ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse educator is educating new staff nurses about mass casualty events. Which statements by the new nurse indicate a need for further teaching? (Select All That Apply)
Correct Answer: A,B,C
Rationale:
Choice A reason: This statement is incorrect because a mass casualty event refers to an incident that results in a large number of casualties, overwhelming the local healthcare system. A fight between visitors in the emergency department, although potentially serious, would not constitute a mass casualty event.
Choice B reason: This statement is incorrect because mass casualty events typically require a significant increase in the number of staff to manage the influx of patients and provide adequate care. Staffing levels are often augmented to ensure that the medical response can meet the demands of the situation.
Choice C reason: This statement is incorrect because mass casualty events are not limited to occurring within healthcare facilities. They can happen anywhere, such as at public events, natural disasters, or terrorist attacks, and involve a large number of casualties that overwhelm local medical resources.
Choice D reason: This statement is correct and does not indicate a need for further teaching. A mass casualty event is indeed characterized by overwhelming local medical capabilities, necessitating additional resources and support.
Choice E reason: This statement is correct and does not indicate a need for further teaching. Mass casualty events often require collaboration among multiple local agencies, such as emergency services, law enforcement, and healthcare providers, to effectively manage the situation.
Question 2 of 5
The nurse is providing education to a patient regarding the use of an incentive spirometer. Which patient statement requires further education?
Correct Answer: A
Rationale: Using the spirometer 20 times per hour is excessive and may cause hyperventilation; 10 times per hour is typically sufficient.
Question 3 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 4 of 5
The newly hired nurse educator for the emergency department is reviewing the hospital disaster plan and policies and finds that it has not been reviewed with the staff for 3 years. Which finding would be most important for the nurse educator to address related to the disaster plan?
Correct Answer: C
Rationale: Depleted stockpiles of medications and resuscitation equipment is a critical concern during a disaster, as it can directly impact the ability to provide care. However, this can typically be addressed by restocking and checking inventory regularly. It is not as immediately crucial as ensuring that all staff are trained and prepared to execute the disaster plan. Changes in hospital resources, such as personnel and infrastructure, can affect the execution of a disaster plan. While this is significant, the most pressing issue is ensuring that the new staff, who may be unfamiliar with the disaster protocols, are adequately trained and ready to respond effectively in an emergency. New staff lacking training and practice in using the disaster plan is the most important finding to address. In a disaster, the ability to implement the plan swiftly and effectively can save lives. Untrained staff may not know their roles, how to use equipment, or the procedures to follow, leading to chaos and ineffective response.
Therefore, it is crucial to ensure all staff are familiar with and have practiced the disaster plan. The risk of technologic disasters in surrounding communities is important to consider in the disaster plan. However, the immediate priority within the hospital is to ensure staff are trained and prepared to handle any disaster scenario. Without proper training, even the best-planned responses to technologic disasters may fail.
Question 5 of 5
The nurse is counseling a new client who identifies as a transgender female and is expressing the desire to start estrogen therapy for their transition. What potential complication will the nurse include in the client teaching?
Correct Answer: B
Rationale: While hormone therapy can have various effects on the body, impaired nutrition is not a common complication associated with estrogen therapy for transgender women. Nutrition-related issues would more likely arise from other factors unrelated to hormone treatment. Estrogen therapy can increase the risk of thrombosis (blood clots). This is a significant potential complication that must be discussed with clients considering estrogen therapy. Blood clots can lead to serious conditions such as deep vein thrombosis, pulmonary embolism, and stroke. Increased risk of bleeding is not a typical complication of estrogen therapy. Hormone therapy for transgender women generally does not affect the body's ability to clot blood in a way that would cause increased bleeding. Constipation is not a common complication of estrogen therapy. Gastrointestinal side effects are generally not a major concern with hormone therapy for transgender women.