ATI PN Fundamentals Exam Study Guide 2024

A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if she does not use the urinal more carefully next time. Which of the following torts is the AP committing? - Assault 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 PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit? - False imprisonment 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? - I plan to write that I don't want them to keep me on a breathing machine." A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.) - Make sure the surgeon obtained the client's consent. Witness the client's signature Zon the consent form. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and 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 a break. Which of the following actions should the nurse take? - Report the observations to the When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? - Place a mask on the client to limit the spread of micro-organisms into the surgical wound. 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? - The flap farthest from the body A nurse is wearing sterile gloves in preparation for performing sterile procedure. Which of the a touch without following objects can the nurse breaching sterile technique? (Select all that apply) - 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) - Wash the hands with soap and water for at least 15 seconds. Use a clean paper towel to turn off hand 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) - The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. The procedure is delayed 1 hr because the provider receives an emergency call. The nurse turns to speak to someone who enters through the door behind the nurse. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? - Home health care Rehab facilities Skilled nursing facilities A nurse is explaining the various types of health care coverage. Which of the following health care financing mechanisms are federally funded? - Medicare Medicaid A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? - Collaborating with providers to perform obesity screenings during routine office visits 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? - Ensuring that health care providers comply with 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 care? (SATA) - ICU Oncology treatment center Burn center Which clients should a nurse initiate a referral to a social worker - A client with terminal cancer requests hospice care in home A client asks about community resources available for older adults A client requests an electric wheelchair for use after discharge Who should you refer a patient to see that has trouble with self feeding - Occupational therapist Who can help a client understand medications and their effects? - Provider Pharmacist RN A patient who has dysphagia should be referred to - Speech-language pathologist CNAs can assist with - Bathing Ambulation Toileting Vitals A patient refuses surgery for his blockages, his choice is an example of - Autonomy Giving pain medicine to a client before ambulation is an example of - Beneficence Organ donation requirements and qualifications ensures - Justice 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 - Nonmaleficence example of an ethical dilemma - Family has conflicting feelings about initiation of enteral tube feedings What information should be included in the change of shift report - Bone density scan scheduled for today What information should a nurse include when teaching about HIPPA - Family members must provide a code communication should only be done at the nurses station client can request a copy of their medical record and a medical record maybe copy for transfer to another facility What are the legal requirements for documenting in a patient chart - Documenting the date and time on all injuries and documenting objective data and leaving out opinions What incidents require completion of an incident report - Medication error needle sticks omission of prescription Nurse nurse is receiving a phone order for morphine what actions are appropriate - Repeat the details back to the provider Have another nurse listen to the telephone prescription Obtain the provider signature within 24 hours This task may be delegated to the system personnel - Replace on a condom catheter on a client who has urinary incontinence Who should assess the patient immediately following back surgery with ambulation - The RN What information should the nurse share with a P about a patient who is postop five days knee surgery - The client ambulate's with his slippers on over his Antiembolic stockings Client uses a front wheeled walker when walking The patient had pain medication 30 minutes ago Which assignment should the LPN question - Teaching a client who has asthma to use a metered dose inhaler What are some of the five rights of delegation - Right supervision and evaluation right direction and communication right circumstances What should you do if a patient has not achieved pain management by the second day after surgery - Reassess to determine reason for in adequate pain relief What are some examples of objective data - What the nurse can see with her own eyes. Respiratory rate is 22 per minute with even a labored respirations Skin is pink warm and dry The assistive personnel reports the client walked with a limp Examples of interventions that do not require provider signature - Showing a client progressive muscle Relaxation Perform daily bath after meals Reposition Klein every two hours to reduce pressure ulcer risk Which statement correctly identify as an appropriate steps in the planning of the nursing process - I would determine the most important client problems that we should address A client 24 hour postop for repair of hernia He's tolerating clear liquids well and has active bowel sounds and is expressing desire for real food the nurse says she will call the surgeon to ask. What level level of critical thinking is this - Basic The patient has a prescription for an anabiotic the nurse notices that this is listed in their allergies she calls the provider to prescribe something different she has demonstrated what critical thinking - Responsibility Nurse nurse notices that a patient 24 hours postop for abdominal surgery has in adequate pain relief which of the following reinforces the suspicion - The client is non-adherent to cough and deep breathing and dangling The client may have pain medication every 4 to 6 hours but only takes it every 6 to 7 Heart rate is 124 respiratory rate is 22 and temperature is 98.6 blood pressure is 156/80 The nurse uses a electronica database for newly prescribed anti-tense medication before administration this is an example of which critical thinking step - Knowledge A nurse performs a head to toe assessment for a patient who will have surgery next week what part of the critical thinking is this - Discipline After performing an admission assessment for an older client what should the next priority of the nurse be - Orient the patient to his room A nurse admitting a patient with a cute Coley cystitis to the MedSurg unit what actions are essential steps of the admission process - Explain the roles of the other care members Began discharge planning Document the client wishes about organ donation Introduce the client to his roommate A client who had a stroke is about to be transferred to a rehab center what is the responsibility of the nurse - Ensure the client has possession of his valuables confirm the rehab center has a room available at the time of transfer give verbal transfer report over the telephone complete a transfer form to for the receiving facility A patient preparing to be discharged after knee surgery, what information does the nurse include in the discharge summary - Follow up care instructions for diet and medications contact information for the home healthcare agency During admission of a patient with dementia to long-term care facility what priority information should the nurse obtain from the family in regards to diet - If the patient has any difficulty swallowing What action should the nurse take prevent falls in a nursing home - call bell within reach provide nonskid footwear complete fall risk assessment What statement by the nurse requires further instruction for patient with seizures - I will go to the nurses station for assistance The nurse observes smoke coming from the door of the nurses lounge what is her first action - Remove nearby clients A nurse has a patient with history of falls what is her first priority - Complete a fall risk assessment When assigning rooms to clients to prevent falls which of the following clients should the nurse assign closest to the nurses station - An older client who was postop knee amputation What is the rationale for reporting infectious diseases such as SARS - Planning and evaluating control prevention strategies Determine public health priorities ensure proper medical treatment monitoring for a common source outbreaks Patient presents with linear clusters of fluid filled vesicles with some crusting the nurse should identify this manifestation as what - Herpes zoster The client reports severe sore throat pain when swallowing and swollen lymph nodes the patient is experiencing what stage of infection - Illness