above
6. Personal Protective Equipment is the single most effective way to prevent
the transmission of infection. (TRUE or FALSE): True
7. Two potential sites for nosocomial infections:: 1. A hospital
2. Homecare
8. Potential causes of nosocomial infections:: 1. Pt has suppressed immune
system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
9. You are assisting in the evaluation of a pt with acute onset of severe
headache, fever and some confusion. The physician is preparing to perform a
lumbar puncture. The suspected diagnosis is bacterial meningitis. What type
of precaution is needed?: Standard precautions
, ATI proctored final exam
Study online at https://quizlet.com/_a0ceuz
10. A 70 y. male develops new diarrhea and a high WBC while in the hospital
recovering from MV Replacement surgery which was complicated by a CVA.
He is bed bound and incontinent of stool. What do you suspect is the cause
for his diarrhea?: A bacterial, nosocomial infection
11. Medical abbreviation: CBR, BR: complete bedrest, bedrest
12. T/F: Frequent bathing for the older client is necessary to prevent skin
breakdown.: False
13. A ____ bath can be helpful in soaking a client's pelvic area in warm water
to decrease inflammation.: sitz
14. List at least three guidelines for providing patient-centered care when
addressing a client's hygiene needs: Be respectful to cultural values.
Ask the pt in what order they would like to complete their hygiene routine.
Provide hygienic care as often as necessary (but not too often) and as gently as
necessary.
15. What should be included in documentation of a bath?: Date and time
Type of bath
Abnormal findings/pt reaction
16. When might the RN need to collaborate a colleague for personal care?: If
a patient is not ambulatory and is too heavy to be moved alone
17. What are the components of the Braden scale?
Is a high score good or bad?: Sensory perception, moisture, activity, mobility,
nutrition, friction & shear
High score indicates low risk.
18. Trochanter roll: Keeps hips in a neutral position
19. Hemiparesis: Weakness on one sign of the body
20. Hemiplegia: Paralysis on one side of the body
21. Prone position: Lying on the abdomen
22. Sim's position: Lying on left side w/ left leg straight and right knee bent
23. Foot drop: Gait w/ drop of the forefoot
24. Fracture pan: A bedpan used for someone w/ a hip fracture
25. Fecal impaction: Dry, hard stool stuck in the rectum
26. Hand roll: Hand placed in the palm to prevent fractures
27. Medical abbreviation: WNL: Within normal limits
28. Medical abbreviation: BRP: bathroom privileges
29. Medical abbreviation: BUS: Bladder ultrasonic scanner
30. Factors to consider when delegating to UAP: Scope of practice
Facility, state regulations
Level of experience
Pt safety
, ATI proctored final exam
Study online at https://quizlet.com/_a0ceuz
31. Hazards of immobility on CV system & interventions: DVT: elastic stockings,
SCD's
Orthostatic BP: give pt time btwn position changes
32. Hazards of immobility on pulmonary system & interventions: PE: TED host
Inadequate expansion of the chest: place pt in orthopneic position
Pneumonia: clean/sterile technique, pneumovax
Intervention for each: early and frequent ambulation
33. Hazards of immobility on renal system & interventions: UTI, problems with
continence, altered BP: monitor I/O's, assist w/ voiding as needed
34. Hazards of immobility on integumentary system & interventions: Skin
breakdown: repositioning, monitor nutrition status, reduce mositure, provide hygiene
care
35. Hazards of immobility on musculoskeletal system & interventions: Stiff
joints: ROMs/ambulation
Muscle atrophy: ROMs/ambulation
Ca2+ imbalance: nutrition measures
36. Risk factors for skin breakdown: Poor nutrition, bedrest, obesity, old again,
using an SPM machine, increased friction and shear
37. List at least 4 areas prone to skin breakdown: 1. Tailbone
2. Heels
3. Elbows
4. Hips
38. What nursing intervention would be most effective in preventing flaccidity
in a hospitalized patient?
a. Early ambulation after surgery
b. Administering calcium with vitamin D
c. Coughing and deep breathing exercises
d. Referring the patient to occupational therapy: A. Early ambulation after
surgery
39. After application of sequential compression devices (SCDs) on a patient,
what assessment finding is essential for the nurse to include in documenta-
tion?
a.Warmth of bilateral upper extremities
b. Lower extremity circulatory status
c. Circumoral cyanosis
d. Bowel sounds: b. Lower extremity circulatory status
40. Components of Morse Fall Scale: History of falls, secondary diagnosis, ambu-
latory aid, IV/hep lock, gait/transferring, mental status
Study online at https://quizlet.com/_a0ceuz
1. How can an RN delegate surgical aesepsis responsibilities to UAP's?: As the
circulating nurse, the RN can have UAPs under her supervision involved in activities
requiring surgical asepsis. On the unit, situations requiring surgical asepsis are not
delegated to UAP.
2. How can an RN delegate transmission-based precaution responsibilities
to UAP's?: The RN can delegate care of a client requiring precautions to UAP.
The nurse cannot delegate the assessment of need for precautions, evaluation of
effectiveness of client compliance with precautions, or teaching of client & family
member's precaution techniques. The nurse delegating care of an isolated client
should be sure the UAP knows appropriate procedures.
3. When should traditional hand washing be used instead of using alco-
hol-based sanitizer?: When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
4. Contradictions of good hand hygiene: Nail polish
Long nails
Using lotions
Wearing jewelry
5. Which of the following is a potential route of entry into the body for blood-
borne pathogens:
a. Mucous membranes
b. Puncture wounds
c. Burns on hands
d. Blood
e. All of the above: E. All of the above
6. Personal Protective Equipment is the single most effective way to prevent
the transmission of infection. (TRUE or FALSE): True
7. Two potential sites for nosocomial infections:: 1. A hospital
2. Homecare
8. Potential causes of nosocomial infections:: 1. Pt has suppressed immune
system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
9. You are assisting in the evaluation of a pt with acute onset of severe
headache, fever and some confusion. The physician is preparing to perform a
lumbar puncture. The suspected diagnosis is bacterial meningitis. What type
of precaution is needed?: Standard precautions
, ATI proctored final exam
Study online at https://quizlet.com/_a0ceuz
10. A 70 y. male develops new diarrhea and a high WBC while in the hospital
recovering from MV Replacement surgery which was complicated by a CVA.
He is bed bound and incontinent of stool. What do you suspect is the cause
for his diarrhea?: A bacterial, nosocomial infection
11. Medical abbreviation: CBR, BR: complete bedrest, bedrest
12. T/F: Frequent bathing for the older client is necessary to prevent skin
breakdown.: False
13. A ____ bath can be helpful in soaking a client's pelvic area in warm water
to decrease inflammation.: sitz
14. List at least three guidelines for providing patient-centered care when
addressing a client's hygiene needs: Be respectful to cultural values.
Ask the pt in what order they would like to complete their hygiene routine.
Provide hygienic care as often as necessary (but not too often) and as gently as
necessary.
15. What should be included in documentation of a bath?: Date and time
Type of bath
Abnormal findings/pt reaction
16. When might the RN need to collaborate a colleague for personal care?: If
a patient is not ambulatory and is too heavy to be moved alone
17. What are the components of the Braden scale?
Is a high score good or bad?: Sensory perception, moisture, activity, mobility,
nutrition, friction & shear
High score indicates low risk.
18. Trochanter roll: Keeps hips in a neutral position
19. Hemiparesis: Weakness on one sign of the body
20. Hemiplegia: Paralysis on one side of the body
21. Prone position: Lying on the abdomen
22. Sim's position: Lying on left side w/ left leg straight and right knee bent
23. Foot drop: Gait w/ drop of the forefoot
24. Fracture pan: A bedpan used for someone w/ a hip fracture
25. Fecal impaction: Dry, hard stool stuck in the rectum
26. Hand roll: Hand placed in the palm to prevent fractures
27. Medical abbreviation: WNL: Within normal limits
28. Medical abbreviation: BRP: bathroom privileges
29. Medical abbreviation: BUS: Bladder ultrasonic scanner
30. Factors to consider when delegating to UAP: Scope of practice
Facility, state regulations
Level of experience
Pt safety
, ATI proctored final exam
Study online at https://quizlet.com/_a0ceuz
31. Hazards of immobility on CV system & interventions: DVT: elastic stockings,
SCD's
Orthostatic BP: give pt time btwn position changes
32. Hazards of immobility on pulmonary system & interventions: PE: TED host
Inadequate expansion of the chest: place pt in orthopneic position
Pneumonia: clean/sterile technique, pneumovax
Intervention for each: early and frequent ambulation
33. Hazards of immobility on renal system & interventions: UTI, problems with
continence, altered BP: monitor I/O's, assist w/ voiding as needed
34. Hazards of immobility on integumentary system & interventions: Skin
breakdown: repositioning, monitor nutrition status, reduce mositure, provide hygiene
care
35. Hazards of immobility on musculoskeletal system & interventions: Stiff
joints: ROMs/ambulation
Muscle atrophy: ROMs/ambulation
Ca2+ imbalance: nutrition measures
36. Risk factors for skin breakdown: Poor nutrition, bedrest, obesity, old again,
using an SPM machine, increased friction and shear
37. List at least 4 areas prone to skin breakdown: 1. Tailbone
2. Heels
3. Elbows
4. Hips
38. What nursing intervention would be most effective in preventing flaccidity
in a hospitalized patient?
a. Early ambulation after surgery
b. Administering calcium with vitamin D
c. Coughing and deep breathing exercises
d. Referring the patient to occupational therapy: A. Early ambulation after
surgery
39. After application of sequential compression devices (SCDs) on a patient,
what assessment finding is essential for the nurse to include in documenta-
tion?
a.Warmth of bilateral upper extremities
b. Lower extremity circulatory status
c. Circumoral cyanosis
d. Bowel sounds: b. Lower extremity circulatory status
40. Components of Morse Fall Scale: History of falls, secondary diagnosis, ambu-
latory aid, IV/hep lock, gait/transferring, mental status
