ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
An experienced charge nurse is providing mentoring to a new charge nurse. The new charge nurse is making the shift assignment for a licensed practical nurse (LPN). Which assignment requires intervention by the experienced nurse?
Correct Answer: C
Rationale: Providing nasopharyngeal suctioning for a client with pneumonia is within the scope of practice for an LPN. This task involves performing a procedure to clear the airway, which is a common responsibility for LPNs. Assisting a client who is 24 hours post-operative to use an incentive spirometer is appropriate for an LPN. This task involves helping a client with breathing exercises to prevent post-operative complications, which is a standard part of post-operative care. Teaching a new client who has asthma to use a metered-dose inhaler requires educational and assessment skills that typically fall within the scope of practice for a registered nurse (RN). While LPNs can reinforce education, the initial teaching and assessment of a client's understanding should be done by an RN. Collecting a clean catch urine from an ambulatory client with a wound is within the scope of practice for an LPN. This task involves obtaining a urine sample, which is a routine procedure that LPNs are trained to perform.
Question 2 of 5
The nurse is working on the neurological unit. Which task would be most appropriate to delegate to the unlicensed assistive personnel assigned to the unit?
Correct Answer: B
Rationale: Administering tube feedings to a quadriplegic client is a task that typically requires specialized training and knowledge to ensure it is performed safely and correctly. This task is often reserved for licensed nursing personnel due to the potential complications that can arise, such as aspiration or incorrect tube placement.
Therefore, it is not appropriate to delegate this task to unlicensed assistive personnel (UAP). Assisting with bowel training by placing the client on the bedside commode is an appropriate task to delegate to unlicensed assistive personnel. This task involves providing physical assistance and support to the client, which falls within the scope of practice for UAP. It does not require specialized nursing knowledge or skills, making it suitable for delegation. Observing the client demonstrating a self-catheterization technique is a task that requires clinical judgment and assessment skills to ensure the client is performing the procedure correctly and safely. This responsibility is typically within the scope of practice for licensed nurses rather than UAP. Teaching Crede's maneuver to a client needing to void involves providing instruction and education on a specific technique to assist with bladder emptying. This teaching role requires specialized knowledge and skills, making it more appropriate for licensed nursing personnel. It is not suitable for delegation to UAP.
Question 3 of 5
Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?
Correct Answer: C
Rationale: Airway and breathing are prioritized due to the risk of respiratory depression post-anesthesia.
Question 4 of 5
The nurse educator is reviewing the role of a nurse advocate with a group of newly hired nurses to the hospital. Which of the following statements indicate the newly hired nurses understand the roles of a nurse advocate? (Select All That Apply)
Correct Answer: A,C,E
Rationale:
Choice A reason: A nurse advocate ensures that the voices of clients and their families are heard within the healthcare system. This includes communicating concerns, preferences, and values to other members of the healthcare team. Advocacy in this context is vital for addressing issues such as treatment plans, potential misunderstandings, and patient rights. When nurses take an active role in expressing client concerns, it fosters better collaboration among team members and leads to improved care outcomes. This task aligns with the core principles of advocacy, which focus on acting as a mediator for clients who may not feel empowered to voice their concerns independently.
Choice B reason: Obtaining consent for procedures is not typically the direct role of a nurse advocate. While nurses play an essential part in explaining procedures and answering questions to support informed decision-making, the responsibility for obtaining informed consent usually lies with the healthcare provider performing the procedure. The nurse advocate's role in this situation would be to ensure that the client fully understands the procedure and its implications rather than formally securing consent.
Choice C reason: Informing the healthcare team of a client’s do-not-resuscitate (DNR) status is a critical component of nurse advocacy. By doing so, the nurse ensures that the healthcare team is aware of and respects the client’s wishes. This step prevents unnecessary interventions that might conflict with the client’s preferences and aligns the care plan with ethical and legal standards. Acting as a link between the client’s directives and the healthcare team is a fundamental advocacy task.
Choice D reason: While verifying client understanding of a procedure is an important nursing responsibility, it does not fall solely under the role of advocacy. This task is part of patient education and aligns with ensuring informed consent. Nurse advocates support the process but do not primarily focus on understanding verification. The distinction between education and advocacy roles is significant, and the nurse advocate concentrates on protecting patient rights and facilitating informed decision-making.
Choice E reason: Ensuring that clients have all the information needed to make informed decisions is a central responsibility of a nurse advocate. Advocacy involves empowering clients by helping them understand their options, the potential risks and benefits of treatment, and alternative choices. This ensures that clients are active participants in their care, which is fundamental to respecting autonomy and delivering patient-centered care. By fulfilling this role, nurse advocates help clients navigate complex healthcare systems and make choices that align with their values and goals.
Question 5 of 5
A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?
Correct Answer: C
Rationale: Job loss is a significant stressor that increases suicide risk.