ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Prepare the client for surgery. In an emergency situation where the client is unconscious and no one is available to give consent, the nurse must act in the best interest of the client. This includes providing necessary and life-saving treatment without delay. Delaying surgery to wait for consent may jeopardize the client's health and violate the principle of beneficence. Contacting the ethics committee (
B) may cause further delay, and keeping the client stable until a family member arrives (
C) may not be feasible in urgent cases. Obtaining consent from the surgeon (
D) is not ethically appropriate as the surgeon cannot provide consent on behalf of the client.
Question 2 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Asking the client directly if they have thought about harming themselves is crucial in assessing suicidal ideation. This response shows the nurse's concern for the client's safety and opens up a dialogue for further assessment and intervention.
Summary:
A: While discussing feelings with the provider is important, addressing immediate safety concerns takes precedence.
C: Inquiring about medication cessation is relevant but not as urgent as assessing suicidal thoughts.
D: Understanding the client's relationship is valuable, but safety assessment is the priority in this situation.
Question 3 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: A
Rationale: The correct answer is A. The area rug covering a tile floor is a safety hazard for the client with osteoporosis as it increases the risk of falls. The uneven surface can cause tripping and slipping accidents, leading to fractures. The other choices are safe practices. B: Grab bars in the shower promote stability and prevent falls. C: Using a medication organizer ensures proper medication management. D: Setting the hot water heater at 47°C prevents scalding injuries.
Question 4 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Hold bottles of sterile solution with the label in the palm of the hand. This is correct because it ensures that the nurse maintains sterile technique by preventing contamination of the solution. Holding the bottles with the label in the palm of the hand prevents touching the outside of the bottle, which could introduce contaminants.
Choice B is incorrect because pouring liquids into containers outside the sterile field risks contamination.
Choice C is incorrect as the sterile field should be at the level of the nurse's chest to prevent inadvertent contamination.
Choice D is incorrect because opening the outermost flap of the sterile kit toward the body risks contaminating the contents.
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. Negligence occurs when a nurse fails to adhere to the standard of care, resulting in harm to the client. Administering medication without identifying the client violates the standard protocol, risking patient safety. Option A relates to lack of informed consent, not negligence. Option B involves restraint, not negligence. Option D pertains to confidentiality breach, not negligence. Thus, option C best exemplifies negligence in client care.