ATI
FUNDAMEN
v
T
-ALS MID v
TERMEXAM
v v
2021/22
v
, FUNDAMENTALS MID TERM EXAM 2021
1. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a
v v v v v v v v v v v v v v v v
vnewly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for
v v v v v v v v v v v v v v v v
vfurther teaching? v
A. "Information about a client can be disclosed to family members at any time."
v v v v v v v v v v v v
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written
v v v v v v v v v v v v
form."
v
C. "A client's address would be an example of personally identifiable information."
v v v v v v v v v v
D. "HIPAA is a federal law, not a state law."
v v v v v v v v
2. A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
v v v v v v v v v v v v v v v v v
A. Adjust the water temperature to feel hot.
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B. Apply 4 to 5 mL of liquid soap to the hands.
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C. Hold the hands higher than the elbows.
v v v v v v
D. Rub hands and arms to dry.
v v v v v
3. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse
v v v v v v v v v v v v v v v v v v
vtake?
A. Tell the client to blow her nose gently before the instillation.
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B. Assist the client to a side-lying position.
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C. Hold the dropper 2 cm (1 in) above the naris.
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D. Instruct the client to stay in the same position for 2 min.
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4. A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should
v v v v v v v v v v v v v v v v v
vthe nurse take?
v v
A. Secure the restraints using a quick-release tie.
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B. Ensure four fingers fit under the restraints to prevent constriction.
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C. Secure the restraints to the lowest bar of the side rail.
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D. Anticipate removing the restraints every 4 hr.
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, FUNDAMENTALS MID TERM EXAM 2021
5. The family of an older adult client brings him to the emergency department after finding him wandering outside.
v v v v v v v v v v v v v v v v v
vDuring the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet
v v v v v v v v v v v v v v v v
vresponds to questions only by nodding and smiling. Which of the following factors should the nurse identify as
v v v v v v v v v v v v v v v v v
va likely explanation for the client's behavior?
v v v v v v
A. He is hard of hearing.
v v v v
B. Pain
C. Confusion
D. Language barrier v
6. A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain
v v v v v v v v v v v v v v v v v v v
vin the insertion area. Which of the following actions should the nurse take?
v v v v v v v v v v v v
A. Remove the catheter and insert another into a different site.
v v v v v v v v v
B. Administer an analgesic PO. v v v
C. Request a prescription for placement of a central venous access device.
v v v v v v v v v v
D. Administer a local anesthetic. v v v
7. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to
v v v v v v v v v v v v v v v v v
vsmolder. Which of the following actions is the nurse’s priority?
v v v v v v v v v
A. Close the fire doors on the unit.v v v v v v
B. Activate the fire alarm. v v v
C. Move any clients in the immediate vicinity.
v v v v v v
D. Use a fire extinguisher to put out the fire.
v v v v v v v v
8. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against
v v v v v v v v v v v v v v v v v v
vmedical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary,
v v v v v v v v v v v v v v v v v
vto keep her from leaving the hospital. The nurse understands that restraining this client would be considered
v v v v v v v v v v v v v v v v
vwhich type of civil action by the nurse?
v v v v v v v
A. Invasion of privacy v v
B. Assault
C. Battery
Page 2
FUNDAMEN
v
T
-ALS MID v
TERMEXAM
v v
2021/22
v
, FUNDAMENTALS MID TERM EXAM 2021
1. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a
v v v v v v v v v v v v v v v v
vnewly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for
v v v v v v v v v v v v v v v v
vfurther teaching? v
A. "Information about a client can be disclosed to family members at any time."
v v v v v v v v v v v v
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written
v v v v v v v v v v v v
form."
v
C. "A client's address would be an example of personally identifiable information."
v v v v v v v v v v
D. "HIPAA is a federal law, not a state law."
v v v v v v v v
2. A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
v v v v v v v v v v v v v v v v v
A. Adjust the water temperature to feel hot.
v v v v v v
B. Apply 4 to 5 mL of liquid soap to the hands.
v v v v v v v v v v
C. Hold the hands higher than the elbows.
v v v v v v
D. Rub hands and arms to dry.
v v v v v
3. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse
v v v v v v v v v v v v v v v v v v
vtake?
A. Tell the client to blow her nose gently before the instillation.
v v v v v v v v v v
B. Assist the client to a side-lying position.
v v v v v v
C. Hold the dropper 2 cm (1 in) above the naris.
v v v v v v v v v
D. Instruct the client to stay in the same position for 2 min.
v v v v v v v v v v v
4. A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should
v v v v v v v v v v v v v v v v v
vthe nurse take?
v v
A. Secure the restraints using a quick-release tie.
v v v v v v
B. Ensure four fingers fit under the restraints to prevent constriction.
v v v v v v v v v
C. Secure the restraints to the lowest bar of the side rail.
v v v v v v v v v v
D. Anticipate removing the restraints every 4 hr.
v v v v v v
Page 1
, FUNDAMENTALS MID TERM EXAM 2021
5. The family of an older adult client brings him to the emergency department after finding him wandering outside.
v v v v v v v v v v v v v v v v v
vDuring the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet
v v v v v v v v v v v v v v v v
vresponds to questions only by nodding and smiling. Which of the following factors should the nurse identify as
v v v v v v v v v v v v v v v v v
va likely explanation for the client's behavior?
v v v v v v
A. He is hard of hearing.
v v v v
B. Pain
C. Confusion
D. Language barrier v
6. A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain
v v v v v v v v v v v v v v v v v v v
vin the insertion area. Which of the following actions should the nurse take?
v v v v v v v v v v v v
A. Remove the catheter and insert another into a different site.
v v v v v v v v v
B. Administer an analgesic PO. v v v
C. Request a prescription for placement of a central venous access device.
v v v v v v v v v v
D. Administer a local anesthetic. v v v
7. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to
v v v v v v v v v v v v v v v v v
vsmolder. Which of the following actions is the nurse’s priority?
v v v v v v v v v
A. Close the fire doors on the unit.v v v v v v
B. Activate the fire alarm. v v v
C. Move any clients in the immediate vicinity.
v v v v v v
D. Use a fire extinguisher to put out the fire.
v v v v v v v v
8. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against
v v v v v v v v v v v v v v v v v v
vmedical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary,
v v v v v v v v v v v v v v v v v
vto keep her from leaving the hospital. The nurse understands that restraining this client would be considered
v v v v v v v v v v v v v v v v
vwhich type of civil action by the nurse?
v v v v v v v
A. Invasion of privacy v v
B. Assault
C. Battery
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