Questions 38

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ATI RN Test Bank

ATI NUR 104 Final Assessment Fundamentals Questions

Extract:

A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?


Question 1 of 5

Explain the risks and benefits of the procedure

Correct Answer: B

Rationale: The nurse witnesses the client’s signature, confirming voluntary consent. Explaining risks, obtaining consent, or explaining the procedure is the provider’s role.

Extract:

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?


Question 2 of 5

HIPAA is a federal law, not a state law

Correct Answer: D

Rationale: Disclosing information to family without consent violates HIPAA. Other statements are correct regarding HIPAA’s scope and definitions.

Extract:

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?


Question 3 of 5

Drop prescribed amount of medication into the conjunctival sac

Correct Answer: A

Rationale: Dropping medication into the conjunctival sac ensures proper absorption. Protecting the eyedropper is secondary, pressure on the nose is incorrect, and wiping should be inner to outer canthus.

Extract:

A nurse is administering an oral medication to an older adult client. The client states, 'The pill I always take is green. I don't take an orange pill.' Which of the following responses should the nurse make?


Question 4 of 5

I will check your medication order again

Correct Answer: A

Rationale: Checking the medication order addresses the client’s concern and ensures safety. Other responses do not verify the medication’s accuracy.

Extract:

A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?


Question 5 of 5

Collect and organize client data

Correct Answer: A

Rationale: Collecting and organizing data is the first step in the nursing process, enabling subsequent analysis, planning, and evaluation.

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