ATI PROCTORED FUNDAMENTALS EXAM TEST 2023/2024

ATI PROCTORED FUNDAMENTALS EXAM TEST 2023/2024 occupational therapist - CORRECT ANSWER-helps pt regain their ability to perform their ADL (brushing teeth, clothing, shoes) Social workers - CORRECT ANSWER-identify and coordinate community resources and other pt needs after discharge speech pathologist - CORRECT ANSWER-help pt with speech, language and swallowing pt right to autonomy - CORRECT ANSWER-right to make their own decisions even if its not in their best interest pt right to beneficence - CORRECT ANSWER-- doing what is right for the pt fedelity - CORRECT ANSWER-which is keeping your promise to your pt justice - CORRECT ANSWER-provide care evenly through all of your pt Non-maleficence - CORRECT ANSWER-doing no harm to your pt veracity - CORRECT ANSWER-telling the truth to your pt Negligence - CORRECT ANSWER-careless neglect, often resulting in injury Malpractice - CORRECT ANSWER-medication error occurs the harms the patient intentional tort - CORRECT ANSWER-assault, battery, false imprisonment providers responsibility - consent - CORRECT ANSWER-purpose of the procedure, complete description of the procedure, risks vs benefits, and alternatives nurses responsibility - consent - CORRECT ANSWER-make sure the provider has given the pt info - make sure the pt is competent to give consent - answer any other questions -- call provider - sign document advance directives - CORRECT ANSWER-- living will: document that communicates the pt medical wishes should they become incapacitated - DPoA: healthcare proxy that will make decisions mandatory reporting of and RN - CORRECT ANSWER-- suspicions of abuse - domestic violence - communicable diseases to state health departments Nursing documentations - CORRECT ANSWER-- objective - descriptive - subjective - pt says - no blank spaces, no correction methods, name and title incident reports - CORRECT ANSWER-- for the quality improvement for the facility - not part of the pt record telephone orders - CORRECT ANSWER-- second nurse - read back - sign off scrip within 24hrs HIPPA pt records - CORRECT ANSWER-- electronic medical records are only for the nurse responsible for the pt - password protected and not shared delegated tasks - CORRECT ANSWER-RN - initiating pt education, any task that requires nursing judgement, assessment, blood transfusions LPN - medication administration, enteral feedings, urinary catheter, suctioning, tracheostomy, care wound, reinforce pt teaching CNA - bathing, dressing, ambulating, toileting, feeding, positioning, vitals, make beds, collect specimens, I/O, basic CPR 5 rights of delegation - CORRECT ANSWER-- right task - right circumstance - right person - right direction/ communication - right supervision/ feedback patient admission - CORRECT ANSWER-- document advance directives - vitals, allergies, height/weight, head to toe assessment, health hx, spiritual considerations, assess swallowing ability - safety assessment / risk of falls - inventory belongings and valuables - medication reconciliation - discharge planning patient transfer - CORRECT ANSWER-- SBAR - situation, background, assessment, recommendations discharge pt - CORRECT ANSWER-- diet - at home procedures - medications and precautions - s/s of complications and when to call HC - follow up with provider - names and numbers of providers and resources. soap and water vs alcohol - CORRECT ANSWER-- hands are visibly soiled - before eating - after the restroom - after contact with bodily fluids wash hands - CORRECT ANSWER-- 15 seconds - dry hands before turning water off sterile fields - CORRECT ANSWER-- position package with top flap away from you - sterile solutions place bottle cap face up on a non sterile surface - one inch of field is not sterile - below waist and above the chest are no longer sterile - never reach across or turn back passive natural immunity - CORRECT ANSWER-transfer of antibodies from a mother to her fetus or baby passive artificial immunity - CORRECT ANSWER-injection of antibodies active natural immunity - CORRECT ANSWER-natural exposure to an antigen active artificial immunity - CORRECT ANSWER-vaccination chain of infection - CORRECT ANSWER-infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host virulence - CORRECT ANSWER-ability to produce disease stage of infection - CORRECT ANSWER-incubation, prodromal, acute, declining, convalescent systemic infection - CORRECT ANSWER-an infection throughout the body Local infection - CORRECT ANSWER-pathogens are limited to a small area of the body signs of infection - CORRECT ANSWER-- wbc over 10,000 - left shift - immature wbc