ATI FUNDAMENTALS MID TERM EXAM 2020_ questions and answers, updated
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ATI FUNDAMENTALS
ATI FUNDAMENTALS MID TERM EXAM 2020_ questions and answers, updated
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teachin...
ati fundamentals mid term exam 2020 questions and answers
ati fundamentals mid term exam
ati fundamentals mid term exam 2020
a nurse is reviewing information about the health insurance porta
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ATI FUNDAMENTALS MID TERM EXAM
2020_ questions and answers, updated
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA)
with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a
need for further teaching?
A. "Information about a client can be disclosed to family members at any time."
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or
written form."
C. "A client's address would be an example of personally identifiable information."
D. "HIPAA is a federal law, not a state law." Correct Answer: A. "Information about a client can be
disclosed to family members at any time."Rationale:This statement reflects a need for further teaching.
Privacy relates to the client's rights over the use and disclosure of his or her own personal health
information.
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or
written form."Rationale:This statement reflects an understanding of HIPAA. All health care organizations
that use electronic transactions and code sets, such as health care claims and claim payments,
mustcomply with HIPAA standards.
C. "A client's address would be an example of personally identifiable information."Rationale:This
statement reflects an understanding of HIPAA. Identifiers for the information include a client's name,
address, phone number, driver's license number, and so forth.
D. "HIPAA is a federal law, not a state law."Rationale:This statement reflects an understanding of HIPAA,
which is a federal law that was passed in1996.
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
A. Adjust the water temperature to feel hot.
B. Apply 4 to 5 mL of liquid soap to the hands
C. Hold the hands higher than the elbows.
D. Rub hands and arms to dry. Correct Answer: A. Adjust the water temperature to feel
hot.Rationale:Using warm, instead of hot, water will help protect the skin by minimizing loss of the
protective oil on the skin. This will help maintain the integrity of the skin
B. Apply 4 to 5 mL of liquid soap to the hands.Rationale:The nurse should apply 4 to 5 mL of liquid soap
to the hands to ensure an adequate amount is available to produce lather and kill microorganisms.
C. Hold the hands higher than the elbows.Rationale:The nurse should hold the hand lower than the
elbows when washing the hands under running water so that the water flows from the more
contaminated area (the arms) to the cleaner area(hands and fingers.)
D. Rub hands and arms to dry.Rationale:The nurse should use a paper towel to pat the hand and arm dry
without rubbing vigorously.Repeated rubbing of moist skin can lead to chapping and skin breakdown.
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with
continuous enteral feedings. Which of the following actions should the nurse take?
A. Mix the three medications together prior to administering
B. Dilute each medication with 10 mL of tap water.
C. Maintain the head of the bed in a flat position for 30 min following medication administration
D. Flush the NG feeding tube with 30 mL of water immediately following medication administration
Correct Answer: A. Mix the three medications together prior to administering. Rationale: The nurse
, should administer each medication separately and flush the tube with 15 to 30 mL of sterile water to
ensure the client receives the entire dose.
B. Dilute each medication with 10 mL of tap water. Rationale:If the nurse needs to further dilute the
medication because it is viscous, the nurse should only use sterile water because tap water can contain
contaminants that can adversely interact with the medication.
C. Maintain the head of the bed in a flat position for 30 min following medication administration.
Rationale: The nurse should ensure the head of the bed is elevated to at least 30° when a client is
receiving enteral feedings and also following medication administration through an enteral tube.
D. Flush the NG feeding tube with 30 mL of water immediately following medication administration
Rationale: The nurse should flush the NG feeding tube with 15 to 60 mL of sterile water following
medication administration to ensure the feeding tube is cleared of the medications.
.A nurse is administering nasal decongestant drops for a client. Which of the following actions should
the nurse take?
A. Tell the client to blow her nose gently before the instillation.
B. Assist the client to a side-lying position.
C. Hold the dropper 2 cm (1 in) above the naris
D. Instruct the client to stay in the same position for 2 min. Correct Answer: A. Tell the client to blow
her nose gently before the instillation. Rationale:Prior to instillation, the nurse should instruct the client
to blow her nose gently. This action will help remove any secretions or crusts that could interfere with
the distribution and absorption of the medication.
B. Assist the client to a side-lying position. Rationale: The nurse should assist the client to lie supine for a
nasal instillation.
C. Hold the dropper 2 cm (1 in) above the naris. Rationale: The nurse should hold the dropper 1 cm (1/2
in) above each naris before instilling the drops.
D. Instruct the client to stay in the same position for 2 min. Rationale: The client should stay in the same
position for 5 min to make sure the drops do not run out when the she sits or stands up
.A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions.
Which of the following actions should the nurse take?
A. Suction two to three times with a 60-second pause between passes.
B. Perform chest physiotherapy prior to suctioning.
C. Lubricate the suction catheter tip with sterile saline.
D. Hyperventilate the client on 100% oxygen prior to suctioning Correct Answer: A. Suction two to three
times with a 60-second pause between passes. Rationale:Copious secretions may require several passes
of the suction catheter. An interval of 60 seconds should be allowed between passes to prevent hypoxia.
B. Perform chest physiotherapy prior to suctioning. Rationale: This intervention mobilizes secretions but
does not remove them.
C. Lubricate the suction catheter tip with sterile saline. Rationale: This intervention has no effect on the
removal of secretions.
D. Hyperventilate the client on 100% oxygen prior to suctioning. Rationale: This intervention has no
effect on the removal of secretions.
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions
should the nurse take?
A. Secure the restraints using a quick-release tie.
B. Ensure four fingers fit under the restraints to prevent constriction.
C. Secure the restraints to the lowest bar of the side rail.
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