ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 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: A
Rationale:
Correct
Answer: A. A nurse administers a medication without first identifying the client.
Rationale:
1. Negligence involves failing to provide care that meets the standard of care expected in a particular situation.
2. Administering medication without first identifying the client violates the standard of care and can lead to serious harm.
3. Proper identification of the client is a fundamental safety measure to ensure correct medication administration.
4. Failure to identify the client can result in medication errors, adverse reactions, and potential harm to the client.
Summary of Incorrect
Choices:
B. Preventing a client from leaving the facility may be related to safety concerns but does not directly involve negligence.
C. Beginning a blood transfusion without consent is a violation of the client's rights but not a clear example of negligence.
D. Discussing client care in a public area may breach confidentiality but does not directly relate to negligence in client care.
Question 2 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: The correct answer is A: Speech-language pathologist. This is because a speech-language pathologist specializes in diagnosing and treating swallowing difficulties (dysphagia) that often occur after a stroke. They can assess the client's swallowing function, provide strategies to improve swallowing safety, and recommend appropriate diet modifications. The other options (B: Occupational therapist, C: Physical therapist, D: Social worker) do not specifically address the client's swallowing issue and are not the primary professionals for managing dysphagia in stroke patients.
Question 3 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Review the use of an artificial larynx with the client. This is the priority intervention because after a total laryngectomy, the client will need alternative methods for speech, and an artificial larynx is one of the options. It is crucial for the nurse to discuss this with the client prior to the surgery to ensure they understand the use and benefits of this device for communication post-surgery.
A: Scheduling a support session is important but not the priority at this stage.
B: Determining the client's reading ability is not as urgent as ensuring they have a means of communication after the laryngectomy.
D: Explaining esophageal speech is important, but reviewing the artificial larynx is more immediate and essential for communication.
Question 4 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 emergency situations where a client is unconscious and requires immediate surgery to prevent harm or save their life, healthcare providers are ethically obligated to act in the client's best interest. This principle, known as beneficence, allows healthcare professionals to provide necessary care in emergency situations without prior consent. By preparing the client for surgery, the nurse ensures the client receives timely and potentially life-saving treatment. Obtaining consent from the surgeon (
B) is not appropriate as the surgeon cannot provide consent on behalf of the client. Contacting the facility's ethics committee (
C) may cause unnecessary delays in providing urgent care. Keeping the client stable until a family member arrives (
D) may jeopardize the client's health and violates the principle of beneficence.
Question 5 of 5
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Roll the client as one unit in a smooth, continuous motion. This is the correct action to prevent any unnecessary strain or injury to the client's lower back. Rolling the client as one unit maintains the alignment of the spine and minimizes twisting movements that could exacerbate the injury. Placing the client's arms at their sides (
A) is not as crucial as maintaining proper spinal alignment. Placing the client on the side of the bed nearest the direction they will be turned (
B) does not ensure proper alignment during repositioning. Flexing the client's knees (
C) may not be necessary if the client can be rolled smoothly. Overall, rolling the client as one unit is the safest and most effective method for repositioning a client with a lower back injury.