1. ATI RN OB MATERNITY PROCTORED EXAM {3 LATEST
VERSIONS} 2024
2. The 7nnurse 7nis 7ncompleting 7na 7nmedication 7nhistory 7nfor 7nthe 7nsurgical
7npatient 7nin 7npreadmission 7ntesting. 7nWhich 7nmedication 7nshould 7nthe
7nnurse 7ninstruct 7nthe
patient 7nto 7nhold 7n(discontinue) 7nin 7npreparation 7nfor 7nsurgery 7naccording 7nto
7nprotocol?
a. Warfarin
b. Vitamin 7nC
c. Prednisone
d. Acetaminophen
ANS: 7nA
Medications 7nsuch 7nas 7nwarfarin 7nor 7naspirin 7nalter 7nnormal 7nclotting 7nfactors
7nand 7nthus 7nincrease 7nthe 7nrisk 7nof 7nhemorrhaging. 7nDiscontinue 7nat 7nleast 7n48
7nhours 7nbefore 7nsurgery. 7nAcetaminophen 7nis 7na 7npain 7nreliever 7nthat 7nhas 7nno
7nspecial 7nimplications 7nfor 7nsurgery. 7nVitamin 7nC 7nactually 7nassists 7nin 7nwound
7nhealing 7nand 7nhas 7nno 7nspecial 7nimplications 7nfor 7nsurgery. 7nPrednisone 7nis 7na
7ncorticosteroid, 7nand 7ndosages 7nare 7noften 7ntemporarily 7nincreased 7nrather
7nthan 7nheld.
3. The 7nnurse 7nis 7nprescreening 7na 7nsurgical 7npatient 7nin 7nthe 7npreadmission
7ntesting 7nunit. 7nThe 7nmedication 7nhistory 7nindicates 7nthat 7nthe 7npatient 7nis
currently 7ntaking 7nan 7nanticoagulant. 7nWhich 7naction 7nshould 7nthe 7nnurse 7ntake
7nwhen 7nconsulting 7nwith 7nthe 7nhealth 7ncare 7nprovider?
a. Ask 7nfor 7na 7nradiological 7nexamination 7nof 7nthe 7nchest.
b. Ask 7nfor 7nan 7ninternational 7nnormalized 7nratio 7n(INR).
c. Ask 7nfor 7na 7nblood 7nurea 7nnitrogen 7n(BUN).
, d. Ask 7nfor 7na 7nserum 7nsodium 7n(Na).
ANS: 7nB
INR, 7nPT 7n(prothrombin 7ntime), 7nAPTT 7n(activated 7npartial 7nthromboplastin 7ntime),
7nand 7nplatelet 7ncounts 7nreveal 7nthe 7nclotting 7nability 7nof 7nthe 7nblood.
7nAnticoagulants 7ncan 7nbe 7nutilized 7nfor 7ndifferent 7nconditions, 7nbut 7nits 7naction
7nis 7nto 7nincrease 7nthe 7ntime 7nit 7ntakes 7nfor 7nthe 7nblood 7nto 7nclot. 7nThis 7naction
7ncan 7nput 7nthe 7nsurgical 7npatient 7nat 7nrisk 7nfor 7nbleeding 7ntendencies.
Typically, 7nif 7nat 7nall 7npossible, 7nthis 7nmedication 7nis 7nheld 7nseveral 7ndays
7nbefore 7na 7nsurgical 7nprocedure 7nto 7ndecrease 7nthis 7nrisk. 7nChest 7nx-ray, 7nBUN,
7nand 7nNa 7nare 7ndiagnostic 7nscreening 7ntools 7nfor 7nsurgery 7nbut 7nare 7nnot
7nspecific 7nto 7nanticoagulants.
4. The 7nnurse 7nis 7npreparing 7na 7npatient 7nfor 7nsurgery. 7nWhich 7ngoal 7nis 7na
priority 7nfor 7nassessing 7nthe 7npatient 7nbefore 7nsurgery?
a. Plan 7nfor 7ncare 7nafter 7nthe 7nprocedure.
b. Establish 7na 7npatient’s 7nbaseline 7nof 7nnormal 7nfunction.
c. Educate 7nthe 7npatient 7nand 7nfamily 7nabout 7nthe 7nprocedure.
d. Gather 7nappropriate 7nequipment 7nfor 7nthe 7npatient’s 7nneeds.
ANS: 7nB
The 7ngoal 7nof 7nthe 7npreoperative 7nassessment 7nis 7nto 7nidentify 7na 7npatient’s
7nnormal 7npreoperative 7nfunction 7nand 7nthe 7npresence 7nof 7nany 7nrisks 7nto
7nrecognize, 7nprevent, 7nand 7nminimize 7npossible 7npostoperative 7ncomplications.
7nGathering 7nappropriate 7nequipment, 7nplanning 7ncare, 7nand 7neducating 7nthe
7npatient 7nand 7nfamily 7nare 7nall 7nimportant 7ninterventions 7nthat 7nmust 7nbe
7nprovided 7nfor 7nthe 7nsurgical 7npatient; 7nthey 7nare 7npart 7nof 7nthe 7nnursing
7nprocess 7nbut 7nare 7nnot 7nthe 7npriority 7nreason/goal 7nfor 7ncompleting 7nan
7nassessment 7nof 7nthe 7nsurgical 7npatient.
,5. The 7nnurse 7nis 7nencouraging 7nthe 7npostoperative 7npatient 7nto
7nutilize 7ndiaphragmatic
breathing. 7nWhich 7npriority 7ngoal 7nis 7nthe 7nnurse 7ntrying 7nto 7nachieve?
a. Manage 7npain
b. Prevent 7natelectasis
c. Reduce 7nhealing 7ntime
d. Decrease 7nthrombus 7nformation
ANS: 7nB
After 7nsurgery, 7npatients 7nmay 7nhave 7nreduced 7nlung 7nvolume 7nand 7nmay
7nrequire 7ngreater 7neffort 7nto 7ncough 7nand 7ndeep 7nbreathe; 7ninadequate 7nlung
7nexpansion 7ncan 7nlead 7nto 7natelectasis 7nand 7npneumonia. 7nPurposely 7nutilizing
7ndiaphragmatic 7nbreathing 7ncan 7ndecrease 7nthis 7nrisk. 7nDuring 7ngeneral
7nanesthesia, 7nthe 7nlungs 7nare 7nnot 7nfully 7ninflated 7nduring 7nsurgery 7nand 7nthe
7ncough 7nreflex 7nis 7nsuppressed, 7nso 7nmucus 7ncollects 7nwithin 7nairway
7npassages. 7nDiaphragmatic 7nbreathing 7ndoes 7nnot 7nmanage 7npain; 7nin 7nsome
7ncases, 7nif 7nsplinting 7nand 7npain 7nmedications 7nare 7nnot 7ngiven, 7nit 7ncan 7ncause
7npain. 7nDiaphragmatic 7nbreathing 7ndoes 7nnot 7nreduce 7nhealing 7ntime 7nor
7ndecrease 7nthrombus 7nformation. 7nBetter, 7nmore 7neffective 7ninterventions
7nare 7navailable 7nfor 7nthese 7nsituations.
6. The 7nnurse 7nis 7ncaring 7nfor 7na 7npostoperative 7npatient 7non 7nthe 7nmedical-surgical
floor. 7nWhich 7nactivity 7nwill 7nthe 7nnurse 7nencourage 7nto 7nprevent 7nvenous
7nstasis 7nand 7nthe 7nformation 7nof 7nthrombus?
a. Diaphragmatic 7nbreathing
b. Incentive 7nspirometry
c. Leg 7nexercises
d. Coughing
, ANS: 7 n C
After 7 n general 7 n anesthesia, 7 n circulation 7 n slows, 7 n and 7 n when
7 n the 7 n rate 7 n of 7 n blo 7nod 7 n slows, 7 n a 7 n greater 7 n tendency 7 n for 7 n clot
7 n formation 7 n is 7 n noted. 7 n Immobilizati 7 n on 7 n results 7 n in 7 n decreased
7 n muscular 7 n contractions 7 n in 7 n the 7 n lower 7 n extremitie 7ns; 7 n these
promote 7 n venous 7 n stasis. 7 n Coughing, 7 n diaphragmatic 7 n breathing, 7 n and
7 n incenti 7nve 7 n spirometry 7 n are 7 n utilized 7 n to 7 n decrease
7 n atelectasis 7 n and 7 n pneumonia.
7. The 7 n nurse 7 n is 7 n caring 7 n for 7 n a 7 n preoperative 7 n patient.
7 n The 7 n nurse 7 n teac 7nhes 7 n the 7 n principles 7 n and
7 n demonstrates 7 n leg 7 n exercises 7 n for 7 n the 7 n patient.
The 7 n patient 7 n is
unable 7 n to 7 n perform 7 n leg 7 n exercises 7 n correctly. 7 n What 7 n is 7 n the
7 n nurse’s 7 n best 7 n next
step?
a. Encourage 7 n the 7 n patient 7 n to 7 n practice 7 n at 7 n a 7 n later 7 n date.
b. Assess 7 n for 7 n the 7 n presence 7 n of 7 n anxiety, 7 n pain, 7 n or 7 n fatigue.
c. Ask 7 n the 7 n patient 7 n why 7 n exercises 7 n are 7 n not 7 n being 7 n done.
d. Evaluate 7 n the 7 n educational 7 n methods 7 n used 7 n to 7 n educate
7 n the 7 n pa 7ntient. 7 n ANS: 7 n B
If 7 n the 7 n patient 7 n is 7 n unable 7 n to 7 n perform 7 n leg 7 n exercises, 7 n the
7 n nurse 7 n should 7 n look 7nfor 7 n circumstances 7 n that 7 n may 7 n be
7 n impacting 7 n the 7 n patient’s 7 n ability 7 n to 7 n learn. 7nIn 7 n this 7 n case,
7 n the 7 n patient 7 n can 7 n be 7 n anticipating 7 n the 7 n upcoming 7 n surgery
7 n and 7nmay 7 n be experiencing 7 n anxiety. 7 n The 7 n patient 7 n may 7 n also
7 n be 7 n in 7 n pain 7 n or 7 n may 7nbe 7 n fatigued; 7 n both 7 n of 7 n these 7 n can
7 n affect 7 n the 7 n ability 7 n to 7 n learn. 7 n Evaluation 7 n of 7neducational
7 n methods 7 n may 7 n be 7 n needed, 7 n but 7 n in 7 n this 7 n case, 7 n principles
7 n and 7ndemonstrations 7 n are 7 n being 7 n utilized. 7 n Asking 7 n anyone 7 n “why”
7 n can 7 n cause 7 n defe 7 n nsiveness 7 n and 7 n may 7 n not 7 n help 7 n in
7 n attaining 7 n the 7 n answer. 7 n The 7 n nurse 7 n is 7 n awar 7ne 7 n that 7 n the
7 n patient 7 n is 7 n unable 7 n to 7 n do 7 n the 7 n exercises. 7 n Moving
7 n forward 7 n with 7nout 7 n ascertaining 7 n that 7 n learning 7 n has 7 n occurred
7 n will 7 n not 7 n help 7 n the 7 n patient 7 n in 7nmeeting 7 n goals.
VERSIONS} 2024
2. The 7nnurse 7nis 7ncompleting 7na 7nmedication 7nhistory 7nfor 7nthe 7nsurgical
7npatient 7nin 7npreadmission 7ntesting. 7nWhich 7nmedication 7nshould 7nthe
7nnurse 7ninstruct 7nthe
patient 7nto 7nhold 7n(discontinue) 7nin 7npreparation 7nfor 7nsurgery 7naccording 7nto
7nprotocol?
a. Warfarin
b. Vitamin 7nC
c. Prednisone
d. Acetaminophen
ANS: 7nA
Medications 7nsuch 7nas 7nwarfarin 7nor 7naspirin 7nalter 7nnormal 7nclotting 7nfactors
7nand 7nthus 7nincrease 7nthe 7nrisk 7nof 7nhemorrhaging. 7nDiscontinue 7nat 7nleast 7n48
7nhours 7nbefore 7nsurgery. 7nAcetaminophen 7nis 7na 7npain 7nreliever 7nthat 7nhas 7nno
7nspecial 7nimplications 7nfor 7nsurgery. 7nVitamin 7nC 7nactually 7nassists 7nin 7nwound
7nhealing 7nand 7nhas 7nno 7nspecial 7nimplications 7nfor 7nsurgery. 7nPrednisone 7nis 7na
7ncorticosteroid, 7nand 7ndosages 7nare 7noften 7ntemporarily 7nincreased 7nrather
7nthan 7nheld.
3. The 7nnurse 7nis 7nprescreening 7na 7nsurgical 7npatient 7nin 7nthe 7npreadmission
7ntesting 7nunit. 7nThe 7nmedication 7nhistory 7nindicates 7nthat 7nthe 7npatient 7nis
currently 7ntaking 7nan 7nanticoagulant. 7nWhich 7naction 7nshould 7nthe 7nnurse 7ntake
7nwhen 7nconsulting 7nwith 7nthe 7nhealth 7ncare 7nprovider?
a. Ask 7nfor 7na 7nradiological 7nexamination 7nof 7nthe 7nchest.
b. Ask 7nfor 7nan 7ninternational 7nnormalized 7nratio 7n(INR).
c. Ask 7nfor 7na 7nblood 7nurea 7nnitrogen 7n(BUN).
, d. Ask 7nfor 7na 7nserum 7nsodium 7n(Na).
ANS: 7nB
INR, 7nPT 7n(prothrombin 7ntime), 7nAPTT 7n(activated 7npartial 7nthromboplastin 7ntime),
7nand 7nplatelet 7ncounts 7nreveal 7nthe 7nclotting 7nability 7nof 7nthe 7nblood.
7nAnticoagulants 7ncan 7nbe 7nutilized 7nfor 7ndifferent 7nconditions, 7nbut 7nits 7naction
7nis 7nto 7nincrease 7nthe 7ntime 7nit 7ntakes 7nfor 7nthe 7nblood 7nto 7nclot. 7nThis 7naction
7ncan 7nput 7nthe 7nsurgical 7npatient 7nat 7nrisk 7nfor 7nbleeding 7ntendencies.
Typically, 7nif 7nat 7nall 7npossible, 7nthis 7nmedication 7nis 7nheld 7nseveral 7ndays
7nbefore 7na 7nsurgical 7nprocedure 7nto 7ndecrease 7nthis 7nrisk. 7nChest 7nx-ray, 7nBUN,
7nand 7nNa 7nare 7ndiagnostic 7nscreening 7ntools 7nfor 7nsurgery 7nbut 7nare 7nnot
7nspecific 7nto 7nanticoagulants.
4. The 7nnurse 7nis 7npreparing 7na 7npatient 7nfor 7nsurgery. 7nWhich 7ngoal 7nis 7na
priority 7nfor 7nassessing 7nthe 7npatient 7nbefore 7nsurgery?
a. Plan 7nfor 7ncare 7nafter 7nthe 7nprocedure.
b. Establish 7na 7npatient’s 7nbaseline 7nof 7nnormal 7nfunction.
c. Educate 7nthe 7npatient 7nand 7nfamily 7nabout 7nthe 7nprocedure.
d. Gather 7nappropriate 7nequipment 7nfor 7nthe 7npatient’s 7nneeds.
ANS: 7nB
The 7ngoal 7nof 7nthe 7npreoperative 7nassessment 7nis 7nto 7nidentify 7na 7npatient’s
7nnormal 7npreoperative 7nfunction 7nand 7nthe 7npresence 7nof 7nany 7nrisks 7nto
7nrecognize, 7nprevent, 7nand 7nminimize 7npossible 7npostoperative 7ncomplications.
7nGathering 7nappropriate 7nequipment, 7nplanning 7ncare, 7nand 7neducating 7nthe
7npatient 7nand 7nfamily 7nare 7nall 7nimportant 7ninterventions 7nthat 7nmust 7nbe
7nprovided 7nfor 7nthe 7nsurgical 7npatient; 7nthey 7nare 7npart 7nof 7nthe 7nnursing
7nprocess 7nbut 7nare 7nnot 7nthe 7npriority 7nreason/goal 7nfor 7ncompleting 7nan
7nassessment 7nof 7nthe 7nsurgical 7npatient.
,5. The 7nnurse 7nis 7nencouraging 7nthe 7npostoperative 7npatient 7nto
7nutilize 7ndiaphragmatic
breathing. 7nWhich 7npriority 7ngoal 7nis 7nthe 7nnurse 7ntrying 7nto 7nachieve?
a. Manage 7npain
b. Prevent 7natelectasis
c. Reduce 7nhealing 7ntime
d. Decrease 7nthrombus 7nformation
ANS: 7nB
After 7nsurgery, 7npatients 7nmay 7nhave 7nreduced 7nlung 7nvolume 7nand 7nmay
7nrequire 7ngreater 7neffort 7nto 7ncough 7nand 7ndeep 7nbreathe; 7ninadequate 7nlung
7nexpansion 7ncan 7nlead 7nto 7natelectasis 7nand 7npneumonia. 7nPurposely 7nutilizing
7ndiaphragmatic 7nbreathing 7ncan 7ndecrease 7nthis 7nrisk. 7nDuring 7ngeneral
7nanesthesia, 7nthe 7nlungs 7nare 7nnot 7nfully 7ninflated 7nduring 7nsurgery 7nand 7nthe
7ncough 7nreflex 7nis 7nsuppressed, 7nso 7nmucus 7ncollects 7nwithin 7nairway
7npassages. 7nDiaphragmatic 7nbreathing 7ndoes 7nnot 7nmanage 7npain; 7nin 7nsome
7ncases, 7nif 7nsplinting 7nand 7npain 7nmedications 7nare 7nnot 7ngiven, 7nit 7ncan 7ncause
7npain. 7nDiaphragmatic 7nbreathing 7ndoes 7nnot 7nreduce 7nhealing 7ntime 7nor
7ndecrease 7nthrombus 7nformation. 7nBetter, 7nmore 7neffective 7ninterventions
7nare 7navailable 7nfor 7nthese 7nsituations.
6. The 7nnurse 7nis 7ncaring 7nfor 7na 7npostoperative 7npatient 7non 7nthe 7nmedical-surgical
floor. 7nWhich 7nactivity 7nwill 7nthe 7nnurse 7nencourage 7nto 7nprevent 7nvenous
7nstasis 7nand 7nthe 7nformation 7nof 7nthrombus?
a. Diaphragmatic 7nbreathing
b. Incentive 7nspirometry
c. Leg 7nexercises
d. Coughing
, ANS: 7 n C
After 7 n general 7 n anesthesia, 7 n circulation 7 n slows, 7 n and 7 n when
7 n the 7 n rate 7 n of 7 n blo 7nod 7 n slows, 7 n a 7 n greater 7 n tendency 7 n for 7 n clot
7 n formation 7 n is 7 n noted. 7 n Immobilizati 7 n on 7 n results 7 n in 7 n decreased
7 n muscular 7 n contractions 7 n in 7 n the 7 n lower 7 n extremitie 7ns; 7 n these
promote 7 n venous 7 n stasis. 7 n Coughing, 7 n diaphragmatic 7 n breathing, 7 n and
7 n incenti 7nve 7 n spirometry 7 n are 7 n utilized 7 n to 7 n decrease
7 n atelectasis 7 n and 7 n pneumonia.
7. The 7 n nurse 7 n is 7 n caring 7 n for 7 n a 7 n preoperative 7 n patient.
7 n The 7 n nurse 7 n teac 7nhes 7 n the 7 n principles 7 n and
7 n demonstrates 7 n leg 7 n exercises 7 n for 7 n the 7 n patient.
The 7 n patient 7 n is
unable 7 n to 7 n perform 7 n leg 7 n exercises 7 n correctly. 7 n What 7 n is 7 n the
7 n nurse’s 7 n best 7 n next
step?
a. Encourage 7 n the 7 n patient 7 n to 7 n practice 7 n at 7 n a 7 n later 7 n date.
b. Assess 7 n for 7 n the 7 n presence 7 n of 7 n anxiety, 7 n pain, 7 n or 7 n fatigue.
c. Ask 7 n the 7 n patient 7 n why 7 n exercises 7 n are 7 n not 7 n being 7 n done.
d. Evaluate 7 n the 7 n educational 7 n methods 7 n used 7 n to 7 n educate
7 n the 7 n pa 7ntient. 7 n ANS: 7 n B
If 7 n the 7 n patient 7 n is 7 n unable 7 n to 7 n perform 7 n leg 7 n exercises, 7 n the
7 n nurse 7 n should 7 n look 7nfor 7 n circumstances 7 n that 7 n may 7 n be
7 n impacting 7 n the 7 n patient’s 7 n ability 7 n to 7 n learn. 7nIn 7 n this 7 n case,
7 n the 7 n patient 7 n can 7 n be 7 n anticipating 7 n the 7 n upcoming 7 n surgery
7 n and 7nmay 7 n be experiencing 7 n anxiety. 7 n The 7 n patient 7 n may 7 n also
7 n be 7 n in 7 n pain 7 n or 7 n may 7nbe 7 n fatigued; 7 n both 7 n of 7 n these 7 n can
7 n affect 7 n the 7 n ability 7 n to 7 n learn. 7 n Evaluation 7 n of 7neducational
7 n methods 7 n may 7 n be 7 n needed, 7 n but 7 n in 7 n this 7 n case, 7 n principles
7 n and 7ndemonstrations 7 n are 7 n being 7 n utilized. 7 n Asking 7 n anyone 7 n “why”
7 n can 7 n cause 7 n defe 7 n nsiveness 7 n and 7 n may 7 n not 7 n help 7 n in
7 n attaining 7 n the 7 n answer. 7 n The 7 n nurse 7 n is 7 n awar 7ne 7 n that 7 n the
7 n patient 7 n is 7 n unable 7 n to 7 n do 7 n the 7 n exercises. 7 n Moving
7 n forward 7 n with 7nout 7 n ascertaining 7 n that 7 n learning 7 n has 7 n occurred
7 n will 7 n not 7 n help 7 n the 7 n patient 7 n in 7nmeeting 7 n goals.
