ATI NURSING CARE PROTOCOLS EXAM 2025 |161
QUESTIONS WITH ACCURATE SOLUTIONS
1. If a nurse observes a violation of a patient's privacy rights, what should be
the nurse's immediate course of action in terms of client advocacy?
Report the violation and take steps to protect the patient's
privacy.
Ignore the violation if it seems minor.
Discuss the violation with other staff without informing the patient.
Document the violation but take no further action.
2. Gingo biloba is a memory aid. What are the drug interactions with Gingo
biloba?
It can result in bleeding reactions when combined with Warfarin
it can result in bleeding reactions when combined with Asprin
It can increase the power of trazodone
All of the above
3. Why is it important to not delegate teaching, assessment, or evaluation
tasks to UAP?
UAP are not trained to perform these critical nursing functions.
UAP can perform these tasks but are not allowed to.
Teaching requires advanced medical knowledge.
Assessment is not necessary for stable clients.
4. Why is it important for a client to consult a health care provider or
surgeon regarding surgery?
To receive accurate information about procedures and
informed consent.
, To discuss medication interactions.
To learn about post-operative care.
To understand the role of nursing in surgery.
5. In a scenario where a nurse is managing a unit with several stable
patients, which task would be most appropriate to delegate to a UAP?
Post-mortem care
Patient education on medication
Initial patient assessments
Evaluating patient progress
6. What is the first step in teaching a client about ostomy care?
Inspect stoma
Apply pouch
Cleanse the skin
Measure pouch size
7. Describe the importance of having padding for side rails during a seizure.
Padding for side rails helps prevent injury to the client during a
seizure.
Padding for side rails is used to keep the bed clean.
Padding for side rails is only necessary for elderly patients.
Padding for side rails is a standard practice for all patients.
8. If a nurse is caring for a patient with influenza in a shared room, what
immediate action should they take to ensure safety?
Transfer the patient to a private room
Remove the masks from providers and visitors
, Increase the room temperature
Limit the patient's fluid intake
9. Why is it important to include a cultural assessment in the psychosocial
history?
A cultural assessment helps to understand the client's
background and influences on their health and coping
mechanisms.
It is not important; only medical history matters.
Cultural assessments are only necessary for clients from diverse
backgrounds.
Cultural assessments are used to determine the client's financial
status.
10. Which of the following is an example of an intentional tort in nursing?
Assault
Negligence
Malpractice
Breach of confidentiality
11. Why is it important to report changes in the appearance of a mole during
a skin assessment?
Changes in the appearance of a mole can indicate potential
skin cancer or other dermatological issues.
Changes in the appearance of a mole are usually harmless and do
not require attention.
Changes in the appearance of a mole are common and should be
ignored.
Changes in the appearance of a mole only occur in older adults.
, 12. Describe the significance of using droplet precautions for a client with
influenza.
Droplet precautions help prevent the spread of influenza
through respiratory droplets.
Droplet precautions are used to protect against skin infections.
Droplet precautions are unnecessary for viral infections.
Droplet precautions only apply to patients with tuberculosis.
13. What dose of gentamycin would you administer to a patient (male, 75
years old, 75 kg; creatinine 1.5 mg/dl)? Gentamycin dosing: GFR > 75
ml/min -> 80 mg every 8 hours; GFR 30-72 ml/min -> 80 mg every 12
hours; GFR 12-30 ml/min -> 80 mg every 24 hours; GFR 6-12 ml/min -> 80
mg every 48 hours.
80 mg every 8 hours
80 mg every 12 hours
80 mg every 24 hours
80 mg every 48 hours
14. Upon encountering a stressor, the body reacts with fight or flight
response and sympathetic nervous system is activated. Hormones such
as cortisol and adrenalin are released into the bloodstream to meet the
threat. The body's resources are now mobilized. General Adaptation
Syndrome:
Stage 1: Alarm
Stage 2: Resistance
Stage 3: Exhaustion
QUESTIONS WITH ACCURATE SOLUTIONS
1. If a nurse observes a violation of a patient's privacy rights, what should be
the nurse's immediate course of action in terms of client advocacy?
Report the violation and take steps to protect the patient's
privacy.
Ignore the violation if it seems minor.
Discuss the violation with other staff without informing the patient.
Document the violation but take no further action.
2. Gingo biloba is a memory aid. What are the drug interactions with Gingo
biloba?
It can result in bleeding reactions when combined with Warfarin
it can result in bleeding reactions when combined with Asprin
It can increase the power of trazodone
All of the above
3. Why is it important to not delegate teaching, assessment, or evaluation
tasks to UAP?
UAP are not trained to perform these critical nursing functions.
UAP can perform these tasks but are not allowed to.
Teaching requires advanced medical knowledge.
Assessment is not necessary for stable clients.
4. Why is it important for a client to consult a health care provider or
surgeon regarding surgery?
To receive accurate information about procedures and
informed consent.
, To discuss medication interactions.
To learn about post-operative care.
To understand the role of nursing in surgery.
5. In a scenario where a nurse is managing a unit with several stable
patients, which task would be most appropriate to delegate to a UAP?
Post-mortem care
Patient education on medication
Initial patient assessments
Evaluating patient progress
6. What is the first step in teaching a client about ostomy care?
Inspect stoma
Apply pouch
Cleanse the skin
Measure pouch size
7. Describe the importance of having padding for side rails during a seizure.
Padding for side rails helps prevent injury to the client during a
seizure.
Padding for side rails is used to keep the bed clean.
Padding for side rails is only necessary for elderly patients.
Padding for side rails is a standard practice for all patients.
8. If a nurse is caring for a patient with influenza in a shared room, what
immediate action should they take to ensure safety?
Transfer the patient to a private room
Remove the masks from providers and visitors
, Increase the room temperature
Limit the patient's fluid intake
9. Why is it important to include a cultural assessment in the psychosocial
history?
A cultural assessment helps to understand the client's
background and influences on their health and coping
mechanisms.
It is not important; only medical history matters.
Cultural assessments are only necessary for clients from diverse
backgrounds.
Cultural assessments are used to determine the client's financial
status.
10. Which of the following is an example of an intentional tort in nursing?
Assault
Negligence
Malpractice
Breach of confidentiality
11. Why is it important to report changes in the appearance of a mole during
a skin assessment?
Changes in the appearance of a mole can indicate potential
skin cancer or other dermatological issues.
Changes in the appearance of a mole are usually harmless and do
not require attention.
Changes in the appearance of a mole are common and should be
ignored.
Changes in the appearance of a mole only occur in older adults.
, 12. Describe the significance of using droplet precautions for a client with
influenza.
Droplet precautions help prevent the spread of influenza
through respiratory droplets.
Droplet precautions are used to protect against skin infections.
Droplet precautions are unnecessary for viral infections.
Droplet precautions only apply to patients with tuberculosis.
13. What dose of gentamycin would you administer to a patient (male, 75
years old, 75 kg; creatinine 1.5 mg/dl)? Gentamycin dosing: GFR > 75
ml/min -> 80 mg every 8 hours; GFR 30-72 ml/min -> 80 mg every 12
hours; GFR 12-30 ml/min -> 80 mg every 24 hours; GFR 6-12 ml/min -> 80
mg every 48 hours.
80 mg every 8 hours
80 mg every 12 hours
80 mg every 24 hours
80 mg every 48 hours
14. Upon encountering a stressor, the body reacts with fight or flight
response and sympathetic nervous system is activated. Hormones such
as cortisol and adrenalin are released into the bloodstream to meet the
threat. The body's resources are now mobilized. General Adaptation
Syndrome:
Stage 1: Alarm
Stage 2: Resistance
Stage 3: Exhaustion
