ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM
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1. The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient
t t t t t t t t t t t
to the medical-surgical floor. Before leaving the floor, the medical-surgical
t t t t t t t t t
nurse obtains a complete set of vital signs. What is the rationale for this nursingaction?
t t t t t t t t t t t t t t t
a. This is done to complete the first action in a head-to-toe assessment.
t t t t t t t t t t t
This is done to compare and monitor for vital sign variation during
t t t t t t t t t t t
b. transport.
This is done to ensure that the medical-surgical nurse checks on the
t t t t t t t t t t t
c. postoperative patient. t
This is done to follow hospital policy and procedure for care of the
t t t t t t t t t t t t
d. surgical patient. t t
ANS: B t
Before the PACU nurse leaves the acute care area, the staff nurse assuming care forthe pat
t t t t t t t t t t t t t t t t
ient takes a complete set of vital signs to compare with PACU findings.
t t t t t t t t t t t t
Minor vital sign variations normally occur after transporting the patient. The PAC
t t t t t t t t t t t
U nurse reviews the patient’s information with the medical-
t t t t t t t t
surgical nurse,including the surgical and PACU course, physician orders, and the p
t t t t t t t t t t t t
atient’s condition. While vital signs may or may not be the first action in a head-to-
t t t t t t t t t t t t t t t
toe assessment, this is not the rationale for this situation. While following policy ora
t t t t t t t t t t t t t t
scertaining that the floor nurse checks on the patient are good reasons for safecare, t
t t t t t t t t t t t t t t t
hey are not the best rationale for obtaining vital signs.
t t t t t t t t t
2. The nurse is caring for a patient who will undergo a removal of a lung lobe.Whic
t t t t t t t t t t t t t t t t
h level of care will the patient require immediately post procedure?
t t t t t t t t t t
a. Acute care—medical-surgical unit t t
b. Acute care—intensive care unit t t t
c. Ambulatory surgery t
d. Ambulatory surgery—extended stay t t
325
,ANS: B
t
325
, A&EtItComprehensivetTestbank
Patients undergoing extensive surgery and requiring anesthesia of long duration r
t t t t t t t t t t
ecover slowly. If a patient is undergoing major surgery such as a procedure on the l
t t t t t t t t t t t t t t t
ung, a stay in the hospital and specifically in the intensive care unit is required to m
t t t t t t t t t t t t t t t t
onitor for potential risks to well- t t t t t
being. This patient would require more care than can be provided on a medical-
t t t t t t t t t t t t t
surgical unit. It isnot appropriate for this type of patient to go home after the proced
t t t t t t t t t t t t t t t t
ure or to stay in an extended stay area of an ambulatory surgery area because of the
t t t t t t t t t t t t t t t t t
complexity and associated risks. t t t
3. The nurse is caring for a group of patients. Which patient will the nurse see
t t t t t t t t t t t t t t
first?
a. A patient who had cataract surgery is coughing.
t t t t t t t
A patient who had vascular repair of the right leg is not doing right leg
t t t t t t t t t t t t t t
b. exercises.
A patient after knee surgery is wearing intermittent pneumatic
t t t t t t t t
c. compression devices and receiving heparin. t t t t
A patient after surgery has vital signs taken every 15 minutes twice,
t t t t t t t t t t t
d. every 30 minutes twice, hourly for 2 hours then every 4 hours.AN
t t t t t t t t t t t t
S: A t
For patients who have had eye, intracranial, or spinal surgery, coughing may be co
t t t t t t t t t t t t t
ntraindicated because of the potential increase in intraocular or intracranial pressu t t t t t t t t t t
re. The nurse will need to see this patient first to control thecough and intraocular pr
t t t t t t t t t t t t t t t t
essure. All the rest are normal postoperative patients. Leg exercise should not be p
t t t t t t t t t t t t t
erformed on the operative leg with vascular surgery. A patient after knee surgery sh
t t t t t t t t t t t t t
ould receive heparin and be wearing intermittent pneumatic compression devices;
t t t t t t t t t t
while the nurse will check on thepatient, it does not have to be first. Monitoring vita
t t t t t t t t t t t t t t t t
l signs after surgery is required and this is the standard schedule.
t t t t t t t t t t t
4. The nurse demonstrates postoperative exercises for a patient. In whichord
t t t t t t t t t t
er will the nurse instruct the patient to perform the exercises?
t t t t t t t t t t
1. Turning
2. Breathing
3. Coughing
4. Leg exercises t
3
a. 4, 1, 2, 3 t t t
t t t t t
1. The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient
t t t t t t t t t t t
to the medical-surgical floor. Before leaving the floor, the medical-surgical
t t t t t t t t t
nurse obtains a complete set of vital signs. What is the rationale for this nursingaction?
t t t t t t t t t t t t t t t
a. This is done to complete the first action in a head-to-toe assessment.
t t t t t t t t t t t
This is done to compare and monitor for vital sign variation during
t t t t t t t t t t t
b. transport.
This is done to ensure that the medical-surgical nurse checks on the
t t t t t t t t t t t
c. postoperative patient. t
This is done to follow hospital policy and procedure for care of the
t t t t t t t t t t t t
d. surgical patient. t t
ANS: B t
Before the PACU nurse leaves the acute care area, the staff nurse assuming care forthe pat
t t t t t t t t t t t t t t t t
ient takes a complete set of vital signs to compare with PACU findings.
t t t t t t t t t t t t
Minor vital sign variations normally occur after transporting the patient. The PAC
t t t t t t t t t t t
U nurse reviews the patient’s information with the medical-
t t t t t t t t
surgical nurse,including the surgical and PACU course, physician orders, and the p
t t t t t t t t t t t t
atient’s condition. While vital signs may or may not be the first action in a head-to-
t t t t t t t t t t t t t t t
toe assessment, this is not the rationale for this situation. While following policy ora
t t t t t t t t t t t t t t
scertaining that the floor nurse checks on the patient are good reasons for safecare, t
t t t t t t t t t t t t t t t
hey are not the best rationale for obtaining vital signs.
t t t t t t t t t
2. The nurse is caring for a patient who will undergo a removal of a lung lobe.Whic
t t t t t t t t t t t t t t t t
h level of care will the patient require immediately post procedure?
t t t t t t t t t t
a. Acute care—medical-surgical unit t t
b. Acute care—intensive care unit t t t
c. Ambulatory surgery t
d. Ambulatory surgery—extended stay t t
325
,ANS: B
t
325
, A&EtItComprehensivetTestbank
Patients undergoing extensive surgery and requiring anesthesia of long duration r
t t t t t t t t t t
ecover slowly. If a patient is undergoing major surgery such as a procedure on the l
t t t t t t t t t t t t t t t
ung, a stay in the hospital and specifically in the intensive care unit is required to m
t t t t t t t t t t t t t t t t
onitor for potential risks to well- t t t t t
being. This patient would require more care than can be provided on a medical-
t t t t t t t t t t t t t
surgical unit. It isnot appropriate for this type of patient to go home after the proced
t t t t t t t t t t t t t t t t
ure or to stay in an extended stay area of an ambulatory surgery area because of the
t t t t t t t t t t t t t t t t t
complexity and associated risks. t t t
3. The nurse is caring for a group of patients. Which patient will the nurse see
t t t t t t t t t t t t t t
first?
a. A patient who had cataract surgery is coughing.
t t t t t t t
A patient who had vascular repair of the right leg is not doing right leg
t t t t t t t t t t t t t t
b. exercises.
A patient after knee surgery is wearing intermittent pneumatic
t t t t t t t t
c. compression devices and receiving heparin. t t t t
A patient after surgery has vital signs taken every 15 minutes twice,
t t t t t t t t t t t
d. every 30 minutes twice, hourly for 2 hours then every 4 hours.AN
t t t t t t t t t t t t
S: A t
For patients who have had eye, intracranial, or spinal surgery, coughing may be co
t t t t t t t t t t t t t
ntraindicated because of the potential increase in intraocular or intracranial pressu t t t t t t t t t t
re. The nurse will need to see this patient first to control thecough and intraocular pr
t t t t t t t t t t t t t t t t
essure. All the rest are normal postoperative patients. Leg exercise should not be p
t t t t t t t t t t t t t
erformed on the operative leg with vascular surgery. A patient after knee surgery sh
t t t t t t t t t t t t t
ould receive heparin and be wearing intermittent pneumatic compression devices;
t t t t t t t t t t
while the nurse will check on thepatient, it does not have to be first. Monitoring vita
t t t t t t t t t t t t t t t t
l signs after surgery is required and this is the standard schedule.
t t t t t t t t t t t
4. The nurse demonstrates postoperative exercises for a patient. In whichord
t t t t t t t t t t
er will the nurse instruct the patient to perform the exercises?
t t t t t t t t t t
1. Turning
2. Breathing
3. Coughing
4. Leg exercises t
3
a. 4, 1, 2, 3 t t t
