ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is educating a transgender female client about the expected outcomes of estrogen therapy. Which statement made by the client would indicate the need for further teaching?
Correct Answer: A
Rationale: This statement is incorrect because estrogen therapy may not effectively reduce the growth of facial hair in transgender women. Additional treatments, such as laser hair removal or electrolysis, may be needed to address facial hair growth. This statement is correct because estrogen therapy can increase the risk of migraine headaches in some individuals. This potential side effect should be discussed with clients considering estrogen therapy. This statement is correct because taking estrogen as prescribed can help decrease muscle mass, which is one of the desired effects of feminizing hormone therapy for transgender women. This statement is correct because estrogen therapy can cause infertility. Transgender women undergoing estrogen therapy should be informed about this potential outcome and consider fertility preservation options if they wish to have biological children in the future.
Question 2 of 5
The nurse calls security and has physical restraints applied to a competent client who becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? (Select All That Apply)
Correct Answer: B,C,E
Rationale:
Choice A reason: Libel refers to written defamation of character. It does not apply to this situation as there are no written statements involved that defame the client.
Choice B reason: Assault involves creating a fear of imminent harmful or offensive contact. In this scenario, the nurse's action of having security apply restraints could be seen as creating an apprehension of physical harm, thereby constituting assault.
Choice C reason: False imprisonment occurs when a person is confined or restrained against their will without legal justification. Applying physical restraints to a competent client who wishes to leave the hospital can be considered false imprisonment.
Choice D reason: Slander refers to spoken defamation of character. Since this situation does not involve spoken statements that defame the client, slander is not applicable.
Choice E reason: Battery involves actual physical contact that is harmful or offensive. Having security apply physical restraints to the client constitutes battery, as it involves unwanted and offensive physical contact.
Question 3 of 5
The nurse would recognize which acronym as representing problem-oriented charting?
Correct Answer: D
Rationale: SOAP (Subjective, Objective, Assessment, Plan) is the standard for problem-oriented charting.
Question 4 of 5
The nurse provides care to a patient who is diagnosed with chronic obstructive pulmonary disease (COPD). The patient's pulse oximetry is 93% on room air with a current respiratory rate of 35 breaths per minute. The most recent chest x-ray indicates a flattened diaphragm with infiltrates. The patient is currently febrile with an increased number of white blood cells (WBCs) noted on the latest complete blood count (CBC). Which order does the nurse question for this patient based on the current data?
Correct Answer: A
Rationale: CPT may exacerbate fatigue and respiratory distress in a patient with infiltrates and tachypnea.
Question 5 of 5
A hospital is preparing to receive a large number of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge?
Correct Answer: D
Rationale: A client who had open reduction and internal fixation of a femur fracture 3 days ago is likely to need ongoing monitoring and care to ensure proper healing and prevent complications. Discharging this client could risk worsening their condition or causing new issues to arise. A client admitted last night with community-acquired pneumonia is still in the early stages of treatment and may require close observation and medication adjustments to effectively manage their condition and prevent deterioration. An older adult client in the observation unit for evaluation of chest pain may still be at risk for serious conditions such as a heart attack. Releasing this client without a definitive diagnosis or proper management plan could endanger their health. A client on the medical unit for wound care for a stage 2 wound to the lower extremity is generally considered stable and appropriate for discharge, provided they have the necessary support and resources to continue wound care at home. This client does not require intensive monitoring or treatment that would necessitate hospital admission.