ATI Comprehensive Predictor Exam 2019 A with Correct Answers

QUESTIONS AND ANSWERS

Exam ATI Comprehensive Predictor Exam 2019 A with Correct Answers

TESTED AND CONFIRMED A+ ANSWERS

medication that may make him/her drowsy. Wasting unused medication according to policy is important but is not the best next step.

• The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment

data. Which will be the most important next step for the nurse to take?

• The nurse has administered a preoperative medication to the patient going to surgery. Which action

will the nurse take next?

• Notify the operating suite that the medication has been given.

• Instruct the patient to call for help to go to the restroom.
• Waste any unused medication according to policy.

• Ask the patient to sign the consent for surgery.

CORRECT ANSWER: B

Once a preoperative medication has been administered, instruct the patient to call for help when getting out of bed to prevent falls. For patient safety, explain the purpose of a preoperative medication and its effects.Notifying the operating suite that the medication has been given may be part of a facilities procedure but is not the best next step. It is important to have the patient sign consents before the patient has received

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are important but are not most important in this list of items.

• The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will

be implemented?

• Suturing the surgical incision in the OR suite
• Managing patient care activities in the OR suite
• Assisting with applying sterile drapes in the OR suite

Handing sterile instruments and supplies to the surgeon in the OR

• suite

CORRECT ANSWER: B

The circulating nurse is an RN who remains unscrubbed and uses the nursing process in the management of patient care activities in the OR suite. The circulating nurse also manages patient positioning, antimicrobial skin preparation, medications, implants, placement and function of intermittent pneumatic compression (IPC) devices, specimens, warming devices and surgical counts of instruments, and dressings. The RN first assistant collaborates with the surgeon by handling and cutting tissue, using instruments and medical devices, providing exposure of the surgical area and hemostasis, and suturing. The scrub nurse, who can be a registered nurse, a licensed practical nurse, or a surgical technologist, maintains the sterile field, assists with applying the sterile drapes, and hands sterile instruments and supplies to the surgeon.

• The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which

nursing action will be most appropriate for this area?

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• Notify the operating suite that the patient has a latex allergy.

• Document that the patient had a bath at home this morning.
• Administer the ordered preoperative intravenous antibiotic.

• Ask the nursing assistive personnel to obtain vital signs.

CORRECT ANSWER: A

The most important step is notifying the operating suite of the patient’s latex allergy. Many products that contain latex are used in the operating suite and the postanesthesia care unit (PACU). When preparing for a patient with this allergy, special considerations are required from preparation of the room to the types of tubes, gloves, drapes, and instruments utilized. Obtaining vital signs, documenting, and administering medications are all part of the process and should be done—with the latex allergy in mind. However, making sure that the patient has a safe environment is the first step.

• The nurse is preparing a patient for a surgical procedure on the right great toe. Which action will be

mostimportant to include in this patient’s preparation?

• Place the patient in a clean surgical gown.

• Ask the patient to remove all hairpins and cosmetics.
• Ascertain that the surgical site has been correctly marked.

• Determine where the family will be located during the procedure.

CORRECT ANSWER: C

Because errors have occurred in the past with patients undergoing the wrong surgery on the wrong site, the universal protocol guidelines have been implemented and are used with all invasive procedures. Part of this protocol includes marking the operative site with indelible ink. Knowing where the family is during a procedure, placing the patient in a clean gown, and asking the patient to remove all hairpins and cosmetics