ATI & NCLEX REVIEW/ TEST 1 With Complete Solutions 2022

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply) - Home Health Care - Rehabilitation Facilities - Diagnostic Centers - Skilled Nursing Facilities - Oncology Centers - ANSWER-Home Health Care Rehabilitation Facilities Skilled Nursing Facilities These promote self-care and restorative health. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring Evidence based practice for clients who have specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining if medications are safe for administration to clients - ANSWER-B. Ensuring that Health care providers comply with regulations. The nurse should identify that state licensing boards are responsible for ensuring that health care providers and agencies comply with state regulations. A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary? (Select all that apply) - Intensive Care Unit - Oncology Treatment Centers - Burn Center - Cardiac Rehabilitation - Home Health Care - ANSWER-Intensive Care unit Oncology treatment Centers Burn Center Tertiary Care involves the provision of specialized and highly technical care. A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply) - A client who is terminal cancer request hospice care in her home - A client ask about community resources available for older adults - A client who states that she wants her child baptized before surgery - A client request an electric wheelchair for use after discharge - A client states that he does not want to use a nebulizer - ANSWER-A client who has terminal cancer and request hospice care in her home A client who ask about community resources available for older adults A client who request an electric wheelchair for use after discharge A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (Select all that apply.) A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs - ANSWER-Bathing Ambulating Toileting Measuring Vital Signs A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this clients choice is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - ANSWER-Autonomy The client is exercising his right to make his own decisions A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Beneficence - ANSWER-Beneficence The action the promotes good for others, without any self interest. Taking positive action to help the client. A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principals? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - ANSWER-C. Justice A fairness in care delivery and in use of resources. A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - ANSWER-D. Nonmaleficence A commitment to do no harm. The nurse is being ethical by not wanting to cause more pain to the patient. A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma? A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment B. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply restraints. C. A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill. D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form. - ANSWER-C. A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill. There is not legal issue. It is an ethical dilemma because there is not easy way to resolve. The decision will be very life changing to client condition. A nurse observes an assistive personal (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is AP committing? A. Assault B. Battery C. False Imprisonment D. Invasion of Privacy - ANSWER-A. Assault Verbal Threatening is against the law. A nurse caring for a competent adult client who tells the nurse that the 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 that the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit? A. Assault B. False Imprisonment C. Negligence D. Breech of confidentiality - ANSWER-B. False Imprisonment. Medication was given with patients consent, it was used as a chemical restraint. A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? A. "I'd rather have my brother make decisions for me, but I know it has to be my wife." B. "I know they won't go ahead with the surgery unless I prepare these forms." C. "I plan to write that I don't want them to keep me on a breathing machine." D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - ANSWER-C. "I plan to write that I don't want them to keep me on a breathing machine." A client has the right to chose what he/she wants in a life-threatening situation. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take? A. Alert the American Nurse Association B. Fill out an incident report C. Report the observation to the nurse manager on the unit D. Leave the nurse alone to sleep. - ANSWER-C. Report the observation the nurse manager on the unit. When entering client's room to change dressing, nurse notes client is coughing & sneezing. When preparing sterile field, it's important the nurse... A: keep sterile field at least 6 ft away from client's bedside B: instruct client to not cough/sneeze during dressing change C: place mask on client to limit spread of microorganisms into surgical wound D: keep box of Kleenex nearby for client to use during dressing change - ANSWER-C. Place mask on the client to limit spread of microorganisms into surgical wound Creates barrier, prevents spread. A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? A. The flap closest to the body B. The right side flap C. The left side flap D. The flap farthest from the body - ANSWER-D. Flap farthest from the body. Maintain sterility, and keep client safe from risk on infection. A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.) A. A bottle containing a sterile solution B. The edge of the sterile drape at the base of the field C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One gloved hand with the other gloved hand - ANSWER-The inner wrapping of an item on the sterile field An irrigation syringe on the sterile field One gloved hand with the other gloved hand. A nurse is reviewing hand hygiene techniques with a group of assistive personnel AP. Which of the following instructions should the nurse include when discussing handwashing? (Select all that apply.) - Apply 3 to 5 mL of liquid soap to dry hands - Wash the hands with soap and water for atleast 15 seconds. - Rinse the hands with hot water - Use a clean paper towel to turn off faucets - Allow the hands to air dry - ANSWER-Apply 3 to 5mL of liquid soap to dry hands Wash hands with soap and water for at least 15 seconds Use a clean paper towel to turn off faucets A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (Select all that apply.) A. The provider drops a sterile instrument onto the near side of the sterile field. B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. C. The procedure is delayed 1 hr because the provider receives an emergency call. D. The nurse turns to speak to someone who enters through the door behind the nurse. E. The client's hand brushes against the outer edge of the sterile field. - ANSWER-The nurse moistens a cotton ball with sterile normal saline and places. The produce is delayed 1hr because the provider receives an emergency call. T