ATI PN Fundamentals 2023 Exam 4

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

A. To an employer for a pre-employment screening. B. To a family member when the client is not available. C. To a medical interpreter service on behalf of a client. D. To an insurance agency in regard to a life insurance policy.

Correct Answer: C

Rationale: Disclosure to an interpreter is permissible under HIPAA to facilitate care, ensuring accurate communication.

Question 2 of 5

A home health nurse is visiting a client who has advanced Alzheimer's disease. The client's partner states, 'I miss being able to go places with my friends.' Which of the following is an appropriate response by the nurse?

A. We can discuss this when you're not feeling overwhelmed. B. Have you tried taking your partner with you when you go out? C. Tell me more about your expectations. D. I understand how you feel. I've had a relative go through the same thing.

Correct Answer: C

Rationale: Asking about expectations opens dialogue and shows empathy, supporting the partner's needs.

Question 3 of 5

A nurse is recording the intake and output (I&O) for a client. The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits. Which volume should the nurse record on the I&O?

Your Answer:

Correct Answer: 660 mL

Rationale: 8 oz milk (240 mL) + 10 oz water (300 mL) + 4 oz gelatin (120 mL) = 660 mL; only liquids are recorded.

Question 4 of 5

A nurse in a long-term care facility is preparing to administer medications to a client who has advanced dementia and does not have an identification band. Which of the following actions should the nurse take to verify the client's identity?

A. Review the client's photograph in the medical record. B. Request an assistive personnel to identify the client. C. Ask the client to state their room number. D. Have the client state their phone number.

Correct Answer: A

Rationale: A photograph ensures accurate identification, critical for a client with dementia unable to self-identify.

Question 5 of 5

A nurse is participating in a group discussion about complicated grief associated with loss. Which of the following should the nurse identify as an example of exaggerated grief?

A. A client whose grief response is repressed. B. A client whose grief response begins following a terminal diagnosis. C. A client whose grief response leads to self-destructive behaviors. D. A client whose grief response is triggered by a secondary loss.

Correct Answer: C

Rationale: Exaggerated grief involves intense, harmful reactions like self-destructive behaviors, impairing function.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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