FOCUS REVIEW 2019 ATI COMPREHENSIVE EXIT EXAM 2023/2024 (recommended for your exams)

ATI COMPREHENSIVE EXIT EXAM 2023 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? questions and answers· 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? questions and answersThe information they need Professional Responsibilities: Promoting Client Advocacy Among Staff Members (RM Leadership 7.0 Chp.3) Nurses are responsible for (name two things) questions and answers1.Advocating for the clients 2. 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? questions and answersRN'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? questions and answersPatients 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) questions and answers- 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) questions and answersReinforce 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? questions and answersAssess 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? questions and answersEvaluate the patient condition Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) When should you document nursing interventions? questions and answersAs soon as possible Managing Client Care: Assigning Client Care Tasks to an RN (RM Leadership Chp.1) List/explain the four discipline process in order? questions and answersFirst infraction (talking stage)- The supervisor meeting with the employee, explaining the violation and how the employee can improve Second infraction (warning/boundaries)- Written warning, and discuss the potential consequences if this keeps happening. Third infraction (Taking a break)- Employee on leave with or without pay. Employee takes time to examine the issues Fourth infraction (breakup)- TERMINATED Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) What is Dysphagia? questions and answersDifficulty swallowing Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) Patient's who have dysphagia eat/drink? questions and answerspureed food and thickened liquids Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) What position should stroke pts be placed in to prevent what? questions and answersHigh Fowler, to prevent aspiration Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) A pt following a stroke would need to see what kind of therapist for speaking? questions and answersSpeech therapist Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) A speech and language therapist should be consulted for? questions and answersLanguage and swallowing exercise Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) A Occupational therapist should be consulted for? questions and answersAssisting a pt would their ADL's Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) A Physical therapist should be consulted for? questions and answersAmbulating Coordinating Client Care: Planning Care for A Client Following A Stroke (RM Leadership 7.0 Chp.2) What kind of food should a patient following a stroke avoid? questions and answersThin and sticky foods Mobility and Immobility: Teaching Correct Use of a Cane (FUND 9.0 Ch 40) What side should the cane be on? questions and answers· 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? questions and answers· 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? questions and answers· 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? questions and answersincreased support Mobility and Immobility: Teaching Correct Use of a Crutches (FUND 9.0 Ch 40) questions and answerso 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 A BMI of 30 or greater is considered _______ questions and answersobese A BMI of 25 is considered what? questions and answershealthy weight A BMI of 25.9 is considered what? questions and answersoverweight Pharmacokinetics and Routes of Administration: Administering Multiple Medications Through a Nasogastric Tube (FUND 9.0 Ch 46) List the steps questions and answers· Dissolve crushed tablet medications in sterile water · Administer each medication separately through the client NG tube · Flush the tube with 15mL to 30mL of sterile water between each medication Legal Responsibilities: Caring for a Client Who Requests the Creation of a Living Will (RM FUND 9.0 Ch 4) What is a legal will? questions and answersA legal document that expresses the client's wishes regarding medical treatment in the case the client is unconscious. or is facing death. Coordinating Client Care: Information to Report to Occupational Therapist (RM Leadership 7.0 ) questions and answersPatient's condition and current status; medications the patient is on; tolerance level for pain; any assistive devices the patient uses. Multiple Sclerosis: Priority Referral for a Client Who Has Amyotrophic Lateral Sclerosis (RM AMS RN 10.0 Chp 10) What community service would you provide to this client? questions and answersRespite Care 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? questions and answersPhysical 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) questions and answersThe 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? questions and answersShort notes Information Technology: Using Correct Documentation ( RM FUND 9.0 Ch 5) When should a nurse write detailed notes? questions and answersWhen charting Information Technology: Using Correct Documentation ( RM FUND 9.0 Ch 5) Incident reports are for? questions and answersMedical 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? questions and answersBony 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 questions and answersHeat 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? questions and answersNo, 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? questions and answersThis 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 questions and answersfirst 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 7.0 Chp 25) In case of a heparin overdose, what should you do? what medication should be given? questions and answersstop heparin, administer protamine Medications Affecting Coagulation: Monitoring Following Heparin Administration (RN 7.0 Chp 25) How should protamine be given? questions and answers· administered slowly IV, no faster than 20 mg/min or 50 mg in 10 min. Medications Affecting Coagulation: Monitoring Following Heparin Administration (RN 7.0 Chp 25) What lab value should be monitored following Heparin admisntration? questions and answers·aPTT Medications Affecting Coagulation: Monitoring Following Heparin Administration (RN 7.0 Chp 25) Stop heparin if platelet count is less than questions and answers· 100,000/mm3. Professional Responsibilities: Responding to an Impaired Coworker (RM Leadership 7.0 Chp. 3) At the time of the infraction, the report should be made to the who? questions and answersimmediate supervisor, such as the charge nurse, to ensure client safety. Safe Administration of Medication: Administering Eye Drops to a School-Age Child (RM NCC RN 10.0 Chp 8) What position should the child be in when administering eye drops? and what should you do to there head? questions and answersPlace the child in a supine or sitting position. - Extend the child's head and ask the child to look up. Safe Administration of Medication: Administering Eye Drops to a School-Age Child (RM NCC RN 10.0 Chp 8) How should you pull the lower eye lid and where should you administer the medication? questions and answersPull 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? questions and answersApply 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? questions and answersBefore nap time or at bedtime. Client Education and Discharge Teaching: Interventions for Engorgement (RM MN RN 10.0 Chp 19)