ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?
Correct Answer: C
Rationale: Discussing a client’s transfer with a nurse from another unit violates HIPAA unless the nurse has a need-to-know. Faxing to a provider, teaching with consent, and surgical reports are permissible.
Question 2 of 5
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: D
Rationale: The client's room number is not a reliable method to confirm the client's identity because multiple clients may be assigned to the same room, and there is a possibility of room changes or transfers. The client's admitting diagnosis is not a suitable method to confirm identity as it does not provide specific information about the individual patient. The name of the client's next of kin is not a reliable method to confirm the client's identity as it refers to a family member or emergency contact, not the client themselves. The nurse should plan to use the client's telephone number to confirm their identity, as it is a unique identifier. Note: Typically, client identity is confirmed using two identifiers such as name and date of birth, but based on the provided options, the telephone number is the most reliable.
Question 3 of 5
A nurse is caring for a client with a suspected stroke. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Performing a neurological assessment is the priority to determine the extent and type of stroke, guiding treatment. Aspirin requires provider orders, oral fluids are contraindicated due to aspiration risk, and supine positioning may not be optimal.
Question 4 of 5
A nurse is assessing a client with suspected dehydration. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dehydration typically causes low blood pressure, not elevated. Moist mucous membranes and increased skin turgor are signs of adequate hydration. Dry, sticky oral mucosa is a common sign of dehydration due to reduced saliva production.
Question 5 of 5
A nurse is caring for a client with a central venous catheter. Which of the following actions should the nurse take to prevent infection?
Correct Answer: D
Rationale: Cleansing the site with chlorhexidine reduces infection risk. Dressings should be changed regularly (e.g., every 7 days or if soiled), flushing protocols vary, and sterile gloves are used for dressing changes.