ATI RN
ATI Community Health Nursing Ch 7
1. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?
- A. Assessing for allergies
- B. Conducting the Time Out
- C. Ensuring that informed consent is signed
- D. Ensuring that the history and physical examination have been completed
Correct answer: B
Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.
2. Which action represents tertiary prevention?
- A. Providing support groups for chronic illness
- B. Administering antibiotics for infections
- C. Teaching safe injection practices
- D. Conducting follow-up visits
Correct answer: A
Rationale: Tertiary prevention aims to support individuals in managing and coping with long-term conditions. Providing support groups for chronic illness falls under tertiary prevention by helping individuals deal with the impacts of their conditions and improve their quality of life.
3. Which of the following are major veins commonly used in parenteral cannulation?
- A. Basilic vein
- B. Femoral vein
- C. Subclavian vein
- D. Aorta
Correct answer: D
Rationale: The aorta is not a vein; it is the main artery in the body that carries oxygenated blood from the heart to the rest of the body. In parenteral cannulation, major veins like the basilic vein, femoral vein, and subclavian vein are typically used for access. Therefore, the correct answer is the aorta, as it is an artery and not a vein used for cannulation.
4. How should a healthcare provider determine a client’s reading level?
- A. Ask the client how they would rate their ability to read.
- B. Have the client assess their own health literacy and provide examples.
- C. Determine the client's completed years of formal education.
- D. Utilize literacy assessment tools available in the literature.
Correct answer: A
Rationale: In assessing a client's reading level, asking the client to rate their own reading ability is a quick and straightforward method. It allows for a self-assessment that may provide insights into the individual's perception of their literacy skills. This approach can be efficient in initiating discussions about reading abilities and can serve as a starting point for further literacy evaluation if needed.
5. Which of the following is not a therapeutic indication of bone marrow puncture?
- A. Analgesia
- B. Antibiotics
- C. Anaesthesia
- D. Inflammation
Correct answer: A
Rationale: Bone marrow puncture is not typically performed for analgesia purposes. It is primarily done for diagnostic or therapeutic reasons, such as obtaining a sample for testing, administering medications like antibiotics, providing anesthesia during the procedure, or treating conditions related to inflammation. Analgesia, which refers to pain relief, is not a direct therapeutic indication for bone marrow puncture.
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