ATI Fundamentals Nursing 202 HW- 3/4/6/11/12 Combi
ATI Fundamentals Nursing 202 HW- 3/4/6/11/12 Combi
Exam (elaborations)
ATI Fundamentals Nursing 202 HW- 3/4/6/11/12 Combined Midterm Exam (2024) with answers
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ATI Fundamentals Nursing 202 HW- 3/4/6/11/12 Combi
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ATI Fundamentals Nursing 202 HW- 3/4/6/11/12 Combi
ATI Fundamentals Nursing 202 HW- 3/4/6/11/12 Combined Midterm Exam (2024) with answers
1. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a...
1. A nurse is reviewing information about the Health Insurance Portability and Accountability Act
(HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse
indicates a need for further teaching?
A. "Information about a client can be disclosed to family members at any time."
Rationale: This statement reflects a need for further teaching. Privacy relates to the client's
rights over the use and disclosure of his or her own personal health information.
B. "HIPAA established regulations of individually identifiable health information in verbal,
electronic, or written form."
Rationale: This statement reflects an understanding of HIPAA. All health care organizations that
use electronic transactions and code sets, such as health care claims and claim
payments, must comply with HIPAA standards.
C. "A client's address would be an example of personally identifiable information."
Rationale: This statement reflects an understanding of HIPAA. Identifiers for the information
include a client's name, address, phone number, driver's license number, and so
forth.
D. "HIPAA is a federal law, not a state law."
Rationale: This statement reflects an understanding of HIPAA, which is a federal law that was
passed in 1996.
2. A nurse caring for a client is using active listening skills. Which of the following actions should the
nurse take?
A. Sit side-by-side with the client.
Rationale: When using active listening skills, the nurse should sit facing the client.
B. Have a pen and paper handy.
Rationale: When using active listening skills, the nurse’s focus should be on the client, not on
writing notes.
C. Use intermittent eye contact.
Rationale: The nurse should establish intermittent eye contact and maintain it during active
listening. It demonstrates interest is what the client is saying.
D. Lean back in the chair.
Rationale: When using active listening skills, the nurse should lean toward the client.
3. A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
Using warm, instead of hot, water will help protect the skin by minimizing loss of
the protective oil on the skin. This will help maintain the integrity of the skin.
B. Apply 4 to 5 mL of liquid soap to the hands.
Rationale: The nurse should apply 4 to 5 mL of liquid soap to the hands to ensure an adequate
amount is available to produce lather and kill microorganisms.
C. Hold the hands higher than the elbows.
Rationale: The nurse should hold the hand lower than the elbows when washing the hands
under running water so that the water flows from the more contaminated area (the
arms) to the cleaner area (hands and fingers.)
D. Rub hands and arms to dry.
Rationale: The nurse should use a paper towel to pat the hand and arm dry without rubbing
vigorously.
Repeated rubbing of moist skin can lead to chapping and skin breakdown.
4. A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for
several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The
nurse should realize that this finding is most likely an indication of which of the following conditions?
A. An upper respiratory infection
Rationale: Although the spleen plays a role in immunity against bacterial infections, the nurse
would be more concerned about the risk of an upper respiratory infection in a client
who has undergone splenectomy, or removal of the spleen.
B. Pulmonary edema
Rationale: Pulmonary edema may develop in a client who is on bedrest following trauma, but
this is not the most likely cause of decreased breath sounds in this client.
C. Atelectasis
Rationale: Atelectasis is the collapse of part or all of a lung by blockage of the air passages
(bronchus or bronchioles) or by hypoventilation. Prolonged bedrest with few
changes in position, ineffective coughing, and underlying lung disease are risk
factors for the development of atelectasis.
D. Delayed gastric emptying
Rationale: Although delayed gastric emptying may result in ineffective coughing, this is not
the most likely cause of decreased breath sounds in this client.
5. A nurse is caring for an older adult client who was alert and oriented at admission, but now seems
increasingly restless and intermittently confused. Which of the following actions should the nurse
take to address the client's safety needs?
A. Call the family and ask them to stay with the client.
Rationale:
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