ATI PN Medical Surgical Leadership

Extract:

Question 1 of 5

A nurse is preparing to obtain consent from a client who has a tibia fracture. The client received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery. Which of the following actions should the nurse take?

A. Obtain consent from the client.B. Acknowledge the client and sign the consent.C. Obtain consent from a relative of the client.D. Delay the procedure.

Correct Answer: D

Rationale: Morphine may impair the client's ability to provide informed consent, necessitating a delay until they are competent.

Question 2 of 5

A nurse is assigning tasks for the upcoming shift. Which of the following tasks should the nurse delegate to assistive personnel (AP)?

A. Providing postmortem care to a client who has just passed away.B. Instructing a client about the use of a spirometer.C. Suctioning a client's newly inserted tracheostomy.D. Transferring a client to radiology for x-rays.E. Performing a simple dressing change on a client's arm.

Correct Answer: A,D,E

Rationale: Tasks like postmortem care, transferring clients, and simple dressing changes are within the scope of assistive personnel, while instructing clients and suctioning tracheostomies require nursing judgment and skills.

Question 3 of 5

A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

A. Deliver a breakfast tray to a child who has been administered regular insulin.B. Complete pin site care for a child who is in skeletal traction.C. Provide clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy.D. Administer acetaminophen to a child who has a temperature of 101.2Â°F (38.4Â°C).

Correct Answer: A

Rationale: Delivering food after insulin administration prevents hypoglycemia, making it the priority action.

Question 4 of 5

What is a nurse's best protection against negligence or malpractice?

A. Asking permission from the managing nurse prior to performing any duties.B. Following the standards of practice.C. Never be alone with a patient.D. Recording patient interactions with your phone.

Correct Answer: B

Rationale: Adhering to standards of practice ensures care meets professional expectations, reducing the risk of negligence or malpractice claims.

Question 5 of 5

A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

A. Logs off the computer after entering a client's intake and output totals.B. Tears a document with client information in half before disposing of it in a waste basket.C. Denies a request by another AP to use her password to enter client's vital signs.D. Removes a clipboard with client information from the room during visiting hours.

Correct Answer: B

Rationale: Tearing a document in half does not securely dispose of confidential information, risking a privacy breach.

ATI PN Medical Surgical Leadership | Nurselytic

Nurselytic

ATI LPN

ATI LPN