ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Uses a syringe with a catheter for wound irrigation. This action indicates an understanding of the procedure because using a syringe with a catheter allows for controlled and precise irrigation of the wound, ensuring thorough cleaning and removal of debris. It also helps prevent cross-contamination and promotes wound healing.
Incorrect choices:
A: Using one pair of gloves for dressing removal and irrigation increases the risk of contamination and infection.
C: Administering an analgesic medication before irrigation is not a standard practice and does not demonstrate understanding of the procedure.
D: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: A
Rationale:
Rationale:
Choice A indicates the client has adapted to their new role by expressing appreciation for having others cook, showing acceptance of receiving care.
Choice B suggests confusion and lack of purpose, indicating difficulty adjusting.
Choice C reflects a desire for independence, not necessarily adaptation to the new role.
Choice D implies reluctance to ask for help, which may hinder adaptation. Overall, choice A demonstrates a positive attitude towards the new living situation, making it the correct answer.
Question 3 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Prepare the client for surgery. In emergency situations where a client is unconscious and immediate surgery is necessary, the principle of implied consent applies. The nurse should prioritize the client's well-being by preparing them for surgery to save their life or prevent further harm. Contacting the ethics committee (
A) or waiting for a family member (
B) could cause a dangerous delay. Obtaining consent from the surgeon (
C) is not appropriate as the surgeon's role is to perform the procedure, not provide consent. Thus, preparing the client for surgery is the most ethical and appropriate action in this scenario.
Question 4 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the threat of harmful or offensive contact without consent, creating fear in the victim. In this scenario, the nurse's statement of administering medication by injection if pills are not swallowed constitutes a threat of harm, inducing fear in the client. The other choices are incorrect because: B: Defamation involves making false statements that harm one's reputation, C: Invasion of privacy is the intrusion into someone's private affairs without consent, and D: Battery is the actual harmful or offensive contact without consent.
Question 5 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: The correct answer is C: A nurse administers a medication without first identifying the client. This is a clear example of negligence because proper identification of the client is crucial in ensuring the right medication is given to the right person. Failing to verify the client's identity before administering medication can lead to serious consequences such as medication errors, allergic reactions, or adverse drug interactions. This breach in standard of care can result in harm to the client and legal ramifications for the nurse.
Other choices:
A: Starting a blood transfusion without consent is a violation of the client's rights, but it does not directly demonstrate negligence in providing care.
B: Discussing client care in a public area may breach confidentiality, but it does not directly involve negligence in client care.
D: Preventing a client from leaving the facility may be necessary for safety reasons and does not inherently constitute negligence in client care.