ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
Which entry made by nurse most accurately documents a client's mood?
Correct Answer: D
Rationale: Using a measurable scale like 4 out of 10 provides objective, subjective data about the client's internal mood state.
Question 2 of 5
The nurse is working on the neurological unit. Which task would be most appropriate to delegate to the unlicensed assistive personnel assigned to the unit?
Correct Answer: B
Rationale: Administering tube feedings to a quadriplegic client is a task that typically requires specialized training and knowledge to ensure it is performed safely and correctly. This task is often reserved for licensed nursing personnel due to the potential complications that can arise, such as aspiration or incorrect tube placement.
Therefore, it is not appropriate to delegate this task to unlicensed assistive personnel (UAP). Assisting with bowel training by placing the client on the bedside commode is an appropriate task to delegate to unlicensed assistive personnel. This task involves providing physical assistance and support to the client, which falls within the scope of practice for UAP. It does not require specialized nursing knowledge or skills, making it suitable for delegation. Observing the client demonstrating a self-catheterization technique is a task that requires clinical judgment and assessment skills to ensure the client is performing the procedure correctly and safely. This responsibility is typically within the scope of practice for licensed nurses rather than UAP. Teaching Crede's maneuver to a client needing to void involves providing instruction and education on a specific technique to assist with bladder emptying. This teaching role requires specialized knowledge and skills, making it more appropriate for licensed nursing personnel. It is not suitable for delegation to UAP.
Question 3 of 5
The nurse manager observes the nurses on the unit. Which action represents a breach of client confidentiality?
Correct Answer: C
Rationale: While giving a report to the oncoming shift at the client's bedside might potentially expose confidential information, it is generally an accepted practice in many healthcare settings as long as privacy is maintained and the patient consents. Shredding a client's printed laboratory results is actually a good practice to ensure that confidential information is disposed of securely, preventing unauthorized access. Posting any information about a client on social media, even if it is positive, is a direct breach of client confidentiality. This action exposes the client's personal health information to a wide audience, violating privacy regulations such as HIPAA. Logging off the computer before leaving the workstation is a good practice to protect client information from unauthorized access and does not represent a breach of confidentiality.
Question 4 of 5
A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?
Correct Answer: B
Rationale: Nasal cannulas deliver low oxygen concentrations (24%-44%).
Question 5 of 5
Which entry made by nurse most accurately documents a client's mood?
Correct Answer: D
Rationale: Using a measurable scale like 4 out of 10 provides objective, subjective data about the client's internal mood state.