ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse working on a medical-surgical unit finds a client lying on their bathroom floor. After assessing the client and notifying the provider and nursing supervisor, the nurse completes a hospital incident report. What is the purpose of completing the hospital incident report?
Correct Answer: D
Rationale: Incident reports are internal documents used within the hospital to record and analyze adverse events. They are not intended for direct reporting to state, local, and federal agencies, which have their own reporting mechanisms. While incident reports may indirectly contribute to assessing the effectiveness of interventions, their primary purpose is not to determine outcomes. Instead, they focus on documenting and analyzing incidents to prevent future occurrences. Providing necessary treatment to clients is the immediate response to an incident. However, the purpose of the incident report is broader—it aims to capture the details of the event for analysis and future prevention, not directly to ensure treatment. The primary purpose of an incident report is to help the institution identify risk situations and improve client care. By systematically documenting incidents, the hospital can analyze patterns, identify areas for improvement, and implement strategies to enhance safety and quality of care.
Question 2 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.
Question 3 of 5
Which of the following is a characteristic of tardive dyskinesia?
Correct Answer: B
Rationale: Tardive dyskinesia involves repetitive, involuntary movements.
Question 4 of 5
The nurse provides care to a patient admitted with a respiratory disorder. Which laboratory finding is most concerning?
Correct Answer: B
Rationale: A pH of 7.32 indicates acidosis, a serious concern in respiratory disorders.
Question 5 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.