ATI PHARMACOLOGY PROCTORED
EXAM
1. The nurse is caring for a patient in preadmission testing. The patient has
been assigned a physical status classification by the American Society of
Anesthesiologists of ASA III. Wh
...
ATI PHARMACOLOGY PROCTORED
EXAM
1. The nurse is caring for a patient in preadmission testing. The patient has
been assigned a physical status classification by the American Society of
Anesthesiologists of ASA III. Which assessment will support this
classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
ANS: C
An ASA III rating is a patient with a severe systemic disease, such as poorly
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
patient with no major illnesses or conditions. ASA II is a patient with mild systemic
disease. ASA V is a moribund patient who is not expected to survive without the
operation and includes patients with ruptured abdominal/thoracic aneurysm or
massive trauma.
2. The patient has presented to the ambulatory surgery center to have a
colonoscopy. The patient is scheduled to receive moderate sedation (conscious
sedation) during the procedure. How will the nurse interpret this information?
a. The procedure results in loss of sensation in an area of the body.
b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not
require complete anesthesia but rather a depressed level of consciousness. Not all
patients who are treated on an outpatient basis receive moderate sedation. Regional
anesthesia such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be immobile and to not
remember the surgical procedure.
3. The nurse is caring for a patient in the postanesthesia care unit who has
undergone a left total knee arthroplasty. The anesthesia provider has indicated
that the patient received a left femoral peripheral nerve block. Which
assessment will be an expected finding for this patient?
a. Sensation decreased in the left leg
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia
d. Left toes cool to touch and slightly cyanotic
ANS: A
Induction of regional anesthesia results in loss of sensation in an area of the body
—in this case, the left leg. The peripheral nerve block influences the portions of
sensory pathways that are anesthetized in the targeted area of the body. Decreased
pulse, toes cool to touch, and cyanosis are indications of decreased blood flow and
are not expected findings. Reports of pain in the left foot may indicate that the
block is not working or is subsiding and is not an expected finding in the
immediate postoperative period.
4. The nurse is preparing a patient for surgery. Which goal is a priority
for assessing the patient before surgery?
a. Plan for care after the procedure.
b. Establish a patient’s baseline of normal function.
c. Educate the patient and family about the procedure.
d. Gather appropriate equipment for the patient’s needs.
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