Ati fundamentals quiz

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Question 1: View

While walking through a park, the nurse encounters a child with a swollen and reddened arm that hurts to move due to being struck with a baseball bat. The nurse splints the arm using two baseball bats. The child is transported to the hospital and later develops compartmental syndrome in the arm. Which statement regarding the nurse's liability in this case is accurate?

A. The nurse was negligent because the client developed compartmental syndrome due to the nurse's treatment at the scene. B. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment. C. The nurse is not protected by the Good Samaritan Act because the nurse was negligent in the care rendered. D. The nurse should have waited for help because the Good Samaritan Act states that the nurse is not obligated to assist.

Explanation

A. This option suggests negligence on the part of the nurse, attributing the complication to the nurse's actions. However, it doesn't consider the circumstances of providing emergency care under the Good Samaritan Act.
B. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment. The development of compartment syndrome is a known complication of trauma and not necessarily indicative of negligence.
C. This option wrongly assumes that the nurse's actions were negligent and therefore not covered by the Good Samaritan Act. However, the Act protects healthcare providers who act in good faith during emergencies, even if outcomes are unfavorable.
D. Waiting for help might not have been appropriate depending on the severity of the situation, and the Good Samaritan Act encourages reasonable assistance in emergencies.

Question 2: View

A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?

A. Fidelity B. Autonomy C. Nonmaleficence D. Justice

Explanation

A. Fidelity refers to faithfulness and keeping promises made to clients.
B. Autonomy respects a client's right to make their own decisions about their care.
C. Nonmaleficence is a core principle in healthcare ethics and emphasizes the primary duty of healthcare providers to do no harm to their clients. This means carefully considering the potential risks and benefits of any treatment or intervention before administering it.
D. Justice ensures fair and equitable access to care for all individuals.

Question 3: View

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

A. Bathe a client who had an amputation 2 days ago. B. Assist a client to ambulate using a gait belt. C. Feed a client who had a stroke 3 months ago. D. Review a low-sodium diet for a client who has hypertension. E. Explain oral hygiene to a client receiving chemotherapy.

Explanation

A. Bathing a client who had an amputation 2 days ago can be safely delegated to assistive personnel (AP) as it does not require specialized nursing knowledge.
B. Assisting a client to ambulate using a gait belt is within the scope of practice for assistive personnel (AP) and helps promote mobility.
C. Feeding a client who had a stroke 3 months ago can be delegated to assistive personnel (AP) as it involves activities of daily living.
D. Reviewing a low-sodium diet for a client with hypertension requires nursing judgment and should not be delegated to assistive personnel (AP).
E. Explaining oral hygiene to a client receiving chemotherapy requires nursing knowledge and should not be delegated to assistive personnel (AP).

Question 4: View

The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete?

A. Inserting an indwelling urinary catheter. B. Taking an order over the telephone from a physician. C. Bathing a combative client. D. Assessing a client's wound.

Explanation

A. Inserting an indwelling urinary catheter requires specialized training and should only be performed by licensed personnel.
B. Taking an order over the telephone from a physician requires nursing judgment and should not be delegated to unlicensed personnel.
C. Bathing a combative client can be safely delegated to unlicensed assistive personnel (UAP) as it does not require specialized nursing knowledge.
D. Assessing a client's wound requires nursing assessment skills and should not be delegated to unlicensed personnel.

Question 5: View

Which activity related to respiratory health is an example of tertiary health promotion and illness prevention?

A. Advocating politically for more explicit warning labels on cigarette packages B. Assisting with lung function testing of a client to help determine a diagnosis C. Administering a nebulized bronchodilator to a client who is short of breath D. Teaching a client that "light" cigarettes do not prevent lung disease

Explanation

A. This is an example of primary prevention, which aims to prevent the onset of disease.
B. This is an example of secondary prevention, which involves early detection and diagnosis.
C. Tertiary prevention involves managing and treating existing diseases to prevent complications and improve quality of life, such as administering a nebulized bronchodilator.
D. This is an example of primary prevention through education.

Question 6: View

Which nursing activity reflects secondary prevention?

A. Making a referral for a mammogram B. Discussing the use of drugs and alcohol C. Promoting the use of helmets while riding motorcycles or bicycles D. Promoting the use of seat belts

Explanation

A. Secondary prevention involves early detection and prompt treatment of diseases, such as referring for a mammogram to detect breast cancer early.
B. This is an example of primary prevention, aiming to prevent the onset of substance abuse.
C. Promoting helmet use is also primary prevention, aimed at preventing injury.
D. Promoting seat belts is another form of primary prevention for injury prevention.

Question 7: View

A client refuses to have pain medication administered by injection. The nurse states, "If you don't let me give you the shot, I will get help to hold you down and give it." What tort may the nurse be committing?

A. Battery B. Negligence C. Assault D. Defamation

Explanation

A. Battery involves actual physical contact without consent.
B. Negligence refers to failing to provide reasonable care, resulting in harm.
C. Assault is threatening to harm or perform a procedure without consent, which the nurse is doing by threatening to hold the client down.
D. Defamation involves damaging someone's reputation through false statements.

Question 8: View

A nurse is creating a teaching plan for a client who has a new diagnosis of diabetes mellitus.

Client Education

Day 1 Learning Outcome:

Describe basic definition of diabetes mellitus.

Describe expected reference range and target blood glucose levels.

Describe manifestations of hypoglycemia and hyperglycemia.

Day 1 Teaching Methods:

Give the client printed information describing diabetes mellitus.

Engage in a question-and-answer session with the client.

Which of the following teaching methods is based on the cognitive domain of learning?

Select all that apply.

A. Give the client printed information describing diabetes mellitus. B. Engage in a question-and-answer session with the client. C. Ask the client how they feel about checking their blood glucose. D. Ask the client to demonstrate checking their blood glucose level. E. Give the client a fill-in-the blank quiz. F. Ask the client to describe the manifestations of hypoglycemia and hyperglycemia.

Explanation

A. This method involves providing knowledge directly through written materials, which is a core aspect of the cognitive learning domain.
B. This approach helps in evaluating the client's understanding and promotes critical thinking and analysis, key components of cognitive learning.
C. This pertains to the affective domain, as it explores feelings and attitudes rather than cognitive skills.
D. This is related to the psychomotor domain, focusing on physical skills and actions.
E. Quizzes are a direct method to assess recall and understanding, requiring the client to apply knowledge, which is central to cognitive learning.
F. Requesting the client to describe specific conditions demands recall, comprehension, and synthesis of knowledge, engaging the cognitive domain.

Question 9: View

A nurse in a long-term care facility is planning care for several clients. Which of the foll wing activities should the nurse delegate to the licensed practical nurse (LPN)?

A. Admission assessment of a new client B. Administering medication to a patient with a PEG tube C. Teaching a client insulin injection technique D. Evaluating changes to a client's pressure ulcer

Explanation

A. Admission assessments should be performed by a registered nurse (RN) due to their comprehensive nature.
B. LPNs are trained to administer medications, including via PEG tubes.
C. Teaching a client requires advanced knowledge and skills, typically performed by an RN.
D. Evaluating a client's condition, such as changes in pressure ulcers, is a responsibility of the RN.

Question 10: View

A nurse is meeting with a client who has been treated at a substance use disorder clinic for three months. The client has had two follow up appointments at the clinic since their first visit, has attended a community-based peer support group twice weekly, and has taken their prescribed medication as directed. The nurse is discussing the effectiveness of these interventions with the client. The nurse is completing which of the following phases of the nursing process?

A. Analysis/diagnosis B. Evaluation C. Implementation D. Planning

Explanation

A. Analysis/diagnosis involves identifying health problems based on assessment data.
B. Evaluation involves assessing the effectiveness of the interventions and progress towards goals, which is what the nurse is doing.
C. Implementation refers to carrying out the plan of care.
D. Planning involves setting goals and determining the best interventions, which precedes implementation and evaluation.

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