A nurse is teaching newly licensed nurses about cl

Extract:

Question 1 of 5

A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality?

A. Calling the pharmacy with a prescription for the client's partner to pick up B. Providing a copy of the client's medical record to the transporting paramedic C. Reporting a client's disposition to the referring provider D. Informing housekeeping staff that the client is in the dialysis unit

Correct Answer: D

Rationale: Informing housekeeping about the client's location unnecessarily discloses health-related information, breaching confidentiality.

Extract:

Client with Alzheimer's and pneumonia; client with diabetes; client post-hip fracture; client post-abdominal surgery

Question 2 of 5

A nurse is caring for four clients. Which of the following clients should the nurse assess first?

A. A client who is 3 days postoperative following abdominal surgery is ready for discharge B. A client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessness C. A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7 D. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL

Correct Answer: B

Rationale: Newly onset restlessness in Alzheimer's and pneumonia may indicate delirium or worsening infection, requiring immediate assessment.

Extract:

Client with chlamydia

Question 3 of 5

A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

A. Report the infection to the local health department. B. Apply an antiviral cream to lesions. C. Instruct the client to use condoms until the treatment is completed. D. Initiate contact precautions.

Correct Answer: A

Rationale: Chlamydia is a reportable disease, requiring notification to the health department for surveillance and contact tracing.

Extract:

Client reports excessive force by AP

Question 4 of 5

A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

A. Contact the nurse manager. B. Call risk management to interview the client. C. Reassure the client that the staff is well trained. D. Document in the client's chart that an incident report has been filed.

Correct Answer: A

Rationale: Contacting the nurse manager initiates investigation and ensures prompt handling of the incident.

Extract:

Client is unconscious with health care surrogate

Question 5 of 5

A nurse is caring for a client who is unconscious, and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?

A. You should contact the provider about your wishes for your family member. B. You should speak with the facility's ethics committee about your concerns. C. As the health care surrogate, the client's partner can make this decision. D. We'll need to have the nursing supervisor review the client's advance directives.

Correct Answer: C

Rationale: The health care surrogate has legal authority to make decisions, superseding other family members' wishes.

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ATI RN Leadership 2019 Questions

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