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FOCUS REVIEW 20 25 ATI
COMPREHENSIVE EXIT
EXAM QUESTIONS AND VERIFIED
ANSWERS WELL GRADED,
Mobility and Immobility: Teaching Correct Use of a Cane (FUND 9.0 Ch 40) When walking with a cane, the client should maintain how many points on the ground at all times? - CORRECT ANSWER - · Maintain two points of support on the ground at all times. Professional Responsibilities: Promoting Client Advocacy Among Staff Members (RM Leadership 7.0 Chp.3) Nurses ensure that clients have what, in order to make decisions about their health care? - CORRECT ANSWER - The information they need Professional Responsibilities: Promoting Client Advocacy Among Staff Members (RM Leadership 7.0 Chp.3) Nurses are responsible for (name two things) - CORRECT ANSWER - 1.Advocating for the clients
- Mediate on the client's behalf when others interest doesn't align with the patient's. Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) RN'S delegate to who?
LPN'S delegate to who? - CORRECT ANSWER - RN's delegate to CNA'S, LPN'S, and other RN'S LPN'S delegate to CNA'S AND LPN'S Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) CNA'S only assist what kind of patients? - CORRECT ANSWER - Patients who are in stable conditions. Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) Name the tasks CNA'S would complete (name them all) - CORRECT ANSWER -- ADL's - Vital Signs (stable pts) - Feedings (without swallowing precautions) - Bathing/Grooming - Toileting
- Ambulating- Dressing- Positioning - Bed making - Routine tasks - Specimen collection Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) Name the tasks LPN'S would complete (name them all) - CORRECT ANSWER - Reinforce teaching, trach care, suctioning, administer medications (except IV's), urinary catheters, administer enteral feedings, check patency in the NG tube, monitor findings of the RN. Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) Before you delegate what should the RN do? - CORRECT ANSWER - Assess the patient Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) After a delegate tasks is completed what should the RN do? - CORRECT ANSWER - Evaluate the patient condition
Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7. Chp.2) What position should stroke pts be placed in to prevent what? - CORRECT ANSWER - High Fowler, to prevent aspiration Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7. Chp.2) A pt following a stroke would need to see what kind of therapist for speaking? - CORRECT ANSWER - Speech therapist Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7. Chp.2) A speech and language therapist should be consulted for? - CORRECT ANSWER - Language and swallowing exercise Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7. Chp.2) A Occupational therapist should be consulted for? - CORRECT ANSWER - Assisting a pt would their ADL's Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7. Chp.2) A Physical therapist should be consulted for? - CORRECT ANSWER - Ambulating Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7. Chp.2)
What kind of food should a patient following a stroke avoid? - CORRECT ANSWER - Thin and sticky foods Mobility and Immobility: Teaching Correct Use of a Cane (FUND 9.0 Ch 40) What side should the cane be on? - CORRECT ANSWER - · Keep the cane on the stronger side of the body. Mobility and Immobility: Teaching Correct Use of a Cane (FUND 9.0 Ch 40) When using a cane, do you support the body weight on the left leg, right or both legs? - CORRECT ANSWER - · Support body weight on both legs. Mobility and Immobility: Teaching Correct Use of a Cane (FUND 9.0 Ch 40) List the steps of moving the cane? - CORRECT ANSWER - · Move the cane forward 15cm · Then move the weaker leg forward toward the cane ·Next, advance the stronger leg past the cane. (Move the cane first, then the weak leg, and then stronger leg) Mobility and Immobility: Teaching Correct Use of a Cane (FUND 9.0 Ch 40) What do you use the quad cane for? - CORRECT ANSWER - increased support Mobility and Immobility: Teaching Correct Use of a Crutches (FUND 9.0 Ch 40) - CORRECT ANSWER - o Support body weight at the hand grips with elbows flexed at 30 o Position the crutches on the unaffected side when sitting or rising from a chair
Multiple Sclerosis: Priority Referral for a Client Who Has Amyotrophic Lateral Sclerosis (RM AMS RN 10.0 Chp 10) A patient who has Amyotrophic Lateral Sclerosis who should they be refereed to? - CORRECT ANSWER - Physical Therapist. Professional Responsibilities: Priority Action When Obtaining a Signature on an Informed Consent Form/ Nurse's Role in Informed Consent (RM Leadership 7.0 Chp. 3 and 4) - CORRECT ANSWER - The nurse's role in the informed consent process is to ● witness the client's signature on the informed consent form and to ● ensure that informed consent has been appropriately obtained. Information Technology: Using Correct Documentation ( RM FUND 9.0 Ch 5) When a nurse is completing a health assessment should she take short or detailed notes? - CORRECT ANSWER - Short notes Information Technology: Using Correct Documentation ( RM FUND 9.0 Ch 5) When should a nurse write detailed notes? - CORRECT ANSWER - When charting Information Technology: Using Correct Documentation ( RM FUND 9.0 Ch 5) Incident reports are for? - CORRECT ANSWER - Medical errors, falls, admission of prescription and needle stocks. Mobility and Immobility: Contraindications for Using Heat Therapy (RM FUND 9.0 Ch 40) When using heat therapy what should the nurse monitor? - CORRECT ANSWER - Bony Prominences
Mobility and Immobility: Contraindications for Using Heat Therapy (RM FUND 9.0 Ch 40) When Using Heat Therapy what devices should should you avoid - CORRECT ANSWER - Heat on metal devices (pacemakers and prosthetic joints) Mobility and Immobility: Contraindications for Using Heat Therapy (RM FUND 9.0 Ch 40) Should a pregnant women use heat application? - CORRECT ANSWER - No, because it can cause harm to the fetus Mobility and Immobility: Contraindications for Using Heat Therapy (RM FUND 9.0 Ch 40) Why should patient who are immobile should not use heat application? - CORRECT ANSWER
- This will place the client for increask risk for burns and injury Mobility and Immobility: Contraindications for Using Heat Therapy (RM FUND 9.0 Ch 40) Fill in the blanks, do not use heat application during the first ________ hr after __________ ___________, for active bleeding _________________________ edema, or skin disorders - CORRECT ANSWER - first 24 hr after a traumatic injury, for active bleeding, for noninflammatory edema, or for some skin disorders. Medications Affecting Coagulation: Monitoring Following Heparin Administration (RN 7. Chp 25) In case of a heparin overdose, what should you do? what medication should be given? - CORRECT ANSWER - stop heparin, administer protamine Medications Affecting Coagulation: Monitoring Following Heparin Administration (RN 7. Chp 25)
How should you pull the lower eye lid and where should you administer the medication? - CORRECT ANSWER - Pull the lower eye lid downward and apply medication in the pocket. Safe Administration of Medication: Administering Eye Drops to a School-Age Child (RM NCC RN 10.0 Chp 8) When administering eye drops medication to a child, what kind of pressure should you apply, where to and for how long? - CORRECT ANSWER - Apply light pressure to the lacrimal punctum for 1 min Safe Administration of Medication: Administering Eye Drops to a School-Age Child (RM NCC RN 10.0 Chp 8) When is the best time to administer eye drops to a child? - CORRECT ANSWER - Before nap time or at bedtime. Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19) When should the client completely empty her breast? And when should the mother nurse the baby? - CORRECT ANSWER - At each feeding. Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19) When should the mother nurse the baby? - CORRECT ANSWER - Allow the infant to nurse on demand. Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19)
Breastfeeding on demand occurs? - CORRECT ANSWER - About 8 to 12 times in 24-hr period Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19) What kind of compress should a nurse use for engormement? - CORRECT ANSWER - Cool Compressess or cold cabbage Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19) How long should you apply a cold compress - CORRECT ANSWER - 15min on and 45 min off Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19) What days can engorgement occurs? - CORRECT ANSWER - third or fifth postpartum day Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10. Chp 19) What kind of bra should new mothers wear? - CORRECT ANSWER - ● Wear a well-fitting, supportive bra continuously for the first 72 hr. Expected Physiological Changes During Pregnancy: Using Nagele's Rule to Determine Expected date of delivery (Chp 3) How do you calculate the expected due date? - CORRECT ANSWER - Subtract 3 months, and then add 7 days and 1 year Expected Physiological Changes During Pregnancy: Using Nagele's Rule to Determine Expected date of delivery (Chp 3) example
Infections of the Renal and Urinary System: Planning Care for a Female Client Who Has Recurrent Urinary Tract Infections (AMS RN 10.0 Chp 60) Instruct the client to drink at least how many fluids daily. - CORRECT ANSWER - 2.7 L Infections of the Renal and Urinary System: Planning Care for a Female Client Who Has Recurrent Urinary Tract Infections (AMS RN 10.0 Chp 60) How often should the bladder by empty when a client has an UTI? - CORRECT ANSWER - Every 3 to 4 hr Health Promotion of Infants (2 Days to 1 Year): Finding to Report (RM NCC RN 10.0 Chp 3) Infants Blood Pressure - CORRECT ANSWER - 100 - 160 bpm Health Promotion of Infants (2 Days to 1 Year): Finding to Report (RM NCC RN 10.0 Chp 3) Respiration - CORRECT ANSWER - 30 - 60 bpm Health Promotion of Infants (2 Days to 1 Year): Finding to Report (RM NCC RN 10.0 Chp 3) A normal fetal heart rate baseline at term - CORRECT ANSWER - 110 to 160/min Medications Affecting the Reproductive Tract: Contraindications to Combination Oral Contraceptives (RM Pharm RN 7.0 Chp 31) Name all seven contraindications to combination oral contraceptive - CORRECT ANSWER -- Smoking
- Have a history of thrombophlebitis
- Heart disease
- Breast/estrogen dependent
- Over the age of 35
- Pregnancy X
- Hypertension Anxiety Disorders: Planning Care for a Client Who Has Obsessive-Compulsive Disorder (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM MH RN 10. Chp 11) Name the first line of medication for OCD patients - CORRECT ANSWER - sertraline or paroxetine Anxiety Disorders: Planning Care for a Client Who Has Obsessive-Compulsive Disorder (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM MH RN 10. Chp 11) Name three PT Care Intervention - CORRECT ANSWER - ◯ Provide a structured environment for physical safety ◯ Monitoring for, and protection from, self-harm or suicide ◯ Use of therapeutic communication skills, such as open-ended questions. Neurocognitive Disorders: Documenting Dementia Findings (Active Learning Template - System Disorder, RM MH RN 10.0 Chp 17) Name all 5 Dementia Findings - CORRECT ANSWER - ◯Impairments in memory ◯Judgment ◯Speech ◯Ability to recognize familiar objects ◯Movement
Assessment and Management of Newborn Complications: Caring for a Newborn Who Has Neonatal Abstinence Syndrome (RM MN RN 10.0 Chp 27) For newborns who are withdrawing from cocaine what should you avoid doing? - CORRECT ANSWER - Avoid eye contact and use vertical rocking and a pacifier. Assessment and Management of Newborn Complications: Caring for a Newborn Who Has Neonatal Abstinence Syndrome (RM MN RN 10.0 Chp 27) For newborns who are withdrawing from cocaine how should you rock them and what should you use? - CORRECT ANSWER - Use vertical rocking and a pacifier. Medications for Substance Use Disorders: Prescription for Nicotine Addiction (Active Learning Template - System Disorder, RM MH RN 10.0 Chp 24) Name the medication for Nicotine withdrawal - CORRECT ANSWER - Bupropion Nicotine replacement therapy Varenicline Urinary Elimination: Bladder Retraining for Urge Incontinence (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM FUND 9.0 Ch 44) What kind of exercise should a client use for Bladder Retraining for Urge Incontinence - CORRECT ANSWER - Have clients perform pelvic floor (Kegel) exercises. Urinary Elimination: Bladder Retraining for Urge Incontinence (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM FUND 9.0 Ch 44) How should you increase intervals between urination - CORRECT ANSWER - ● Use timed voiding
Urinary Elimination: Bladder Retraining for Urge Incontinence (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM FUND 9.0 Ch 44) When should the client takes diuretics? - CORRECT ANSWER - In the morning Parkinson's Disease: Assessing a Client's Need for Physical Therapy (RM AMS RN 10.0 Chp 7) How do you know a Parkinson's client need physical therapy? - CORRECT ANSWER - If they have ● Slow, shuffling gait ●Tremors ●Muscle rigidity Osteoarthritis and Low Back Pain: Evaluating Client Understanding of Alternative Therapies (RM AMS RN 10.0 Chp 72) Name Alternative Therapies for Low Back Pain - CORRECT ANSWER - chiropractic, imagery, acupressure/acupuncture, tai chi, music therapy and analgesic therapy Fluid Imbalances: Findings to Report (RM FUND 9.0 Ch 57) FVE (name as many as you can) - CORRECT ANSWER - Tachycardia, bounding pulse, hypertension, hypervolemia, increased central venous pressure, confusion, weight gain, crackles, edema, and distended neck veins. Fluid Imbalances: Findings to Report (RM FUND 9.0 Ch 57) FVD (name as many as you can) - CORRECT ANSWER - hypotension, weight loss, oliguria, diminished capillary refill, sunken eyeballs, decreased skin turgor Nasogastric Intubation and Enteral Feedings: Providing Teaching About Gastrostomy Tube Feedings (RM FUND 9.0 Ch 54)
B. Gingko biloba. C. Ibuprofen Medications Affecting Urinary Output: Adverse Effects of Chlorthalidone (RM Pharm RN 7. Chp 19) Adverse Effects of Chlorthalidone KEY WORD HYPO - CORRECT ANSWER - Dehydration, Hyponatremia Hypokalemia Hypochloremia increased LDL cholesterol Medications for Depressive Disorders: Monitoring for Interactions Between Citalopram and St. John's Wort (MH RN 10.0 Chp 22) Concurrent use with MAOIs, TCAs, or St. John's wort increases the risk of what? - CORRECT ANSWER - serotonin syndrome. Mycobacterial, Fungal, and Parasitic Infections: Discharge Teaching for Tuberculosis Therapy (RM Pharm RN 7.0 Chp 47) what two kinds of therapy is needed for TB patients? - CORRECT ANSWER - Direct observation therapy and antimicrobial therapy, Mycobacterial, Fungal, and Parasitic Infections: Discharge Teaching for Tuberculosis Therapy (RM Pharm RN 7.0 Chp 47) Advised TB clients to take what medication and at what time? - CORRECT ANSWER - Advise clients to take isoniazid 1 hr before or 2 hr after meals.
Therapeutic Procedures to Assist with Labor and Delivery: Identifying a Contraindication to Oxytocin Administration ( RM MN RN 10.0 Chp 15) When should you Discontinue Oxytocin - CORRECT ANSWER - ●if uterine hyperstimulation occurs ◯ Contraction frequency more often than every 2 min ◯ Contraction duration longer than 90 seconds ◯ Uterine resting tone greater than 20 mm Hg between contractions Blood and Blood Product Transfusions: Client Identification for Autologous Blood Transfusion (RM AMS RN 10.0 Chp 40) When administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client - CORRECT ANSWER - The client's identification band matches the number on the blood unit. Blood and Blood Product Transfusions: Intervention for Adverse Transfusion Reaction (RM AMS RN 10.0 Chp 40) - CORRECT ANSWER - ● Stop the transfusion. ● Remove the blood tubing from the IV access. ● Initiate an infusion of 0.9% sodium chloride Multiple Sclerosis: Anticipated Prescription for the Provider to Prescribe (RM AMS RN 10. Chp 10) What prescription would be prescribe to a patient who has MS? I I Apperciate Clues - CORRECT ANSWER - Interferon beta Intrathecal baclofen Azathioprine Cyclosporine
