ATI Comprehensive Test A 2024 quiz with 100% verified answers
A nurse is caring for a client who has a terminal illness and requests no
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lifesaving measures if he experiences cardiac arrest. Which of the
following statements should the nurse make?
A. "You will need to draft a health care proxy so a designee can make this decision for you."
B. "I will provide you with information about medical treatment to include in your living will."
C. "Your provider determines if you should have lifesaving measures if your heart stops."
D. "I will make sure that no one performs any lifesaving measures if your heart stops." - B. "I will provide you with information about medical treatment to include in your living will."
- A health care proxy is not necessary if the client is alert and able to document his own wishes in a living will.
- the client decides and documents these decisions in a living will or verbally informs the provider.
A nurse on a medical surgical unit is caring for a client prior to a surgical
procedure. Which of the following should indicate to the nurse that the
client has the ability to sign the informed consent?
A. The client's partner tells the nurse that the client understands the procedure.
B. The nurse locates the provider's prescription for the surgical procedure.
C. The nurse witnesses the provider's explanation of the procedure.
D. The client is able to accurately describe the upcoming procedure. - D. The client is able to accurately describe the upcoming procedure.
- the nurse cannot assume that the client understands the information the
provider gave.
A community health nurse is performing disaster triage tagging following
a disaster. On which of the following clients should the nurse place a
black tag?
A. A client who is alert and has a 2.5 cm (1 in) laceration on the forehead
B. A client who has significant head trauma and agonal respirations
C. A client who has an open fracture of the right forearm
D. A client who is unconscious and has a rapid, thready radial pulse - B. A client who has significant head trauma and agonal respirations
- because this client is likely not to recover or will require extensive
resources for care.
disaster triage tag system - - green tag on a client who is alert and has a 2.5 cm (1 in) laceration on the forehead because this client has an injury that is nonurgent.
- a yellow tag on a client who has an open fracture of the right forearm because this client has a major injury that requires attention within 30 min to 2 hr.
- a red tag on a client who is unconscious and has a rapid, thready radial
pulse because this client has a life-threatening injury and requires
immediate treatment.
A nurse is assessing an older adult client who has delirium. Which of the
following manifestations should the nurse expect?
A. Projecting blame
B. Excessive clinging
C. Rapid speech
D. Social awkwardness - C. Rapid speech
- exhibit rapid, inappropriate, incoherent, and rambling speech patterns.
- paranoid personality disorder project blame.
- dependent personality disorder demonstrate excessively clinging
behavior.
- schizotypal personality disorder exhibit social awkwardness.
- expect blurred vision
A community health nurse is assisting with the development of a disaster
management plan. The nurse should include which of the following
nursing responsibilities in the disaster response stage of the plan?
A. Performing a rapid needs assessment
B. Organizing an immunization campaign [Show Less]