ne
tz
sh
ATI PHARMACOLOGY PROCTORED
ne
EXAM la
tz
sh
Sp
ne
1. The nurse is caring for a patient in preadmission testing. The patient has
la
been assigned a physical status classification by the American Society of
tz
sh
Sp
Anesthesiologists of ASA III. Which assessment will support this
ne
classification?
la
a. Normal, healthy patient
tz
sh
Sp
ne
b. Denial of any major illnesses or conditions
la
c. Poorly controlled hypertension with implanted pacemaker
tz
sh
d. Moribund patient not expected to survive without the operation
Sp
ne
ANS: C
la
tz
An ASA III rating is a patient with a severe systemic disease, such as poorly
sh
Sp
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
ne
patient with no major illnesses or conditions. ASA II is a patient with mild systemic
la
disease. ASA V is a moribund patient who is not expected to survive without the
tz
operation and includes patients with ruptured abdominal/thoracic aneurysm or
sh
Sp
massive trauma.
ne
la
tz
2. The patient has presented to the ambulatory surgery center to have a
sh
Sp
colonoscopy. The patient is scheduled to receive moderate sedation (conscious
ne
sedation) during the procedure. How will the nurse interpret this information?
la
a. The procedure results in loss of sensation in an area of the body.
tz
sh
Sp
ne
b. The procedure requires a depressed level of consciousness.
la
c. The procedure will be performed on an outpatient basis.
tz
sh
Sp
d. The procedure necessitates the patient to be immobile.
ne
la
ANS: B
tz
sh
Sp
Moderate sedation (conscious sedation) is used routinely for procedures that do not
ne
require complete anesthesia but rather a depressed level of consciousness. Not all
la
patients who are treated on an outpatient basis receive moderate sedation. Regional
tz
anesthesia such as local anesthesia provides loss of sensation in an area of the
sh
Sp
body. General anesthesia is used for patients who need to be immobile and to not
ne
remember the surgical procedure.
la
sh
Sp
la
Sp
, ne
tz
sh
3. The nurse is caring for a patient in the postanesthesia care unit who has
undergone a left total knee arthroplasty. The anesthesia provider has indicated
ne
la
that the patient received a left femoral peripheral nerve block. Which
tz
assessment will be an expected finding for this patient?
sh
Sp
a. Sensation decreased in the left leg
ne
la
tz
b. Patient report of pain in the left foot
sh
Sp
c. Pulse decreased at the left posterior tibia
ne
la
d. Left toes cool to touch and slightly cyanotic
tz
sh
Sp
ANS: A
ne
Induction of regional anesthesia results in loss of sensation in an area of the body
la
—in this case, the left leg. The peripheral nerve block influences the portions of
tz
sh
sensory pathways that are anesthetized in the targeted area of the body. Decreased
Sp
ne
pulse, toes cool to touch, and cyanosis are indications of decreased blood flow and
are not expected findings. Reports of pain in the left foot may indicate that the
la
tz
block is not working or is subsiding and is not an expected finding in the
sh
Sp
immediate postoperative period.
ne
4. The nurse is preparing a patient for surgery. Which goal is a priority
la
tz
for assessing the patient before surgery?
sh
Sp
a. Plan for care after the procedure.
ne
la
tz
b. Establish a patient’s baseline of normal function. sh
Sp
c. Educate the patient and family about the procedure.
ne
d. Gather appropriate equipment for the patient’s needs.
la
tz
sh
Sp
ANS: B
ne
The goal of the preoperative assessment is to identify a patient’s normal
la
preoperative function and the presence of any risks to recognize, prevent, and
tz
sh
minimize possible postoperative complications. Gathering appropriate equipment,
Sp
planning care, and educating the patient and family are all important interventions
ne
that must be provided for the surgical patient; they are part of the nursing process
la
but are not the priority reason/goal for completing an assessment of the surgical
tz
sh
patient.
Sp
ne
5. The nurse is completing a medication history for the surgical patient in
la
preadmission testing. Which medication should the nurse instruct the patient to
tz
sh
hold (discontinue) in preparation for surgery according to protocol?
Sp
ne
a. Warfarin
la
sh
Sp
la
Sp
,
Sp Sp Sp Sp Sp Sp Sp b.
la la la la la la la
sh sh sh sh sh sh sh
ne ne ne ne ne ne ne
Vitamin C
tz tz tz tz tz tz
Sp Sp Sp Sp Sp Sp
la la la la la la
sh sh sh sh sh sh
ne ne ne ne ne ne
tz tz tz tz tz tz
tz
sh
ATI PHARMACOLOGY PROCTORED
ne
EXAM la
tz
sh
Sp
ne
1. The nurse is caring for a patient in preadmission testing. The patient has
la
been assigned a physical status classification by the American Society of
tz
sh
Sp
Anesthesiologists of ASA III. Which assessment will support this
ne
classification?
la
a. Normal, healthy patient
tz
sh
Sp
ne
b. Denial of any major illnesses or conditions
la
c. Poorly controlled hypertension with implanted pacemaker
tz
sh
d. Moribund patient not expected to survive without the operation
Sp
ne
ANS: C
la
tz
An ASA III rating is a patient with a severe systemic disease, such as poorly
sh
Sp
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
ne
patient with no major illnesses or conditions. ASA II is a patient with mild systemic
la
disease. ASA V is a moribund patient who is not expected to survive without the
tz
operation and includes patients with ruptured abdominal/thoracic aneurysm or
sh
Sp
massive trauma.
ne
la
tz
2. The patient has presented to the ambulatory surgery center to have a
sh
Sp
colonoscopy. The patient is scheduled to receive moderate sedation (conscious
ne
sedation) during the procedure. How will the nurse interpret this information?
la
a. The procedure results in loss of sensation in an area of the body.
tz
sh
Sp
ne
b. The procedure requires a depressed level of consciousness.
la
c. The procedure will be performed on an outpatient basis.
tz
sh
Sp
d. The procedure necessitates the patient to be immobile.
ne
la
ANS: B
tz
sh
Sp
Moderate sedation (conscious sedation) is used routinely for procedures that do not
ne
require complete anesthesia but rather a depressed level of consciousness. Not all
la
patients who are treated on an outpatient basis receive moderate sedation. Regional
tz
anesthesia such as local anesthesia provides loss of sensation in an area of the
sh
Sp
body. General anesthesia is used for patients who need to be immobile and to not
ne
remember the surgical procedure.
la
sh
Sp
la
Sp
, ne
tz
sh
3. The nurse is caring for a patient in the postanesthesia care unit who has
undergone a left total knee arthroplasty. The anesthesia provider has indicated
ne
la
that the patient received a left femoral peripheral nerve block. Which
tz
assessment will be an expected finding for this patient?
sh
Sp
a. Sensation decreased in the left leg
ne
la
tz
b. Patient report of pain in the left foot
sh
Sp
c. Pulse decreased at the left posterior tibia
ne
la
d. Left toes cool to touch and slightly cyanotic
tz
sh
Sp
ANS: A
ne
Induction of regional anesthesia results in loss of sensation in an area of the body
la
—in this case, the left leg. The peripheral nerve block influences the portions of
tz
sh
sensory pathways that are anesthetized in the targeted area of the body. Decreased
Sp
ne
pulse, toes cool to touch, and cyanosis are indications of decreased blood flow and
are not expected findings. Reports of pain in the left foot may indicate that the
la
tz
block is not working or is subsiding and is not an expected finding in the
sh
Sp
immediate postoperative period.
ne
4. The nurse is preparing a patient for surgery. Which goal is a priority
la
tz
for assessing the patient before surgery?
sh
Sp
a. Plan for care after the procedure.
ne
la
tz
b. Establish a patient’s baseline of normal function. sh
Sp
c. Educate the patient and family about the procedure.
ne
d. Gather appropriate equipment for the patient’s needs.
la
tz
sh
Sp
ANS: B
ne
The goal of the preoperative assessment is to identify a patient’s normal
la
preoperative function and the presence of any risks to recognize, prevent, and
tz
sh
minimize possible postoperative complications. Gathering appropriate equipment,
Sp
planning care, and educating the patient and family are all important interventions
ne
that must be provided for the surgical patient; they are part of the nursing process
la
but are not the priority reason/goal for completing an assessment of the surgical
tz
sh
patient.
Sp
ne
5. The nurse is completing a medication history for the surgical patient in
la
preadmission testing. Which medication should the nurse instruct the patient to
tz
sh
hold (discontinue) in preparation for surgery according to protocol?
Sp
ne
a. Warfarin
la
sh
Sp
la
Sp
,
Sp Sp Sp Sp Sp Sp Sp b.
la la la la la la la
sh sh sh sh sh sh sh
ne ne ne ne ne ne ne
Vitamin C
tz tz tz tz tz tz
Sp Sp Sp Sp Sp Sp
la la la la la la
sh sh sh sh sh sh
ne ne ne ne ne ne
tz tz tz tz tz tz
