ATI MEDICAL SURGICAL PROCTORED EXAM 2024|2025

ATI MEDICAL SURGICAL PROCTORED EXAM
2024|2025
1. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a
newlylicensed 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."
over theuse and disclosure of his or her own personal health information.
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or
writtenform."
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
in1996.
2.A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
A. Adjust the water temperature to feel hot.
Rationale: Using warm, instead of hot, water will help protect the skin by minimizing loss of the
protectiveoil on the skin. This will help maintain the integrity of the skin.
B.
amount isavailable 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
runningwater 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
Apply 4 to 5 mL of liquid soap to the hands.
Rationale: This statement reflects a need for further teaching. Privacy relates to the client's rights
Rationale: The nurse should apply 4 to 5 mL of liquid soap to the hands to ensure an adequate
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vigorously.
Repeated rubbing of moist skin can lead to chapping and skin breakdown.
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help remove any secretions or crusts that could interfere with the distribution and
Rationale: Prior to instillation, the nurse should instruct the client to blow her nose gently. This action
3. A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with
continuousenteral feedings. Which of the following actions should the nurse take?
A. Mix the three medications together prior to administering.
Rationale: The nurse should administer each medication separately and flush the tube with 15 to 30
mL ofsterile water to ensure the client receives the entire dose.
B. Dilute each medication with 10 mL of tap water.
Rationale: If the nurse needs to further dilute the medication because it is viscous, the nurse should
onlyuse sterile water because tap water can contain contaminants that can adversely interact
withthe medication.
C. Maintain the head of the bed in a flat position for 30 m