1 EXAM WITH VERIFIED QUESTIONS AND
ANSWERS GRADED A+
A nurse practitioner in an emergency is caring for an infant who requires
emergency surgery. The infant is accompanied by his 16-year-old mother and his
maternal grandfather. Which of the following actions should the nurse practitioner
take when assisting with informed consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency
surgery.
3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent.
Witness consent obtained from the infant's mother.
,ATI RN CONCEPT BASED ASSESSMENT
RAT: The nurse practitioner should assist in obtaining informed consent from the
infant's mother by witnessing her signature. Statutory guidelines indicate that a
minor, even if unemancipated, can provide consent for her infant. Unemancipated
minors can also legally provide informed consent for STI treatment, substance use
treatment, and care related to pregnancy in some states.
A nurse practitioner is planning care to prevent a catheter-related blood stream
infection for a client who is receiving IV fluid therapy. Which of the following
interventions should the nurse practitioner include in the plan?
1. Change bags of IV solution every 72 hr.
2. Perform hand hygiene before touching the IV tubing.
3. Use hydrogen peroxide to cleanse the IV insertion site.
4. Assess the IV insertion site every 12 hr for redness.
Perform hand hygiene before touching the IV tubing.
RAT: The nurse practitioner should perform thorough hand hygiene before
touching any part of the infusion system or the client to reduce the risk of
catheterrelated blood stream infections.
A nurse practitioner is caring for an adolescent client who is in critical condition
following a motor vehicle crash in which he was the passenger. The clients parents
shouts at the nurse practitioner, asking why her son is dying instead of the driver.
Which of the following actions should the nurse practitioner take to provide
emotional support to the patient?
,1. Encourage the parent to speak with the family of the driver of the car.
2. Inform the parent that anger is a natural response when dealing with loss.
3. Ask the parent to leave and come back later after she has calmed down.
4. Contact a clergy member to come and speak with the parent.
Inform the parent that anger is a natural response when dealing with loss.
RAT: The nurse practitioner should identify that the parent is in the anger stage of
grief. The nurse practitioner should assist the parent to understand that anger is a
natural response to loss and encourage her to talk about her feelings.
A nurse practitioner is teaching about advice directives with an older adult client
who has a terminal illness. Which of the following statements should the nurse
practitioner make?
1. "Having advance directives means that you don't want to receive CPR."
2. "Your next of kin can amend your advance directives for you if you are
unconscious."
3. "Advance directives are verbal or written instructions."
4. "Your advance directives can designate a friend to make your health care
decisions."
"Your advance directives can designate a friend to make your health care
decisions."
, ATI RN CONCEPT BASED ASSESSMENT
RAT: The nurse practitioner should inform the client that he may include a health
care proxy or durable power of attorney for health care as part of his advance
directives. This form designates a person of the client's choosing to make health
care decisions for him if he becomes unable to do so for himself. This may be a
relative, personal friend, or anyone the client designates. The nurse practitioner
should ensure that this form is witnessed or notarized according to state law.
A nurse practitioner is teaching a client who has rheumatoid arthritis about chronic
pain management. Which of the following statements by the client indicates an
understanding of the teaching?
1. "I should stop participating in my bowling league."
2. "I should take a cool shower in the morning to relieve stiffness."
3. "I should decrease my intake of foods containing purine." 4. "I should use a
warm paraffin dip for my hands and feet."
"I should use a warm paraffin dip for my hands and feet."
RAT: The nurse practitioner should instruct the client to dip her hands and feet in
warm paraffin to alleviate pain and stiffness. The client can more easily perform
hand and finger exercises following the treatment.
A nurse practitioner is assessing a preschooler who has a urinary tract infection
(UTI). Which of the following findings should the nurse practitioner expect?
1. Diarrhea
2. Abdominal pain