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ATI RN ADULT MEDICAL SURGICAL FINAL
SEGMENT VAULT | 200 NGN JURISPRUDENCE
& HIPAA Q&As (2026/2027) | 100% PASS
GUARANTEED | GRADED A+
1. A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks
B. Document the refusal
C. Administer the transfusion if hemoglobin is critical
D. Notify the provider
E. Ask the family to override the decision
Correct Answer: A, B, D
Explanation: Competent adults have the right to autonomy and self-
determination, including the right to refuse treatment even if refusal may result in
death. The nurse must ensure the client understands the risks (informed refusal),
document the refusal, and notify the provider so alternative treatments can be
explored. Administering the transfusion against the client's wishes constitutes
battery, and asking family to override the decision violates the client's autonomy.
2. A nurse answers the unit telephone. The caller states, "This is Maria, my
coworker was in a car accident, and I just want to know if she is okay."
Which response by the nurse is appropriate?
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A. "She is in stable condition, but you will need to speak with her family for
details."
B. "I will transfer you to her room so you can ask her directly."
C. "Come to the hospital and I will give you an update at the information desk."
D. "I am not able to confirm whether any particular person is being cared for at
this facility."
Correct Answer: D
Explanation: Under HIPAA, the nurse may neither confirm nor deny that a client is
receiving care without the client's authorization. Options A and B both disclose
protected health information to an unverified caller who is not on the client's
approved contact list. Directing the caller to the information desk with a promise
of an update (option C) still confirms the client's presence and is a confidentiality
breach.
3. A nurse is reviewing HIPAA with a group of staff nurses. Which statement by
a staff nurse indicates understanding?
A. "HIPAA allows clients to request a review of their own medical records."
B. "HIPAA permits nurses to access any client's record in the facility."
C. "HIPAA requires providers to share all information with family members."
D. "HIPAA prevents clients from seeing their own mental health records."
Correct Answer: A
Explanation: The HIPAA Privacy Rule grants patients specific rights including the
right to access their medical records, the right to request amendments to incorrect
information, and the right to an accounting of disclosures. Nurses can only access
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records for treatment purposes under the "minimum necessary" standard. Family
access requires patient authorization or legal authority. Mental health records
have special protections but are not completely inaccessible to patients.
4. A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse
believes that this is not in the client's best interest, so she prepares to
administer a PRN sedative medication the client has not requested along
with his usual medication. Which type of tort is the nurse about to commit?
A. Negligence
B. False imprisonment
C. Battery
D. Breach of confidentiality
Correct Answer: B
Explanation: Administering medication as a chemical restraint to keep the client
from leaving the facility against medical advice constitutes false imprisonment
because the client neither requested nor consented to receiving the sedative. This
restricts the client's freedom of movement without legal justification. Battery
involves harmful or offensive touching without consent, but the act of restraining
the client's movement makes false imprisonment the more accurate tort.
5. Which of the following legislative acts stipulates that clients be allowed to
see and make corrections to their health care records?
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A. Health Information Technology for Economic and Clinical Health (HITECH) Act
B. Health Insurance Portability and Accountability Act (HIPAA)
C. Patient Self-Determination Act
D. Emergency Medical Treatment and Labor Act (EMTALA)
Correct Answer: B
Explanation: One privacy rule of HIPAA is to establish client ownership of the
health care record and allow for client-initiated corrections and amendments. The
HITECH Act strengthened HIPAA enforcement and promoted electronic health
records. The Patient Self-Determination Act addresses advance directives, and
EMTALA addresses emergency treatment and stabilization.
6. Which of the following uses of technology would constitute a violation of
HIPAA?
A. Sharing a client's lab results with a consulting provider via email on the
healthcare facility intranet
B. Charting client data on electronic health care record while at the bedside with
family members present
C. Texting a picture of a client's wound from one nurse to another nurse related to
wound care protocol
D. Documenting client information in the electronic health record
Correct Answer: C
Explanation: Texting a picture of a client's wound is a violation of client
confidentiality due to identifiable client assessment data shared outside the health
care facility. Even though the nurse sent the photo to another nurse related to
ATI RN ADULT MEDICAL SURGICAL FINAL
SEGMENT VAULT | 200 NGN JURISPRUDENCE
& HIPAA Q&As (2026/2027) | 100% PASS
GUARANTEED | GRADED A+
1. A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks
B. Document the refusal
C. Administer the transfusion if hemoglobin is critical
D. Notify the provider
E. Ask the family to override the decision
Correct Answer: A, B, D
Explanation: Competent adults have the right to autonomy and self-
determination, including the right to refuse treatment even if refusal may result in
death. The nurse must ensure the client understands the risks (informed refusal),
document the refusal, and notify the provider so alternative treatments can be
explored. Administering the transfusion against the client's wishes constitutes
battery, and asking family to override the decision violates the client's autonomy.
2. A nurse answers the unit telephone. The caller states, "This is Maria, my
coworker was in a car accident, and I just want to know if she is okay."
Which response by the nurse is appropriate?
,2
A. "She is in stable condition, but you will need to speak with her family for
details."
B. "I will transfer you to her room so you can ask her directly."
C. "Come to the hospital and I will give you an update at the information desk."
D. "I am not able to confirm whether any particular person is being cared for at
this facility."
Correct Answer: D
Explanation: Under HIPAA, the nurse may neither confirm nor deny that a client is
receiving care without the client's authorization. Options A and B both disclose
protected health information to an unverified caller who is not on the client's
approved contact list. Directing the caller to the information desk with a promise
of an update (option C) still confirms the client's presence and is a confidentiality
breach.
3. A nurse is reviewing HIPAA with a group of staff nurses. Which statement by
a staff nurse indicates understanding?
A. "HIPAA allows clients to request a review of their own medical records."
B. "HIPAA permits nurses to access any client's record in the facility."
C. "HIPAA requires providers to share all information with family members."
D. "HIPAA prevents clients from seeing their own mental health records."
Correct Answer: A
Explanation: The HIPAA Privacy Rule grants patients specific rights including the
right to access their medical records, the right to request amendments to incorrect
information, and the right to an accounting of disclosures. Nurses can only access
,3
records for treatment purposes under the "minimum necessary" standard. Family
access requires patient authorization or legal authority. Mental health records
have special protections but are not completely inaccessible to patients.
4. A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse
believes that this is not in the client's best interest, so she prepares to
administer a PRN sedative medication the client has not requested along
with his usual medication. Which type of tort is the nurse about to commit?
A. Negligence
B. False imprisonment
C. Battery
D. Breach of confidentiality
Correct Answer: B
Explanation: Administering medication as a chemical restraint to keep the client
from leaving the facility against medical advice constitutes false imprisonment
because the client neither requested nor consented to receiving the sedative. This
restricts the client's freedom of movement without legal justification. Battery
involves harmful or offensive touching without consent, but the act of restraining
the client's movement makes false imprisonment the more accurate tort.
5. Which of the following legislative acts stipulates that clients be allowed to
see and make corrections to their health care records?
, 4
A. Health Information Technology for Economic and Clinical Health (HITECH) Act
B. Health Insurance Portability and Accountability Act (HIPAA)
C. Patient Self-Determination Act
D. Emergency Medical Treatment and Labor Act (EMTALA)
Correct Answer: B
Explanation: One privacy rule of HIPAA is to establish client ownership of the
health care record and allow for client-initiated corrections and amendments. The
HITECH Act strengthened HIPAA enforcement and promoted electronic health
records. The Patient Self-Determination Act addresses advance directives, and
EMTALA addresses emergency treatment and stabilization.
6. Which of the following uses of technology would constitute a violation of
HIPAA?
A. Sharing a client's lab results with a consulting provider via email on the
healthcare facility intranet
B. Charting client data on electronic health care record while at the bedside with
family members present
C. Texting a picture of a client's wound from one nurse to another nurse related to
wound care protocol
D. Documenting client information in the electronic health record
Correct Answer: C
Explanation: Texting a picture of a client's wound is a violation of client
confidentiality due to identifiable client assessment data shared outside the health
care facility. Even though the nurse sent the photo to another nurse related to
