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ATI PN Leadership Proctored Exam

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 31 pages. Originally published on StudyMerit.

Pages
31
Academic year
2025/2026
Language
English

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1/5/24, 9:24 AM ATI PN Leadership Management Proctored EXAM.docx about:blank 1/31 325 A TI PN LEADER SHIP MANAG EMENT PROCT ORED EXAM 1. The postanesthesia care unit ( P A CU ) nurse transports the inpatient surgical patient to the medical-surgical fl oo r . Before leaving the floor , the m edical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action? a. This is done to complete the first action in a head- to-toe assessment. This is done to c ompare and monit or fo r vital sign varia tion during b. transport. This is done to ensur e t hat the medical-su rgical nur se checks on the c. postoperative patient. This is done to f ollow hospital policy and procedur e f or car e of the d. sur gical patient. ANS: B Before the P A CU nu rse leaves the acute care area, the staff nurse assuming care for the patient takes a complete set of vi tal signs to compare with P AC U findings. Minor vital sign variations normally occur after transporting the patient. The P A CU nurse reviews the patient’ s information with the medical-sur gical nurse, including the surgical and P A CU course, physician orders, and the patient’ s condition. While vital signs may or m ay not be the first action in a head-to-toe assessment, this is not the rationale for this situation. While following policy or ascertaining that the floor nurse checks on the patient ar e good reasons for safe care, they are not the best rationale for obtaining vi tal signs. 2. The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient r equire immediately post procedur e? a. Acute care—medical-surgical unit b. Acute care—intensive care unit c. Ambulatory surgery d. Ambulatory sur gery—extended stay

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1/5/24, 9:24 AM ATI PN Leadership Management Proctored EXAM.docx about:blank 2/31 325 ANS: B

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1/5/24, 9:24 AM ATI PN Leadership Management Proctored EXAM.docx about:blank 3/31 Patients undergoing extensive sur gery and requiring ane sthesia of long duration recover slowly . If a patient is undergoing major sur gery such a s a procedure on the lung, a stay in the hospital and specif ically in the intensive care unit is required to monitor for potential risks to well-being. This patient would require more care than can be provided on a medical- sur gical unit. It is not appropriate for this type of patient to go home after the procedure or t o stay in an extended stay area of an ambulatory surgery area because of the complexity and associated risks. 3. The nurse is caring for a group of patients. Which patient will the nurse see first ? a. A patient who had cataract surgery is coughing. A patien t who had vascular re pair of the right leg is not doing right leg b. exercises. A patien t after knee sur gery is wearing in termittent pneuma tic c. compression devices and receiving hepar in. A patien t after sur gery has vital signs tak en every 15 minut es twice, d. every 30 minutes twice, hourly for 2 hours then every 4 hours. ANS: A For patients who have had eye, intracranial, or spinal surgery , coughing may be contraindicated because of the potential incr ease in intraocular or intracranial pressure. The nurse will need to see this patient first to control the cough and intraocular pressure. All the r est are normal postoperative patients. Leg exercise should not be performed on the operative leg with vascul ar sur gery . A patient af ter knee surgery s hould receive heparin and be weari ng intermittent pneumatic compression devices; while the nurse will check on the patient, it does not have to be first. Monitoring vital signs after surgery is required and this is the standard schedule. 4. The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises? 1. T urning 2. Breathing 3. Coughing 4. Leg exercises a. 4, 1, 2, 3 A&E I Comprehensiv e T e stb an k 3

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