Extract:

Question 1 of 5

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

A. Implementing a client's plan of care based upon nursing goalsB. Initiating IV access on a client who has dementia while he is sleepingC. Providing written information to a client regarding palliative careD. Obtaining an interpreter for a client who speaks a different language than the nurseE. Documenting a client's refusal to take a prescribed medication

Correct Answer: C,D,E

Rationale: Providing palliative care information, obtaining an interpreter, and documenting medication refusal respect client rights and autonomy. Nursing goal-based care and unconsented IV access do not.

Question 2 of 5

A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

A. A client who has schizophrenia and uses neologismsB. A client who has bipolar disorder and displays constant pacingC. A client who has depressive disorder and has poor personal hygieneD. A client who has dementia and exhibits aphasia

Correct Answer: B

Rationale: Constant pacing in bipolar disorder suggests mania, risking agitation or harm, making it the priority. Neologisms, poor hygiene, and aphasia are less urgent.

Question 3 of 5

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I should tie the restraints using a square knot.B. A provider can write a prescription for restraints 'as needed'.C. I will remove a client's restraints every 4 hours.D. I need to tie the restraint to the part of the bed frame that moves.

Correct Answer: D

Rationale: Tying restraints to the movable bed frame prevents injury from tightening. Square knots are unsafe, ‘as needed’ prescriptions are invalid, and restraints should be removed every 2 hours.

Question 4 of 5

A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?

A. HIPAA allows facility-specific coding of client health care information to ensure privacy.B. Clients who participate in research studies forfeit their HIPAA right to privacy.C. HIPAA allows clients to request a review of their own medical records.D. HIPAA prohibits the uploading of photographs of clients' providers to social media sites.

Correct Answer: C

Rationale: HIPAA allows clients to review their records, ensuring transparency. Facility coding isn’t specified, research participants retain rights, and provider photos aren’t the focus of HIPAA.

Question 5 of 5

A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, 'I’ve never taken these before.' Which of the following actions should the nurse take first?

A. Review the intended purpose of the prescribed medications with the client.B. Call the provider to clarify the client's prescribed medications.C. Consult the pharmacist about the client's prescribed medications.D. Compare the client's medication administration record with the prescriptions on the transfer orders.

Correct Answer: A

Rationale: Reviewing the medication’s purpose addresses the client’s concerns, promoting adherence. Calling the provider, consulting the pharmacist, or comparing records are secondary to engaging the client.

Nurselytic

ATI RN

ATI RN

ATI RN Leadership Retake 2023 Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Access More Questions!

ATI RN Basic

ATI RN Premium