ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
When planning the delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which element regarding the role of assistive personnel should the nurse consider when delegating tasks?
Correct Answer: B
Rationale: The ability to prioritize is important for the overall management of tasks, but it is not the most critical factor when considering the delegation of specific tasks to assistive personnel. The knowledge and skill to perform the task is crucial when delegating tasks to assistive personnel. Ensuring that the AP has the appropriate training and competence to carry out the task safely and effectively is essential to maintaining high standards of care. Rapport with clients is important for building trust and effective communication, but it is secondary to having the necessary skills and knowledge to perform delegated tasks. While the ability to complete the task without assistance is beneficial, it is more important that the assistive personnel have the required knowledge and skills to perform the task correctly and safely.
Question 2 of 5
The charge nurse is planning the staff assignment for the day. Which factors should the nurse consider when planning the assignment? (Select all that apply)
Correct Answer: A,B,C,D,E
Rationale:
Choice A reason: The acuity level of the clients is a critical factor to consider when planning staff assignments. Clients with higher acuity levels require more intensive care and monitoring, necessitating a greater allocation of resources and experienced staff. By considering client acuity, the charge nurse can ensure that the most critical patients receive the appropriate level of care and attention, while also balancing the workload among the nursing staff.
Choice B reason: The clustering of the rooms on the unit can significantly impact the efficiency of care delivery. By grouping clients in close proximity, the nurse can minimize the time and effort spent moving between rooms, thus enhancing the ability to respond quickly to client needs. This consideration helps to optimize workflow and improve overall patient care by reducing potential delays.
Choice C reason: Considering both client needs and the staff's needs and abilities ensures that the right personnel are assigned to the appropriate tasks. Matching staff competencies with client requirements maximizes the effectiveness of care delivery. Additionally, taking into account staff preferences and skills can improve job satisfaction and performance, ultimately benefiting the clients.
Choice D reason: The number of anticipated client discharges is an important logistical factor that can affect the day's workflow. Planning for discharges allows the charge nurse to allocate resources for discharge planning, patient education, and follow-up care. It also helps in managing bed availability and preparing for incoming admissions, ensuring a smooth transition for both clients and staff.
Choice E reason: Specific requests from the staff can include preferences for certain shifts, working with particular patients, or avoiding specific tasks. While it may not always be possible to accommodate all requests, considering them when feasible can improve staff morale and cooperation. Addressing staff preferences helps to create a positive work environment, leading to better teamwork and patient outcomes.
Question 3 of 5
Which identifier should the nurse use during the initial time-out to determine the right patient?
Correct Answer: D
Rationale: Date of birth is a reliable, unique patient identifier.
Question 4 of 5
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor asks the nurse
Correct Answer: C
Rationale:
Choice A reason: This response inappropriately shifts the focus to the friend's relationship with the client and implies personal judgment about the client's situation. It also indirectly discloses confidential information by suggesting the client is struggling, which violates client confidentiality.
Choice B reason: This response violates client confidentiality by sharing information about the client's progress, even if framed as reassurance. Disclosing any details about a client's treatment or status without consent is unethical and against legal standards like HIPAA.
Choice C reason: This is the most appropriate response because it clearly and professionally maintains client confidentiality. The nurse firmly states that they cannot discuss any client situation, protecting the client's privacy without being dismissive or confrontational. This response aligns with ethical and legal standards. While this response avoids sharing confidential information, it could be perceived as dismissive or confrontational. A more professional and neutral response, like option C, better upholds confidentiality while maintaining a respectful tone.
Question 5 of 5
The emergency department nurse administers a prescribed narcotic for a client with renal colic and then discharges the client without ensuring the client has a designated driver. The client is subsequently involved in a motor vehicle collision on their way home, causing injury to self and others. Which ethical principle did the nurse violate?
Correct Answer: D
Rationale: Veracity is the principle of truthfulness and honesty. It involves providing accurate information to clients and being truthful in communication. While important in healthcare, veracity does not specifically address the nurse's failure to ensure the client's safety after administering a narcotic. Autonomy refers to respecting the client's right to make their own decisions about their care. While autonomy is a fundamental ethical principle, the scenario involves the nurse's responsibility to ensure safety, which falls under a different principle. Beneficence is the principle of acting in the best interest of the client by promoting good and preventing harm. Although related to the scenario, beneficence focuses more on the proactive aspect of providing care rather than preventing harm resulting from inaction. Nonmaleficence is the ethical principle of 'do no harm.' The nurse violated this principle by discharging the client without ensuring they had a designated driver, leading to a motor vehicle collision and injuries. The nurse's action indirectly caused harm, violating the principle of nonmaleficence.