ATI Nurse Logic: Knowledge and clinical judgement -
Exam 1 Solved Correctly 2023
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?
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?
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?
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?
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?
"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?
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?
, "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 can identify
which option describes a statement by the patient that does not reflect accurate
understanding of the medication. This is a negatively worded item that asks you to
select the option that indicates the patient needs further teaching. You will learn more
about negatively worded items in Module 4. This item requires foundational thinking
because you have to recall knowledge related to the administration and storage of
nitroglycerin. This statement by the client indicates a need for further teaching. Buying
nitroglycerin in bulk quantities is not a safe practice. The chemical instability of the
medication allows it to lose effectiveness over time. While some nitroglycerin tablets
have a shelf life of 24 months, NitroQuick retains its effectiveness for only 8 to 10
months. Because of the shortened shelf life, the client should not buy the medication in
bulk quantities, and the client should be instructed to date the bottle when it is first
opened.
A nurse is caring for a male client who has been prescribed an indwelling urinary
catheter. In which of the following positions should the client be placed for insertion of
the catheter?
Supine
A nurse is assisting with preparation of a teaching program about healthy nutrition for a
group of clients who are tactile learners. Which of the following activities should be
included as a learning strategy in the program?
Prepare a healthy meal to serve at the end of class.
A nurse preceptor is working with a newly licensed nurse to transfer a client from the
bed to a chair. Which of the following actions by the new nurse indicates a need for
further teaching to prevent lift injuries?
Twisting at the waist and shoulders
A nurse is caring for a client who has been prescribed an indwelling urinary catheter.
When preparing to insert the catheter, the nurse should first open the sterile package in
which of the following directions?
Away from the body
A nurse is caring for a client who is prescribed IV fluids. While inserting the IV catheter,
blood is spilled on the floor. Which of the following solutions should the nurse use to
clean the spill?
Chlorine (bleach)
A nurse is caring for a client who is diagnosed with rheumatoid arthritis and is
prescribed dexamethasone (Prednisone). Which of the following indicates the client is
experiencing an adverse effect of the medication?
Hyperglycemia
A nurse is collecting nutritional data on an older adult client. Which of the following
findings is suggestive of a healthy nutritional status?
Deep reddish-colored tongue
Deep reddish-colored tongue is suggestive of a healthy nutritional status. The tongue
Exam 1 Solved Correctly 2023
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?
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?
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?
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?
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?
"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?
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?
, "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 can identify
which option describes a statement by the patient that does not reflect accurate
understanding of the medication. This is a negatively worded item that asks you to
select the option that indicates the patient needs further teaching. You will learn more
about negatively worded items in Module 4. This item requires foundational thinking
because you have to recall knowledge related to the administration and storage of
nitroglycerin. This statement by the client indicates a need for further teaching. Buying
nitroglycerin in bulk quantities is not a safe practice. The chemical instability of the
medication allows it to lose effectiveness over time. While some nitroglycerin tablets
have a shelf life of 24 months, NitroQuick retains its effectiveness for only 8 to 10
months. Because of the shortened shelf life, the client should not buy the medication in
bulk quantities, and the client should be instructed to date the bottle when it is first
opened.
A nurse is caring for a male client who has been prescribed an indwelling urinary
catheter. In which of the following positions should the client be placed for insertion of
the catheter?
Supine
A nurse is assisting with preparation of a teaching program about healthy nutrition for a
group of clients who are tactile learners. Which of the following activities should be
included as a learning strategy in the program?
Prepare a healthy meal to serve at the end of class.
A nurse preceptor is working with a newly licensed nurse to transfer a client from the
bed to a chair. Which of the following actions by the new nurse indicates a need for
further teaching to prevent lift injuries?
Twisting at the waist and shoulders
A nurse is caring for a client who has been prescribed an indwelling urinary catheter.
When preparing to insert the catheter, the nurse should first open the sterile package in
which of the following directions?
Away from the body
A nurse is caring for a client who is prescribed IV fluids. While inserting the IV catheter,
blood is spilled on the floor. Which of the following solutions should the nurse use to
clean the spill?
Chlorine (bleach)
A nurse is caring for a client who is diagnosed with rheumatoid arthritis and is
prescribed dexamethasone (Prednisone). Which of the following indicates the client is
experiencing an adverse effect of the medication?
Hyperglycemia
A nurse is collecting nutritional data on an older adult client. Which of the following
findings is suggestive of a healthy nutritional status?
Deep reddish-colored tongue
Deep reddish-colored tongue is suggestive of a healthy nutritional status. The tongue
