[NGN] ATI RN COMPREHENSIVE PREDICTOR RETAKE EXAML
g g g g g g g
ATEST UPDATE 2023_2024 QUESTIONS WITH VERIFIED ANS
g g g g g g
WERS AND RATIONALES g g
1. Thegpostanesthesiag careg unitg (PACU)g nurseg transportsg theg inpatientg surgicalg patientg tog theg medical-surgicalfloor.g Beforeg leavingg thegfloor,g theg medical-
surgicalg nurseg obtainsg ag completeg setg ofgvitalgsigns.gWhatgisgthegrationalegforgthisgnursinggaction?
a. Thisgisgdonegtog completeg theg firstg actionging ag head-to-toeg assessment.
Thisgisgdonegtogcomparegandgmonitorgforgvitalgsigngvariationgduring
b. transport.
Thisgisg doneg tog ensureg thatg theg medical-surgicalg nurseg checksgong the
c. postoperativeg patient.
Thisgisgdonegtogfollowghospitalgpolicygandgproceduregforgcaregofgthe
d. surgicalgpatient.
ANS:g B
Beforeg theg PACUgnurseg leavesgtheg acuteg careg area,g theg staffg nurseg assumingg careg forgtheg patientgtakesg ag completeg setg ofgvitalg signsg tog compareg withg PACUgfindings.g Minorgvitalg signgvariationsgnormallyg occurgafter
transportinggthegpatient.gThegPACU gnursegreviewsgthegpatient’sginformationgwithgthegmedical-
surgicalgnurse,gincludinggthegsurgicalgandgPACUgcourse,gphysiciangorders,gandgthegpatient’sgcondition.gWhilegvitalg signsg maygorgmayg notgbegthegfirstgactiongingaghead-to-
toegassessment,g thisgisgnotgtheg rationaleg forg thisgsituation.g Whilegfollowingg policygorgascertainingg thatgtheg floorg nurseg checksg ongtheg patientgareggoodgreasonsgforgsafegcare,gtheygaregnotgthegbestgrational
egforgobtaininggvitalgsigns.
2. Thegnursegisgcaringgforgagpatientgwhogwillgundergogagremovalgofgaglungglobe.gWhichglevelgofgcaregwillgthepatientgrequiregimmediatelygpostgprocedure?
a. Acuteg care—medical-surgicalg unit
b. Acutegcare—intensivegcaregunit
c. Ambulatorygsurgery
d. Ambulatorygsurgery—extendedg stay
ANS:g B
Patientsg undergoingg extensiveg surgeryg andg requiringg anesthesiag ofg longg durationg recoverg slowly.g Ifg ag patientg isg undergoingg majorg surgeryg suchg asg ag procedureg ong theg lung,g ag stayging theg hospitalg andgspecificall
ygingtheg intensivegcaregunitgisgrequiredgtogmonitorgforgpotentialgrisksgtogwell-being.gThisgpatientgwouldgrequiregmoregcaregthangcangbegprovidedgongagmedical-
surgicalgunit.gItgisgnotgappropriategforgthisgtypegofgpatientgtoggoghomegaftergthegproceduregorgtogstaygingangextendedgstaygareagofgangambulatorygsurgerygareagbecausegofgthegcomplexitygandgas
sociatedg risks.
,3. Thegnurseg isg caringg forg aggroupg ofgpatients.gWhichg patientgwillgtheg nurseg seegfirst?
a. Ag patientg whog hadg cataractg surgeryg isg coughing.
Ag patientg whog hadg vascularg repairg ofgtheg rightglegg isg notgdoingg rightgleg
b. exercises.
Ag patientg aftergkneeg surgeryg isg wearingg intermittentg pneumatic
c. compressiong devicesg andg receivingg heparin.
326
, Ag patientg afterg surgeryg hasg vitalg signsg takeng everyg 15g minutesg twice,
d. everyg30gminutesgtwice,g hourlygforg2g hoursgthengeveryg4g hours.
ANS:g A
Forg patientsg whog haveg hadg eye,g intracranial,g org spinalg surgery,g coughingg mayg beg contraindicatedg becauseg ofg theg potentialg increaseg ing intraocularg org intracranialg pressure.g Theg nurseg willg needg tog seeg thisgpatien
tgfirstgtogcontrolgthegcoughgandgintraoculargpressure.gAllgthegrestgaregnormalgpostoperativegpatients.gLeggexercisegshouldgnotgbegperformedgongthegoperativegleggwithgvasculargsurgery.gAgpatientgaftergkneegsurger
yg shouldgreceiveg heparingandgbeg wearinggintermittentg pneumaticg compressiong devices;g whilegtheg nurseg willg checkgongthegpatient,g itgdoesg notg havegtog beg first.g Monitoringgvitalgsignsgaftergsurgerygisgrequiredgan
dgthisgisgthegstandardgschedule.
4. Thegnursegdemonstratesgpostoperativegexercisesg forgagpatient.gIngwhichgordergwillgthegnurseginstructgthepatientgtogperformgthegexercises?
1. Turning
2. Breathing
3. Coughing
4. Leggexercises
a. 4,g 1,g 2,g 3
b. 1,g2,g3,g4
c. 2,g3,g4,g1
d. 3,g 1,g 4,g 2
ANS:g A
Theg sequenceg ofg exercisesg isg legg exercises,g turning,g breathing,g andg coughing.gMULTIPLEg
RESPONSE
1. Thegnursegisg participatingging ag“time-out.”gIngwhichgactivitiesgwillgtheg nursegbeginvolved?g (Selectgallthatgapply.)
a. Verifygthegcorrectgsite.
b. Verifygthegcorrectg patient.
c. Verifygthegcorrectgprocedure.
d. Performg“time-out”gaftergsurgery.
e. Performg theg actualgmarkingg ofgtheg operativegsite.
ANS:g A,g B,g C
g g g g g g g
ATEST UPDATE 2023_2024 QUESTIONS WITH VERIFIED ANS
g g g g g g
WERS AND RATIONALES g g
1. Thegpostanesthesiag careg unitg (PACU)g nurseg transportsg theg inpatientg surgicalg patientg tog theg medical-surgicalfloor.g Beforeg leavingg thegfloor,g theg medical-
surgicalg nurseg obtainsg ag completeg setg ofgvitalgsigns.gWhatgisgthegrationalegforgthisgnursinggaction?
a. Thisgisgdonegtog completeg theg firstg actionging ag head-to-toeg assessment.
Thisgisgdonegtogcomparegandgmonitorgforgvitalgsigngvariationgduring
b. transport.
Thisgisg doneg tog ensureg thatg theg medical-surgicalg nurseg checksgong the
c. postoperativeg patient.
Thisgisgdonegtogfollowghospitalgpolicygandgproceduregforgcaregofgthe
d. surgicalgpatient.
ANS:g B
Beforeg theg PACUgnurseg leavesgtheg acuteg careg area,g theg staffg nurseg assumingg careg forgtheg patientgtakesg ag completeg setg ofgvitalg signsg tog compareg withg PACUgfindings.g Minorgvitalg signgvariationsgnormallyg occurgafter
transportinggthegpatient.gThegPACU gnursegreviewsgthegpatient’sginformationgwithgthegmedical-
surgicalgnurse,gincludinggthegsurgicalgandgPACUgcourse,gphysiciangorders,gandgthegpatient’sgcondition.gWhilegvitalg signsg maygorgmayg notgbegthegfirstgactiongingaghead-to-
toegassessment,g thisgisgnotgtheg rationaleg forg thisgsituation.g Whilegfollowingg policygorgascertainingg thatgtheg floorg nurseg checksg ongtheg patientgareggoodgreasonsgforgsafegcare,gtheygaregnotgthegbestgrational
egforgobtaininggvitalgsigns.
2. Thegnursegisgcaringgforgagpatientgwhogwillgundergogagremovalgofgaglungglobe.gWhichglevelgofgcaregwillgthepatientgrequiregimmediatelygpostgprocedure?
a. Acuteg care—medical-surgicalg unit
b. Acutegcare—intensivegcaregunit
c. Ambulatorygsurgery
d. Ambulatorygsurgery—extendedg stay
ANS:g B
Patientsg undergoingg extensiveg surgeryg andg requiringg anesthesiag ofg longg durationg recoverg slowly.g Ifg ag patientg isg undergoingg majorg surgeryg suchg asg ag procedureg ong theg lung,g ag stayging theg hospitalg andgspecificall
ygingtheg intensivegcaregunitgisgrequiredgtogmonitorgforgpotentialgrisksgtogwell-being.gThisgpatientgwouldgrequiregmoregcaregthangcangbegprovidedgongagmedical-
surgicalgunit.gItgisgnotgappropriategforgthisgtypegofgpatientgtoggoghomegaftergthegproceduregorgtogstaygingangextendedgstaygareagofgangambulatorygsurgerygareagbecausegofgthegcomplexitygandgas
sociatedg risks.
,3. Thegnurseg isg caringg forg aggroupg ofgpatients.gWhichg patientgwillgtheg nurseg seegfirst?
a. Ag patientg whog hadg cataractg surgeryg isg coughing.
Ag patientg whog hadg vascularg repairg ofgtheg rightglegg isg notgdoingg rightgleg
b. exercises.
Ag patientg aftergkneeg surgeryg isg wearingg intermittentg pneumatic
c. compressiong devicesg andg receivingg heparin.
326
, Ag patientg afterg surgeryg hasg vitalg signsg takeng everyg 15g minutesg twice,
d. everyg30gminutesgtwice,g hourlygforg2g hoursgthengeveryg4g hours.
ANS:g A
Forg patientsg whog haveg hadg eye,g intracranial,g org spinalg surgery,g coughingg mayg beg contraindicatedg becauseg ofg theg potentialg increaseg ing intraocularg org intracranialg pressure.g Theg nurseg willg needg tog seeg thisgpatien
tgfirstgtogcontrolgthegcoughgandgintraoculargpressure.gAllgthegrestgaregnormalgpostoperativegpatients.gLeggexercisegshouldgnotgbegperformedgongthegoperativegleggwithgvasculargsurgery.gAgpatientgaftergkneegsurger
yg shouldgreceiveg heparingandgbeg wearinggintermittentg pneumaticg compressiong devices;g whilegtheg nurseg willg checkgongthegpatient,g itgdoesg notg havegtog beg first.g Monitoringgvitalgsignsgaftergsurgerygisgrequiredgan
dgthisgisgthegstandardgschedule.
4. Thegnursegdemonstratesgpostoperativegexercisesg forgagpatient.gIngwhichgordergwillgthegnurseginstructgthepatientgtogperformgthegexercises?
1. Turning
2. Breathing
3. Coughing
4. Leggexercises
a. 4,g 1,g 2,g 3
b. 1,g2,g3,g4
c. 2,g3,g4,g1
d. 3,g 1,g 4,g 2
ANS:g A
Theg sequenceg ofg exercisesg isg legg exercises,g turning,g breathing,g andg coughing.gMULTIPLEg
RESPONSE
1. Thegnursegisg participatingging ag“time-out.”gIngwhichgactivitiesgwillgtheg nursegbeginvolved?g (Selectgallthatgapply.)
a. Verifygthegcorrectgsite.
b. Verifygthegcorrectg patient.
c. Verifygthegcorrectgprocedure.
d. Performg“time-out”gaftergsurgery.
e. Performg theg actualgmarkingg ofgtheg operativegsite.
ANS:g A,g B,g C
