ATI PN Fundamentals 2020 with NGN Practice
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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 ...
ATI PN Fundamentals 2020 with NGN Practice
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A. Assault
Rationale:
By threatening the client, the AP is com-
A nurse observes an assistive personnel mitting assault. Her threats could make
(AP) reprimanding a client for not using the client become fearful and apprehen-
the urinal properly. The AP tells him she sive.
will put a diaper on him if she does not B. INCORRECT: Battery is actual physi-
use the urinal more carefully next time. cal contact without the client's consent.
Which of the following torts is the AP Because the AP has only verbally threat-
committing? ened the client, battery has not occurred.
A. Assault C. INCORRECT: Unless the AP restrains
B. Battery the client, there is no false imprisonment
C. False Imprisonment involved.
D. Invasion of Privacy 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
A nurse is caring for a competent adult the client's consent. The nurse has made
client who tells the nurse that he is think- no threats in this situation.
ing about leaving the hospital against B. False Imprisonment: The nurse gave
medical advice. The nurse believes that the medication as a chemical restraint
this is not in the client's best interest, to keep the client from leaving the facil-
so she prepares to administer a PRN ity against medical advice. This is false
sedative medication the client has not re- imprisonment because the client neither
quested along with his usual medication. requested nor consented to receiving the
Which of the following types of tort is the sedative.
nurse about to commit? C. INCORRECT: Negligence is a breach
A. Assault of duty that results in harm to the client. It
B. False Imprisonment is unlikely that the medication the nurse
C. Negligence administered without his consent actual-
D. Breach of Confidentiality ly harmed the client.
D. INCORRECT: The nurse has not dis-
closed any
A nurse in a surgeon's office is providing
preoperative teaching for a client who
is scheduled for surgery the following
, ATI PN Fundamentals 2020 with NGN Practice
Study online at https://quizlet.com/_d712t8
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- C. "I plan to write that i don't want them
standing of advance directives? to keep me on a breathing machine."
a. "I'd rather have my brother make deci- Rationale:
sions for me, but I know it has to be my The client has the right to decide and
wife" specify which medical procedures he
b. "I know they won't go ahead with wants when a lifethreatening situation
surgery unless I prepare these forms" arises.
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. Make sure the surgeon obtained the
A nurse is caring for a client who is about client's consent.
to undergo an elective surgical proce- B. Witness the client's signature on the
dure. The nurse should take which of consent form.
the following actions regarding informed Rationale:
consent? (select all that apply.) 1. It is the nurse's responsibility to veri-
a. Makes sure the surgeon obtained the fy that the surgeon obtained the client's
client's consent consent and that he understands the in-
b. Witness the client's signature on the formation the surgeon gave him.
consent form 2. It is the nurse's responsibility to wit-
c. Explain the risks and benefits of the ness the client's signing of the consent
procedure. form, & to verify that he is consenting
d. Describe the consequences of choos- voluntarily & appears to be competent to
ing not to have the surgery. do so.
e. Tell the client about alternatives to hav- 3. The nurse also should verify that he
ing the surgery. understands the information the surgeon
gave him.
When entering a client's room to change C. Place a mask on the client to limit
a surgical dressing, a nurse notes that the spread of micro-organisms into the
the client is coughing and sneezing. surgical wound.
Which of the following actions should the Rationale: Placing a mask on the client
nurse take when preparing the sterile prevents contamination of the surgical
field? wound during the dressing change.
, ATI PN Fundamentals 2020 with NGN Practice
Study online at https://quizlet.com/_d712t8
D. The flap farthest from the body
Rationale: The priority goal in setting up
A nurse has removed a sterile pack from a sterile field is to maintain sterility and
its outside cover and placed it on a clean thus reduce the risk to the client's safety.
work surface in preparation for an inva- Unless the nurse pulls the top flap (the
sive procedure. Which of the following one furthest from her body) away from
flaps should the nurse unfold first? 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 inner wrappings of any
objects the nurse dropped onto the ster-
ile field are sterile. The nurse may touch
them with sterile gloves.
A nurse is wearing sterile gloves in
D. An irrigation syringe on the sterile field
preparation for performing sterile proce-
Rationale: Any objects the nurse
dure. Which of the following objects can
dropped onto the sterile field during the
the nurse touch without breaching sterile
setup are sterile. The nurse may touch
technique? (Select all that apply)
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
A nurse is reviewing hand hygiene tech- takes to remove transient flora from the
niques with a group of assistive person- hands. For soiled hands, the recommen-
nel (AP). Which of the following instruc- dation is 2 min.
tions should the nurse include when dis- Use a clean paper towel to turn off hand
cussing handwashing? (Select all that faucets.
apply) 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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