when are written directives written before pt becomes ill
nurses role regarding adv directives provide info about
document adv directive status
ensure adv directive reflects clients current decisions
inform all members of the healthcare team
beneifence to do good
fidelity faithfulness; loyalty
nonmalefincence do no harm
veracity truthfulness, honesty
nurses should follow these 6 principles in regards to beneficence
ethicalness non-maleficence
veracity
justice
fidelity
autonomy
nurses role in informed consent to witness the clients signature on the informed consent form & to ensure that
consent has been appropriately obtained.
intentional tort A wrongful act knowingly committed.
assault, battery, false imprisonment
a nurse if caring for a pt who speaks a different language, use an interpreter, preferably of the same age and gender, and speak directly to the
the nurse should pt and not the interpreter
what is important to know about delegation to UAP/LPN they cannot teach or evaluate pts, the pt must be stable, make sure the pt has diet
orders and assess the abdomen prior to allowing UPA to feed pt
the nurse should take the initial vitals signs of a post op pt and then VS can be
delegated
who should a nurse see first? Any pt experiencing ABC complications, unstable before stable, and acute before
chronic
A nurse has called the physician regarding her pt that is Write the order down and confirm it with the provider
experiencing chest pain. The physician asks the nurse to
have an EKG done and administer X medication. What
should the nurse do
subjective information Information from the patient's point of view.
"I feel dizzy."
, ATI Fundamentals Mastery Exam | Content Mastery Series Practice Questions, Answers & Nursing Exam Review 2026-2027
objective information factual information collected using the senses of sight, hearing, smell, and touch;
also called signs
A nurse observes that the patient has a hearing aid, document the communication with the pt
dentures, and expensive jewlery in the room. The nurse
communicates to the pt that valuables shouldn't be left at
the bedside, and be locked in the facilites safe. what
should the nurse do after communicating w the pt
what are some questions you should ask yourself as you is the current residence safe? does the pt have assistance? is special equipment
are planning the discharge of a pt? needed? can the afford the medication? does the pt have transportation to follow up
apts?
siezure precations maintain airway, suction, oxygen supplies, pad rails, and IV access
A nurse notices that her pt has a latex allergy. When the pt should have the first surgery of the day and OR must be free of powdered
scheduling surgery for this pt, what should the nurse keep latex gloves for at least 3 hours) synthetic gloves must be used and furniture and
in mind? equipment must be wiped down using synthetic gloves
Note: if the pt can not be scheduled as the first surgery of the day, at least 3 hours
must pass after room has been cleaned before surgery can occur
hold items to add to the sterile field at minimum ___ inches 6in
abv the field
multi drug resistance pt precautions private room, positive airflow room w 12 or more exchanges per hour, mask for pt
outside of room, culture prior to antibiotics, assessment and teaching, hand
hygiene, proper PPE, aseptic technique
goal is to prevent infection
stem cell transplant pt precautions PPE, Positive pressure room 12+ exchanges per hour, private room
airborne precautions N95 mask, negative pressure room 6-12 exchanges per hour
RACE method for fires Remove, alarm/alert, confine, extinguish/evacuate
if pt is involved in a fire you should remove cause, smother flames, preform primary survey, evaluate pt's extremities,
preform Head to Toe assessment, administer fluids and tetanus toxoid as ordered
a nurse is caring for a pt who is in restraints what are some remove every 3-4 hours
things she should remember secure with quick release knot
assess every 2 hours or per protocol (toileting, nutritional, skin)
regularly determine need
for wrist restraint 2 fingers should be able to fit bw skin and restraint
when should an incident report be filled out any incident that cause harm or has the potential to cause harm to the pt
must be completed in 24 hours