ATI LPN
ATI LPN Med Surg Test 1 jj Custom Questions
Extract:
Question 1 of 5
A nurse is giving change-of-shift report using the SBAR technique about a client who has a traumatic brain injury. When reporting information about the client, which of the following should the nurse include in the situation segment of SBAR?
Correct Answer: B
Rationale: The situation segment provides context, such as the injury's history.
Question 2 of 5
A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?
Correct Answer: D
Rationale: Malpractice involves professional negligence, such as a medication error causing harm.
Question 3 of 5
A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: One-to-one observation prioritizes safety for a client at risk of self-harm post-suicide attempt.
Question 4 of 5
A nurse is discussing the reporting of child abuse with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Mandatory reporting of suspected abuse is a legal obligation for healthcare workers.
Question 5 of 5
A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Talking to the client provides comfort, as hearing may persist.