Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?

Correct Answer: A,C

Rationale: Applying petroleum jelly prevents lip dryness, and turning the client on their side prevents aspiration. Forcing the mouth open with fingers risks injury, and a stiff toothbrush can harm delicate tissues.

Question 2 of 5

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

Correct Answer: C

Rationale: The statement about the child squinting to see the board raises concern about potential visual impairment, which may require further assessment by an eye care professional.

Question 3 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: Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.

Question 4 of 5

A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?

Correct Answer: D

Rationale: Preventing aspiration is the priority due to the risk from restricted mouth movement with intermaxillary fixation, which could lead to choking if vomiting occurs.

Question 5 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: Restraining a client against their will without justification constitutes false imprisonment, as it unlawfully restricts their freedom.

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