Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Correct Answer: B

Rationale: By protecting the surgeon's privacy, the nurse adheres to non-maleficence, avoiding harm from unauthorized disclosure of sensitive information.

Question 2 of 5

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)

Correct Answer: B,D,E

Rationale: Facial grimacing, eye blinking, involuntary pelvic rocking, hip thrusting, tongue thrusting, and lip smacking are signs of tardive dyskinesia, a side effect of long-term haloperidol use. Fine hand tremors indicate and urinary retention are not typically associated with tardive dyskinesia.

Question 3 of 5

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The presence of lochia rubra, small clots, and a firm, midline fundus indicates normal postpartum uterine involution, so documenting and monitoring is appropriate unless signs of hemorrhage appear.

Question 4 of 5

A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?

Correct Answer: D

Rationale: False imprisonment occurs when an individual is unlawfully restrained or confined against their will. In this scenario, the provider's directive to restrain the client against her wishes constitutes false imprisonment if the restraint is not justified by the client's medical condition or pose an immediate danger to herself or others.

Question 5 of 5

A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Correct Answer: B

Rationale: By protecting the surgeon's privacy, the nurse adheres to non-maleficence, avoiding harm from unauthorized disclosure of sensitive information.

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