ATI PN FUNDAMENTALS PROCTORED EXAM 2019 ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED SOLUTIONS AND RATIONALE /A+ GRADE ASSURED A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if she does not use the urinal more carefully next time. Which of the following torts is the AP committing? A. Assault B. Battery C. False Imprisonment D. Invasion of Privacy A nurse is caring for a competent adult client who tells the nurse that he is think - ing about leaving the hospital against medical advice. The nurse believes that this is not in the c lient's best interest, so she prepares to administer a PRN sedative medication the client has not re- quested along with his usual medication. Which of the following types of tort is the nurse about to commit? A. Assault B. False Imprisonment C. Negligence D. Breach of Confidentiality A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following A. Assault Rationale: By threatening the client, the AP is com- mitting assault. Her threats could make the client become fearful and apprehen - sive. B. INCORRECT: Battery is actual physi - cal contact without the client's consent. Because the AP has only verbally threat - ened the client, battery has not occurred. C. INCORRECT: Unless the AP restrains the client, there is no false imprisonment involved. D. INCORRECT: Invasion of privacy most often involves disclosing informa - tion about a client to an unauthorized individual. A. INCORRECT: Assault is an action that threatens harmful contact without the client's consent. The nurse has made no threats in this situation. B. False Imprisonment: The nurse gave the medication as a chemical restraint to keep the client from leaving the facil - ity against medical advice. This is false imprisonment because the client neither requested nor consented to receiving the sedative. C. INCORRECT: Negligence is a breach of duty that results in harm to the client. It is unlikely that the medication the nurse administered without his consent actual - ly harmed the client. D. INCORRECT: The nurse has not dis- closed any ATI PN FUNDAMENTALS PROCTORED EXAM 2019 ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED SOLUTIONS AND RATIONALE /A+ GRADE ASSURED week. The client tells the nurse that he will prepare his advance directives be - fore he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an under - standing of advance directives? a. "I'd rather have my brother make deci- sions for me, but I know it has to be my wife" b. "I know they won't go ahead with surgery unless I prepare these forms" c. "I plan to write that I don't want them to keep me on a breathing machine" d. "I will get my regular doctor to approve my plan before I hand it in at the hospital" A nurse is caring for a client who is about to undergo an elective surgical proce - dure. The nurse should take which of the following actions regarding informed consent? (select all that apply.) a. Makes sure the surgeon obtained the client's consent b. Witness the client's signature on the consent form c. Explain the risks and benefits of the procedure. d. Describe the consequences of choos - ing not to have the surgery. e. Tell the client about alternatives to hav- ing the surgery. When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? C. "I plan to write that i don't want them to keep me on a breathing machine." Rationale: The client has the right to decide and specify which medical procedures he wants when a life threatening situation arises. A. Make sure the surgeon obtained the client's consent. B. Witness the client's signature on the consent form. Rationale: 1. It is the nurse's responsibility to veri - fy that the surgeon obtained the client's consent and that he understands the in- formation the surgeon gave him. 2. It is the nurse's responsibility to wit - ness the client' s signing of the consent form, & to verify that he is consenting voluntarily & appears to be competent to do so. 3. The nurse also should verify that he understands the information the surgeon gave him. C. Place a mask on the client to limit the spread of micro -organisms into the surgical wound. Rationale: Placing a mask on the client prevents contamination of the surgical wound during the dressing change. ATI PN FUNDAMENTALS PROCTORED EXAM 2019 ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED SOLUTIONS AND RATIONALE /A+ GRADE ASSURED A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an inva - sive procedure. Which of the following flaps should the nurse unfold first? A nurse is wearing sterile gloves in preparation for performing sterile proce - dure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply) A nurse is reviewing hand hygiene tech- niques with a group of assistive person - nel (AP). Which of the following instruc - tions should the nurse include when dis- cussing ha ndwashing? (Select all that apply) D. The flap farthest from the body Rationale: The priority goal in setting up a sterile field is to maintain sterility and thus reduce the risk to the client's safety. Unless the nurse pulls the top flap (the one furthest from her body) away from her body first, she risks touching part of the inner surface of the wrap and thus contaminating it. The inner wrapping of an item on the sterile field. Rationale: The in ner wrappings of any objects the nurse dropped onto the ster- ile field are sterile. The nurse may touch them with sterile gloves. D. An irrigation syringe on the sterile field Rationale: Any objects the nurse dropped onto the sterile field during the setup are sterile. The nurse may touch the syringe with sterile gloves. E. One gloved hand with the other gloved hand Rationale: One sterile gloved hand may touch the other sterile gloved hand be - cause both are sterile. Wash the hands with soap and water for at least 15 seconds. Rationale: This is the amount of time it takes to remove transient flora from the hands. For soiled hands, the recommen - dation is 2 min. Use a clean paper towel to turn off hand faucets. Rationale: If the sink does not have foot or knee pedals, the APs should turn off the water with a clean paper towel and not with their hands.
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