ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a class on bioterrorism. What is the scientific rationale for designating a specific area for decontamination?
Correct Answer: B
Rationale: Providing a centralized area for stocking the needed supplies is important for logistical reasons, ensuring that all necessary materials are readily available. However, this is not the primary scientific rationale for designating a specific decontamination area. The primary focus is on preventing contamination and ensuring safety. Preventing secondary contamination to health-care providers is the most crucial reason for designating a specific area for decontamination. This measure is vital to avoid spreading hazardous substances to others and ensuring the safety and effectiveness of the decontamination process. By containing the contamination in a controlled area, health-care providers can minimize the risk of exposure and cross-contamination. Designating an area where bioterrorism clients can receive care is important, but it is not the primary rationale for having a specific decontamination area. While care and treatment are critical, the main goal of the decontamination area is to remove contaminants and protect health-care providers and other patients from exposure. Providing showers and privacy to the client in the decontamination area is beneficial for the comfort and dignity of the client. However, this is not the main scientific rationale for having a designated decontamination area. The primary reason is to control and contain contamination and prevent it from spreading.
Question 2 of 5
Which patient finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?
Correct Answer: A
Rationale: Urinary retention requires monitoring to prevent complications.
Question 3 of 5
The nurse supervisor is working in a hospital that is in the path of a hurricane. Which of the following clients would be appropriate for immediate discharge?
Correct Answer: D
Rationale: A client with lymphoma receiving inpatient chemotherapy is likely to require close monitoring and ongoing treatment due to the potential complications associated with their condition and treatment. Discharging this client could put them at significant risk. A client with heart failure with crackles bilaterally on 4 liters of oxygen needs continuous medical supervision and care to manage their heart condition and oxygen levels. Discharging this client could exacerbate their heart failure and lead to serious health complications. A client who is post-appendectomy with a paralytic ileus is at risk of complications such as bowel obstruction and infection. They need to be closely monitored in the hospital until their condition stabilizes and they begin to recover from surgery. A client with a nondisplaced tibia fracture that has been immobilized is generally stable and can be safely discharged with appropriate instructions for home care. This client does not require intensive monitoring and can continue their recovery at home.
Question 4 of 5
Which of the following nursing diagnosis take priority immediately after electroconvulsive therapy (ECT)
Correct Answer: D
Rationale: Post-ECT confusion increases injury risk, making safety the priority.
Question 5 of 5
The nurse educator is instructing newly hired nurses about client rights and the legal obligations of hospital staff. Which of the following would be an example to use when describing an assault in a clinical situation?
Correct Answer: A
Rationale: This statement describes assault because it involves a threat of harm. In this case, the nurse is threatening to apply restraints to a client, which can cause the client to fear imminent physical contact or harm. Assault does not necessarily involve physical contact, but the threat or attempt to cause harm. This statement describes battery rather than assault. Battery involves actual physical contact or harm. Physically forcing the client to stay after they request to be discharged constitutes battery, as it involves unwanted physical contact. This statement does not describe assault. Sending an email with a poor performance evaluation about another person is an issue of professional conduct and confidentiality but does not involve a threat of harm or physical contact. This statement does not describe assault. Making derogatory remarks about someone’s competency is an issue of professional behavior and respect but does not involve a threat or act of physical harm.