ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: COâ‚‚ retention in respiratory acidosis causes CNS depression, leading to lethargy.
Question 2 of 5
The emergency department nurse administers a prescribed narcotic for a client with renal colic and then discharges the client without ensuring the client has a designated driver. The client is subsequently involved in a motor vehicle collision on their way home, causing injury to self and others. Which ethical principle did the nurse violate?
Correct Answer: D
Rationale: Veracity is the principle of truthfulness and honesty. It involves providing accurate information to clients and being truthful in communication. While important in healthcare, veracity does not specifically address the nurse's failure to ensure the client's safety after administering a narcotic. Autonomy refers to respecting the client's right to make their own decisions about their care. While autonomy is a fundamental ethical principle, the scenario involves the nurse's responsibility to ensure safety, which falls under a different principle. Beneficence is the principle of acting in the best interest of the client by promoting good and preventing harm. Although related to the scenario, beneficence focuses more on the proactive aspect of providing care rather than preventing harm resulting from inaction. Nonmaleficence is the ethical principle of 'do no harm.' The nurse violated this principle by discharging the client without ensuring they had a designated driver, leading to a motor vehicle collision and injuries. The nurse's action indirectly caused harm, violating the principle of nonmaleficence.
Question 3 of 5
A nurse is completing an admission assessment on a client who has been transferred to the unit. The client has a history of falls and confusion. The nurse forgets to initiate any fall risk prevention as indicated by the hospital policy, and later during the shift, the client falls and sustains a wrist fracture. Which legal tort is the nurse at risk for from this situation?
Correct Answer: D
Rationale: Slander refers to spoken defamation of a person's character. Since this situation does not involve any spoken statements that defame the client, slander is not applicable. Malpractice is a specific type of negligence that occurs when a healthcare professional fails to perform their duties to the required standard, resulting in harm to a patient. While closely related, in this scenario, the broader term negligence more accurately describes the failure to follow hospital policy. Battery involves intentional and wrongful physical contact with a person without their consent, causing harm. In this situation, the nurse's failure to prevent the fall is not an intentional act, so battery is not applicable. Negligence occurs when someone fails to take reasonable care to avoid causing injury or loss to another person. In this case, the nurse's failure to initiate fall risk prevention measures, as required by hospital policy, resulted in the client falling and sustaining a wrist fracture, making the nurse at risk for negligence.
Question 4 of 5
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: COâ‚‚ retention in respiratory acidosis causes CNS depression, leading to lethargy.
Question 5 of 5
The nurse provides care to a patient who is diagnosed with chronic obstructive pulmonary disease (COPD). The patient's pulse oximetry is 93% on room air with a current respiratory rate of 35 breaths per minute. The most recent chest x-ray indicates a flattened diaphragm with infiltrates. The patient is currently febrile with an increased number of white blood cells (WBCs) noted on the latest complete blood count (CBC). Which order does the nurse question for this patient based on the current data?
Correct Answer: A
Rationale: CPT may exacerbate fatigue and respiratory distress in a patient with infiltrates and tachypnea.