ATI KNOWLEDGE AND JUDGEMENT QUESTIONS WITH COMPLETE
SOLUTIONS
A nurse preceptor is orienting a newly licensed nurse. Which of the following
actions by the newly licensed nurse indicates a breach of confidentiality and
requires intervention by the nurse preceptor? - ANSWER-Discussing changes in a
client's plan of care with his friend who is a nurse on another unit
In this item, you need knowledge of legal requirements in regard to
confidentiality. Based on this information, you can identify which option
describes an action that indicates a breach of client confidentiality. This is a
negatively worded item that asks you to select the option that indicates an
intervention by the nurse preceptor is warranted. You will learn more about
negatively worded items in Module 4. This item requires critical thinking
because you have to analyze each action in order to interpret the one that
results in a breach of confidentiality. HIPAA is federal legislation that requires
protection of a client's health information and describes the rights and privileges
of clients in regard to privacy and confidentiality. A nurse discussing changes in a
client's plan of care with another nurse on another unit is a breach of
confidentiality. Client information can only be shared with other health care
professionals involved in that client's care. The nurse on the other unit should
be directed to the client to request information about changes in the client's
plan of care. This action is not appropriate and requires intervention by the
nurse preceptor.
While collecting data on a client who is immobile, a nurse locates a reddened
area of skin on the left scapula. Which of the following actions should the nurse
take? - ANSWER-Cover the area with a transparent wound barrier.
, A nurse is providing discharge education to the parents of a preschooler who is
prescribed acetaminophen (Tylenol) 300 mg every 4 hr as needed. The
acetaminophen liquid suspension that has been prescribed provides 120 mg/5
mL. How many teaspoons should the nurse teach the parents to administer per
dose? - ANSWER-2.5 tsp
A nurse is collecting data on a recently admitted client. Which of the following
techniques should the nurse use to measure tissue perfusion? - ANSWER-
Obtaining the client's level of oxygen saturation
A nurse is caring for a client who is scheduled for cardiac surgery and tells the
nurse, "I don't think I'm going to have the surgery. Everybody has to die
sometime." Which of the following responses by the nurse is appropriate? -
ANSWER-"Tell me more about your concerns."
A nurse is caring for a client who is diagnosed with a urinary tract infection and
is prescribed ciprofloxacin (Cipro) 250 mg PO two times daily. The amount
available is 100 mg/tablet. How many tablets should the nurse administer with
each dose? - ANSWER-2.5
A nurse is providing education about a new prescription for nitroglycerin
(NitroQuick) to a client who is diagnosed with angina. Which of the following
statements by the client indicates a need for further teaching? - ANSWER-"I'm
lucky I have a prescription plan that allows me to buy pills in bulk quantities."
In this item, you need nursing knowledge related to the proper administration
and storage of nitroglycerin. Based on an understanding of this information, you
SOLUTIONS
A nurse preceptor is orienting a newly licensed nurse. Which of the following
actions by the newly licensed nurse indicates a breach of confidentiality and
requires intervention by the nurse preceptor? - ANSWER-Discussing changes in a
client's plan of care with his friend who is a nurse on another unit
In this item, you need knowledge of legal requirements in regard to
confidentiality. Based on this information, you can identify which option
describes an action that indicates a breach of client confidentiality. This is a
negatively worded item that asks you to select the option that indicates an
intervention by the nurse preceptor is warranted. You will learn more about
negatively worded items in Module 4. This item requires critical thinking
because you have to analyze each action in order to interpret the one that
results in a breach of confidentiality. HIPAA is federal legislation that requires
protection of a client's health information and describes the rights and privileges
of clients in regard to privacy and confidentiality. A nurse discussing changes in a
client's plan of care with another nurse on another unit is a breach of
confidentiality. Client information can only be shared with other health care
professionals involved in that client's care. The nurse on the other unit should
be directed to the client to request information about changes in the client's
plan of care. This action is not appropriate and requires intervention by the
nurse preceptor.
While collecting data on a client who is immobile, a nurse locates a reddened
area of skin on the left scapula. Which of the following actions should the nurse
take? - ANSWER-Cover the area with a transparent wound barrier.
, A nurse is providing discharge education to the parents of a preschooler who is
prescribed acetaminophen (Tylenol) 300 mg every 4 hr as needed. The
acetaminophen liquid suspension that has been prescribed provides 120 mg/5
mL. How many teaspoons should the nurse teach the parents to administer per
dose? - ANSWER-2.5 tsp
A nurse is collecting data on a recently admitted client. Which of the following
techniques should the nurse use to measure tissue perfusion? - ANSWER-
Obtaining the client's level of oxygen saturation
A nurse is caring for a client who is scheduled for cardiac surgery and tells the
nurse, "I don't think I'm going to have the surgery. Everybody has to die
sometime." Which of the following responses by the nurse is appropriate? -
ANSWER-"Tell me more about your concerns."
A nurse is caring for a client who is diagnosed with a urinary tract infection and
is prescribed ciprofloxacin (Cipro) 250 mg PO two times daily. The amount
available is 100 mg/tablet. How many tablets should the nurse administer with
each dose? - ANSWER-2.5
A nurse is providing education about a new prescription for nitroglycerin
(NitroQuick) to a client who is diagnosed with angina. Which of the following
statements by the client indicates a need for further teaching? - ANSWER-"I'm
lucky I have a prescription plan that allows me to buy pills in bulk quantities."
In this item, you need nursing knowledge related to the proper administration
and storage of nitroglycerin. Based on an understanding of this information, you
