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ATI Proctored Final Exam With Complete Solutions And Correct Answers Latest Version
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ATI Proctored Final Exam With Complete Solutions And Correct Answers Latest Version
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ATI Proctored Final Exam With CompleteSolutions And Correct Answers Latest
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How can an RN delegate surgical aesepsis responsibilities to UAP's? Answer: As the circulating
nurse, the RN can have UAPs under her supervision involved in activities requiring surgical asepsis. On
the unit, situations requiring surgical asepsis are not delegated to UAP.
How can an RN delegate transmission-based precaution responsibilities to UAP's? Answer: The RN
can delegate care of a client requiring precautions to UAP. The nurse cannot delegate the assessment of
need for precautions, evaluation of effectiveness of client compliance with precautions, or teaching of
client & family member's precaution techniques. The nurse delegating care of an isolated client should
be sure the UAP knows appropriate procedures.
When should traditional hand washing be used instead of using alcohol-based sanitizer? Answer:
When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
Contradictions of good hand hygiene Answer: Nail polish
Long nails
Using lotions
Wearing jewelry
Which of the following is a potential route of entry into the body for bloodborne pathogens:
a. Mucous membranes
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,b. Puncture wounds
c. Burns on hands
d. Blood
e. All of the above Answer: E. All of the above
Personal Protective Equipment is the single most effective way to prevent the transmission of infection.
(TRUE or FALSE) Answer: True
Two potential sites for nosocomial infections: Answer: 1. A hospital
2. Homecare
Potential causes of nosocomial infections: Answer: 1. Pt has suppressed immune system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
You are assisting in the evaluation of a pt with acute onset of severe headache, fever and some
confusion. The physician is preparing to perform a lumbar puncture. The suspected diagnosis is bacterial
meningitis. What type of precaution is needed? Answer: Standard precautions
A 70 y. male develops new diarrhea and a high WBC while in the hospital recovering from MV
Replacement surgery which was complicated by a CVA. He is bed bound and incontinent of stool. What
do you suspect is the cause for his diarrhea? Answer: A bacterial, nosocomial infection
Medical abbreviation: CBR, BR Answer: complete bedrest, bedrest
T/F: Frequent bathing for the older client is necessary to prevent skin breakdown. Answer: False
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,A ____ bath can be helpful in soaking a client's pelvic area in warm water to decrease inflammation.
Answer: sitz
List at least three guidelines for providing patient-centered care when addressing a client's hygiene
needs Answer: Be respectful to cultural values.
Ask the pt in what order they would like to complete their hygiene routine.
Provide hygienic care as often as necessary (but not too often) and as gently as necessary.
What should be included in documentation of a bath? Answer: Date and time
Type of bath
Abnormal findings/pt reaction
When might the RN need to collaborate a colleague for personal care? Answer: If a patient is not
ambulatory and is too heavy to be moved alone
What are the components of the Braden scale?
Is a high score good or bad? Answer: Sensory perception, moisture, activity, mobility, nutrition,
friction & shear
High score indicates low risk.
Trochanter roll Answer: Keeps hips in a neutral position
Hemiparesis Answer: Weakness on one sign of the body
Hemiplegia Answer: Paralysis on one side of the body
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, Prone position Answer: Lying on the abdomen
Sim's position Answer: Lying on left side w/ left leg straight and right knee bent
Foot drop Answer: Gait w/ drop of the forefoot
Fracture pan Answer: A bedpan used for someone w/ a hip fracture
Fecal impaction Answer: Dry, hard stool stuck in the rectum
Hand roll Answer: Hand placed in the palm to prevent fractures
Medical abbreviation: WNL Answer: Within normal limits
Medical abbreviation: BRP Answer: bathroom privileges
Medical abbreviation: BUS Answer: Bladder ultrasonic scanner
Factors to consider when delegating to UAP Answer: Scope of practice
Facility, state regulations
Level of experience
Pt safety
Hazards of immobility on CV system & interventions Answer: DVT: elastic stockings, SCD's
Orthostatic BP: give pt time btwn position changes
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