ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM 2020

ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM 2020

1. The nurse is participating in a “time-out.” In which activities will the nurse be

involved? (Select all that apply.)

a. Verify the correct site.

b. Verify the correct patient.

c. Verify the correct procedure.

d. Perform “time-out” after surgery.

e. Perform the actual marking of the operative site.

ANS: A, B, C

A time-out is performed just before starting the procedure for final verification of the

correct patient, procedure, site, and any implants. The marking and time-out most

commonly occur in the holding area, just before the patient enters the OR. The

individual performing surgery and who is accountable for it must personally mark the

site, and the patient must be involved if possible.

2. The nurse is using a forced air warmer for a surgical patient preoperatively.

Which goals is the nurse trying to achieve? (Select all that apply.)

a. Induce shivering.

b. Reduce blood loss.

c. Induce pressure ulcers.

d. Reduce cardiac arrests.

e. Reduce surgical site infection.

ANS: B, D, E

Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the

occurrence of hypothermia. Prevention of hypothermia (core temperature < 36° C) helps

to reduce complications such as shivering, cardiac arrest, blood loss, SSI, pressure

ulcers, and mortality.

3. The nurse is caring for a postoperative patient with an incision. Which actions

will the nurse take to decrease wound infections? (Select all that apply.)

a. Maintain normoglycemia.

b. Use a straight razor to remove hair.

c. Provide bath and linen change daily.

d. Perform first dressing change 2 days postoperatively.

e. Perform hand hygiene before and after contact with the patient.

f. Administer antibiotics within 60 minutes before surgical incision.

ANS: A, E

Performing hand hygiene before and after contact with the patient helps to decrease the

number of microorganisms and break the chain of infection. Maintaining blood glucose

levels at less than 150 mg/dL has resulted in decreased wound infection. Removing

unwanted hair by clipping instead of shaving decreases the numbers of nicks and cuts

caused by a razor and the potential for the introduction of microbes. The patient is

postoperative; administration of an antibiotic 60 minutes before the surgical incision

supports the defense against infection preoperatively. Providing a bath and linen

change daily is positive but is not necessarily important for infection control. Many

surgeons prefer to change surgical dressings the first time so they can inspect the

incisional area, but this is done before 2 days postoperatively.

4. A nurse is assigned the following four clients for the current shift. Which of the

following clients should the nurse assess first?

A. A client who has a hip fracture and is in Buck’s traction

B. A client who has aspiration pneumonia and a respiratory rate of 28/min

C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot

D. A client who has a C diff infection and needs a stool specimen collected

5. A nurse is caring for a client who fell and is reporting pain in the left hip with

external rotation of the left leg. The nurse has been unable to reach the provider

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