ATI Maternity Proctored Exam Version 3 With Answers (9 Solved Questions)

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ATI FUNDAMENTALS PROCTORED CUMULATIVE FINAL EXAM COMPLETE QNS &ANS FINAL LATEST 2023Thenurseispreparinga4yearoldforsurgery.Whichtechniqueismostappropriate?a.allowthechildtohandlesafemedicalequipmentb.limittheteaching toone 1hoursessionc.explaintothe childthatshewillbeputtosleepfortheprocedured.useananatomically correctdoll to explaintheprocedureThenurseisadmittingapatientwithamethicillin-resistantStaphylococcusaureus(MRSA)infection isolatedinhisstageIIIpressureulcer.Thenurseplacesthepatienton:a.contact precautions.b.airborne precautions.c.droplet precautions.d.protectiveenvironment.Thenurseiscaringforaschool-agedchild whohasinjuredtherightlegafter abicycleaccident.Whichsignsandsymptomswillthenurseassessfortodetermineifthechildisexperiencingalocalizedinflammatoryresponse?Malaise,anorexia,enlargedlymphnodes,andincreasedwhitebloodcellsChestpain,shortnessofbreath,andnauseaandvomitingDizzinessanddisorientationtotime,date,andplaceEdema,redness,tenderness,andlossoffunctionA diabetic patient presents tothe clinic for a dressing change. The wound is locatedon therightfootandhaspurulentyellowdrainage.Whichactionwill thenursetaketo preventthespreadofinfection?Positionthepatientcomfortablyonthestretcher.Explaintheprocedurefordressingchange tothepatient.Reviewthemedicationlistthatthepatientbroughtfromhome.Donglovesandotherappropriatepersonalprotectiveequipment.Thenurseiscaringforapatientinlaboranddelivery.Whennearcompletinganassessmentofthepatient’scervix,theelectronicinfusiondevicebeingusedontheintravenous(IV)infusionalarms.Whichsequenceofactionsismostappropriateforthenurse totake?Completetheassessment,removegloves,andsilencethealarm.

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Discontinuetheassessment,silencethealarm,andassesstheintravenoussite.Completetheassessment,removegloves,washhands,andassesstheintravenousinfusion.Discontinuetheassessment,removegloves,usehandgel,andassesstheintravenousinfusion.Thenurseisdressed andispreparing tocare forapatientintheperioperativearea.Thenursehasscrubbedhandsand hasdonnedasterilegownandgloves.Whichactionwill indicateabreakinsteriletechnique?TouchingcleanprotectiveeyewearStandingwithhandsabove waistareaAcceptingsterilesuppliesfromthesurgeonStayingwiththesteriletableonceitisopenThenurseiscaringforapatientwithanincision.Whichactionswillbestindicateanunderstandingofmedicalandsurgical asepsisforasteriledressingchange?Donningcleangoggles, gown,and glovestodressthewoundDonningsterilegownandgloves toremove thewounddressingUtilizingcleanglovestoremovethedressingandsterilesupplies forthenewdressingUtilizingcleanglovestoremovethedressingandcleansuppliesforthenewdressingThenurseiscaringforapatientwhohasjustdeliveredaneonate.Thenurseischeckingthepatientforexcessivevaginaldrainage.Whichprecautionwillthenurseuse?ContactDropletStandardProtectiveenvironmentThenurseisperforminghandhygienebeforeassistingahealthcareproviderwithinsertionofachest tube. While washing hands, the nurse touches the sink. Which actionwill the nurse takenext?Informthehealthcareproviderandrecruitanothernursetoassist.Rinseanddryhands,andbeginassistingthehealthcareprovider.Extendthehandwashingprocedureto5minutes.Repeathandwashingusingantisepticsoap.Thenurseiscaringforapatientoncontactprecautions.Whichactionwillbemostappropriatetopreventthespreadofdisease?Placethepatientinaroomwithnegativeairflow.Wearagown,gloves,facemask,andgogglesforinteractionswiththepatient.Transportthepatientsafelyandquicklywhengoingtotheradiologydepartment.

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Useadedicatedbloodpressurecuffthat staysinthe roomandisusedforthatpatientonly.ThenurseiscaringforapatientwhohasculturedpositiveforClostridiumdifficile.Whichactionwillthenursetakenext?Instructassistivepersonneltousesoapandwaterratherthansanitizer.WearanN95respiratorwhenenteringthepatientroom.Placethe patientondropletprecautions.Teachthepatientcoughetiquette.Thenurseiscaringforapatientwhohasabloodbornepathogen.Thenursesplashesbloodabovetheglovetointactskinwhilediscontinuinganintravenous(IV)infusion.Whichstep(s)willthenursetakenext?Obtainanalcoholswab,removethebloodwithanalcoholswab,andcontinuecare.Immediatelywashthesitewithsoapandrunningwater,andseekguidancefromthemanager.Donothing;accidentallygettingsplashedwithbloodhappensfrequentlyandispartofthejob.Delaywashingofthesiteuntil thenurseisfinishedproviding caretothepatient.Thenursehasreceivedareportfromtheemergencydepartmentthatapatientwithtuberculosiswill be coming to the unit. Which items will the nurse need to care for thispatient? (Select allthatapply.)PrivateroomNegative-pressureairflowinroomSurgicalmask,gown,gloves,eyewearN95respirator,gown,gloves,eyewearCommunicationsignsfordropletprecautionsCommunicationsignsforairborneprecautionsWhenprovidinghygieneforanolder-adultpatient,thenursecloselyassessestheskin.Whatistherationaleforthenurse’saction?Outerskinlayerbecomesmoreresilient.Lessfrequentbathing mayberequired.Skinbecomeslesssubjecttobruising.Sweatglandsbecomemoreactive.Thepatienthasbeenbroughttotheemergencydepartmentfollowingamotorvehicleaccident.The patient is unresponsive. The driver’s license states that glasses are neededto operate amotor

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vehicle,butnoglasseswerebroughtinwiththepatient.Whichactionshouldthenursetakenext?Standtothesideofthepatient’seyeandobservethecornea.Concludethattheglasseswerelostduringtheaccident.Notifytheambulancepersonnelformissingglasses.Askthepatientwheretheglassesare.Thenurseiscaringforapatientwhoisimmobile.Thenursefrequentlychecksthepatientforimpairedskinintegrity.Whatistherationaleforthenurse’saction?Inadequatebloodflowleadstodecreasedtissueischemia.Patientswithlimitedcaloricintakedevelopthickerskin.Pressurereducescirculationtoaffectedtissue.VerbalizationofskincareneedsisdecreasedThenurseiscaringforapatientwhohasdiabetesmellitusandcirculatoryinsufficiency,withperipheralneuropathyandurinaryincontinence.Onwhichareasdoesthenursefocuscare?DecreasedpainsensationandincreasedriskofskinimpairmentDecreasedcaloricintakeandacceleratedwoundhealingHighriskforskininfection andlowsaliva pHlevelHighriskforimpaired venousreturnand dementiaThenurseiscaringforapatientwhohasundergonesurgeryforabrokenlegandhasacastinplace.What shouldthe nursedotopreventskinimpairment?Assesssurfacesexposedtotheedgesofthe castforpressureareas.Keepthepatient’sbloodpressurelowtopreventoverperfusionoftissue.Donotallowturning inbedbecause that mayleadtoredislocationoftheleg.Restrictthepatient’sdietaryintaketoreducethenumberoftimesonthebedpan.The nurse is providing oral care to an unconscious patient and notes that the patienthasextremelybadbreath.Whichtermwillthenurseusewhenreportingtotheoncomingshift?CheilitisHalitosisGlossitisDentalcariesThepatientisbeingtreatedforcancerwithweeklyradiationtherapytotheheadandchemotherapytreatments.Whichassessmentisthepriority?FeetNailbedsPerineumOralcavity

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The nurse is caring for an older-adultpatient with Alzheimer’s disease who is ambulatorybutrequirestotalassistancewithactivitiesofdailyliving(ADLs).Thenursenoticesthatthepatientisedentulous.Whichareashouldthenurseassess?Assessoralcavity.Assessroomfordrafts.Assessanklesforedema.Assessforreducedsensations.A nurse is providing perineal careto a female patient. Which washing technique will thenurseuse?BacktofrontInacircularmotionFrompubic area torectumUpwardfromrectumto pubicareaThepatientisreportinganinabilitytoclearnasalpassages.Whichactionwillthenursetake?Usegentlesuctiontopreventtissuedamage.Instructpatienttoblownoseforcefullytoclearthepassage.Placeadrywashclothunderthenose toabsorbsecretions.Insertacotton-tipped applicatorto theback ofthenose.Anurseisperforminganadmissionassessment on a middle-age patient.Anormalchangeseeninthis agegroupincludeswhichofthefollowing?(Selectallthatapply.)a.Aprogressivedecrease in skinturgorb.Decreasedvisualacuityc.Decreasedabilitytosolvepracticalproblemsd.Decreased strength of abdominalmusclese.Lossof accommodationA nurse is teaching young adultsabout health risks. Which statement from a youngadultindicatesacorrectunderstandingoftheteaching?“It’sprobablysafeformetostartsmoking.Atmyage,there’snotenoughtimeforcancertodevelop.”“Mymotherhadappendicitissothisincreasesmychancefordevelopingappendicitis.”c. “Controllingthe amountofstressin mylife maydecreasethe riskof illness.”d.“Idon’t dodrugs.Idodrinkcoffee,butcaffeineisnotadrug.”A nurse is choosing an appropriate topic fora young-adult health fair. Which topicshould thenurseinclude?RetirementMenopause

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ClimactericfactorsUnplannedpregnanciesDuringaroutinephysicalassessment,thenurseobtainingahealthhistorynotesthata50-year-oldfemalepatientreportspainandrednessintherightbreast.Whichactionisbestforthenursetotakeinresponse to this finding?Assessthepatientasthoroughlyaspossible.Explaintothepatientthatbreasttendernessisnormalatherage.Tellthepatientthatrednessisnotacauseforconcernandisquitecommon.InformherthatrednessistheprecursortonormalunilateralbreastenlargementA young-adult patient is broughtto the hospital by police after crashing the car in a high-speedchasewhentryingtoavoidarrestforspousalabuse.Whichactionshouldthenursetake?Questionthepatientaboutdruguse.Offerthepatientacupofcoffeetocalmnerves.Discretelyassessthepatientforsexuallytransmittedinfections.Dealwiththeissueathand,notaskingaboutpreviousillnessesA nurse is assessing the cognitive changes in a preschooler.Which standard will the nurseuse todeterminenormal?TheabilitytothinkabstractlyanddealeffectivelywithhypotheticalproblemsTheabilityto thinkinalogicalmanneraboutthehereandnowThe ability to assume the view of anotherpersond.The abilityto classifyobjectsbysizeorcolorThenurseisobservinga2-year-oldhospitalizedpatientintheplayroom.Whichactivitywillthenursemost likely observe?Seekingoutsamesexchildrentoplay withParticipatingastheleaderofasmallgroupactivityc.Sittingbesideanotherchildwhileplayingwithblocksd.SeparatingbuildingblocksintogroupsbysizeandcolorWhichactionshouldthenursetakewhenteachinga5-year-oldpatientaboutascheduledsurgery?Donotdiscusstheprocedurewiththechildtodecreaseanxiety.Letthechildknowthesurgerywillbeat9:00AMinthemorning.Insistthat theparentswait outsidethe roomtoensure privacyofthechild.d.Allowthechildtotouchandholdmedicalequipmentsuchasthermometers.Whilereceivingashiftreportonapatient,thenurseisinformedthatthepatienthasurinaryincontinence.Uponassessment,which findingwillthenurse expect?AnindwellingFoleycatheterReddenedirritatedskinonbuttocks

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Tinybloodclotsinthepatient’surineFoul-smellingdischargeindicativeofinfectionWhichclinicalmanifestationwillthenurseexpecttoobserveinapatientwithexcessivewhitebloodcellspresentin the urine?ReducedurinespecificgravityIncreasedbloodpressureAbnormalbloodsugard.Fever with chillsThenursewillanticipateinsertingaCoudécatheterforwhichpatient?An8-year-oldmaleundergoinganesthesiaforatonsillectomyA 24-year-old femalewho is going into laborc.A56-year-oldmale withanenlargedprostated.An86-year-oldfemaleadmittedforaurinarytractinfectionA nurse is evaluating a nursing assistive personnel’s(NAP) care for a patient with anindwellingcatheter.WhichactionbytheNAPwillcausethenurse tointervene?Emptyingthedrainagebagwhen halffullKinkingthecathetertubingtoobtainaurinespecimenPlacingthedrainagebagonthesiderailofthepatient’sbedSecuringthecathetertubingtothepatient’sthighWhichnursingactionswillthenurseimplementwhencollectingaurinespecimenfromapatient?(Selectallthatapply.)Growingurine culturesforupto12hoursLabelingallspecimenswithdate,time,andinitialsAllowingthepatientadequatetimeandprivacytovoidWearing gown, gloves, and mask for all specimenhandlinge.Transportingspecimenstothelaboratoryinatimelymannerf.CollectingthespecimenfromthedrainagebagofanindwellingcatheterThenurseisobtaininga24-hoururinespecimencollectionfromthepatient.Whichactionsshouldthenurse take?(Select allthat apply.)KeepingtheurinecollectioncontaineronicewhenindicatedWithholdingallpatientmedicationsforthedayIrrigatingthesampleasneededwithsterilesolutionTestingtheurinesamplewithareagentstripbydippingitintheurineAskingthepatienttovoidanddiscardingthaturinetostartthecollectionThenurseisplanningcareforagroupofpatients.Whichtaskwillthenurseassigntothenursingassistivepersonnel?MeasuringcapillarybloodglucoselevelMeasuringnasoenterictubeforinsertion
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