AM
ATI COMPREHENSIVE PROCTORED #1 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (41)
Managing Client Care: Priority Action for a -place client in an upright or high Fowler's position to facilitate swallowing
Client Who Has Manifestations of -stay with client due to risk for aspiration
Dysphagia (Active Learning Template -
-refer to speech therapist for evaluation
Basic Concept, RM Leadership 7.0 Chp. 1)
-make diet alterations, avoid thin liquids and sticky foods
-use "I" statements, and focus on the problem, not personal differences
Managing Client Care: Strategies for -move conflict that is escalating to a private location
Conflict Resolution (Active Learning -share ground rules with participants
Template - Basic Concept, RM Leadership
-steps of problem solving process: identify problem, discuss possible solutions,
7.0 Chp. 1)
analyze identified solutions, select solution, implement selected solution, evaluate
the solution's ability to resolve the original problem.
-Nurses transcribe medication prescriptions onto the MAR
-If taking a telephone order: ensure that prescription is complete and correct by
Safe Medication Administration and Error reading it back to provider; use aids such as "b as in boy"; remind the provider
Reduction: Transcribing Prescriptions to verify the prescription and sign it within the amount of time the facility's
(Active Learning Template - Basic Concept, policy specifies
RM FUND 9.0 Ch 47) -Med reconciliation occurs at admission, when transferring clients between units or
facilities, and at discharge
-observe skin for breakdown, warmth, and change in color
-look for pallor or redness in fair-skinned clients, and purple or blue discoloration in
Mobility and Immobility: Pressure Ulcers dark-skinned clients
(Active Learning Template - Basic Concept, -use pressure ulcer risk scale such as Braden or Norton
RM FUND 9.0 Ch 40)
-position clients using corrective devices such as pillows, wedges, boots, splints to
protect pressure ulcer area
-change client position q 2 hours and perform weight shifts in the wheelchair every
Mobility and Immobility: Preventing 15 minutes
Contractures (Active Learning Template -
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Basic Concept, RM FUND 9.0 Ch 40) -encourage active or provide passive ROM 2-3 times/day
-cluster care to promote a proper sleep-wake cycle
-request PT for clients who have decreased mobility
Safe Medication Administration and Error -single or one time prescriptions: one time dose (ex: preoperatively)
Reduction: Priority Interventions for -stat prescriptions: once and immediately
Initiation of Therapy (Active Learning
-Now: up to 90 minutes from when the nurse received prescription
Template - Nursing Skill, RM FUND 9.0 Ch
-standing prescriptions: order for specific circumstances on unit (i.e. for client
47)
in asystole)
Disaster response:
-activate the disaster management plan
Communicable Diseases, Disasters, and
-perform triage and direct those affected, coordinating evacuation, quarantine, and
Bioterrorism: Emergency Department
opening of shelters
Triage (Active Learning Template -
-triaging involves identifying those who have serious versus minor injuries,
Basic Concept, RM CH RN 7.0 Chp 6)
prioritizing care of victims, and transferring those requiring immediate attention
to medical facilities
Maintaining a Safe Environment: Safe -sturdy, moisture-resistance bags should be used for soiled items
Handling of Vesicant Agents (Active -keep designated equipment in the rooms of clients who are on contact precautions
Learning Template - Basic Concept, RM
-use standard precautions at all times
Leadership 7.0 Chp. 4)
-needlesticks have to be reported
-do not place items on the floor
Medical and Surgical Asepsis: Evaluating
Aseptic Technique (Active Learning -do not shake linens
Template - Nursing Skill, RM FUND 9.0 Ch -use plastic bags for moist, soiled linens
10) -follow proper precautions
-place all lab specimens in biohazard containers or bags for transport or disposal
-unfold top flap away from body
-open side flaps
Medical and Surgical Asepsis: Preparing a
-grasp last flap and turn it down toward the body
Sterile Field (Active Learning Template -
-open other sterile packages next to sterile field.
Nursing Skill, RM FUND 9.0 Ch 10)
-hold packages 15 cm (6 in) above sterile field and drop in center of field
-hold bottles with label in palm ; do not splash solutions while pouring
Contractions: painless, irregular frequency, intermittent. decrease in frequency and
intensity with walking or position changes. felt in lower back or abdomen
above
Labor and Delivery Processes: umbilicus. often stop with sleep or comfort measures such as oral hydration or
emptying of the bladder.
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