ATI RN FUNDAMENTALS 2019 QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE EDITION 2024/2025.
A nurse is explaining the use of written consent forms to a
... [Show More] newly licensed
nurse. The nurse should ensure that a written consent form has been signed
by which of the following clients?
A. A client who has a prescription for a transfusion of packed RBCs
-Administration of blood is a procedure that carries risk; therefore, the client
must sign a consent form prior to the procedure.
B. A client who is being transported for a radiograph of the kidneys, ureters,
and bladder
-incorrect: Clients admitted to a hospital sign a general consent form when
admitted. This form gives consent for this diagnostic examination.
C. A client who has a prescription for a tuberculin skin test
-incorrect: Implied consent is given when the client cooperates through
actions, such as holding out an arm to allow the nurse to perform the
procedure.
D. A client who has a distended bladder and needs urinary catheterization
-incorrect: Implied consent is given when the client cooperates through
actions, such as
positioning himself/herself to allow the nurse to perform the procedure.
A nurse is providing teaching to a client about a surgical procedure that she is
scheduled for later in the day. The client states that no one has spoken to her
about the procedure before. Which of the following actions should the nurse
take?
A. Continue the teaching, but check afterward with the surgeon about
informed consent
-incorrect: The client’s statement indicates that she has not given informed
consent; therefore, the nurse should interrupt the teaching.
B. Stop the teaching and check with the surgeon about informed
consent
-The client’s statement indicates that she has not given informed consent;
therefore, the nurse should interrupt the teaching and notify the surgeon.
C. Stop the teaching and ask the client to sign an informed consent form
-It is not within the nurse’s scope of practice to obtain informed consent from
the client.
D. Continue the teaching and check the client’s medical record afterward for a
signed consent form
-The client’s statement indicates that she has not given informed consent;
therefore, the nurse should interrupt the teaching.
A home health nurse is visiting an older adult client with severe dementia. The
client’s son, who serves as her primary caregiver, reports being “exhausted”
from working part-time and caring for his mother at home. Which of the
following options should the nurse suggest to the caregiver?
A. Rehabilitation
-incorrect: Rehabilitation programs help clients return to optimal functioning
after an illness or injury. However, severe dementia will not improve with
rehabilitative services.
B. Assisted living facility
-incorrect: An assisted living facility provides independence for clients who
need only limited personal care. A client who has severe dementia needs total
care.
C. Respite care
-Respite care is a service for caregivers who need time to rest from multiple
responsibilities related to the care of a family member who needs assistance.
D. Adult day care facility
-incorrect: Although adult day care facilities do help family caregivers
maintain some aspects of their lifestyle and independence, these facilitates
provide care and supervision for clients who need minimal assistance (ex:
taking medication, receiving physical therapy, or receiving counseling). They
do not provide care for clients who have severe dementia.
A nurse is collecting health history data from a client who is deaf and uses
American Sign Language (ASL) to communicate. The nurse will be working
with an ASL interpreter. Which of the following actions should the nurse take
when working with the interpreter?
A. Face away from the client to avoid distraction
-incorrect: The nurse should face the client while speaking to offer the client
the opportunity to observe facial expressions and gestures.
B. Pace speech to allow time for the interpreter to convey the words
-The nurse should speak clearly and allow time for the interpreter to convey
the message and for the client to receive it.
C. Make eye contact with the interpreter when explaining the procedure
-incorrect: To enhance the nurse-client relationship, the nurse should direct
questions,
instructions, and information to the client, not to the interpreter. The client’s
focus will be on the interpreter, but it is respectful to continue to address the
client and not the interpreter.
D. Stand in the background while the interpreter translates the message
-incorrect: The nurse should sit at the same level as the client to give the
client the opportunity to observe facial expressions and gestures.
A nurse is supervising a newly licensed nurse who is caring for a client with
streptococcal pharyngitis and is on transmission-based precautions. Which of
the following actions by the newly licensed nurse indicates an understanding
of droplet precautions?
A. Shaking soiled linen before putting it in a hamper
-incorrect: The nurse should not shake soiled linen because this action can
transfer
microorganisms.
B. Removing a face mask when standing 0.5 m (1.6 ft) from the client
-incorrect: The nurse should wear a mask when working within 1m (3.3 ft) of a
client who is on droplet precautions to reduce the risk of transferring the
particle droplets.
C. Assigning another client with the same infection to share the room
with the client
-The nurse can place clients who are infected with the same pathogen in the
same room if a private room is not available.
D. Allowing the client to visit a family member in the lobby of the facility
-incorrect: The nurse should strictly limit the client’s activity outside the room
to reduce the risk of transferring microorganisms. Whenever the client has to
leave the room, the nurse should place a mask on the client. [Show Less]