which of the following is an example of professional negligence

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment Form A

1. Which of the following is an example of professional negligence?

A. Following facility guidelines at all times
B. Using equipment in a knowledgeable manner
C. Communicating effectively with clients
D. Documenting client interactions accurately

Correct answer: A

Rationale: Professional negligence involves failing to meet the standard of care expected in a particular profession, which can lead to harm. In this case, not following facility guidelines can result in lapses in safety or quality of care, potentially causing harm to clients. Choices B, C, and D all represent essential aspects of professional conduct and do not directly relate to negligence.

2. A nurse manager on an acute care unit is preparing a staff presentation about promoting cost-effective care. Which of the following strategies should the nurse plan to include in the presentation?

A. Change IV solution bags every 36 hr.
B. Avoid the delegation of hygiene care to assistive personnel (AP)
C. Wear sterile gloves when removing urinary retention catheters.
D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions

Correct answer: D

Rationale: Teaching staff proper use of PPE helps reduce the spread of infections and promotes cost-effective care.

3. A patient has a new prescription for allopurinol to treat gout. What should the nurse include in the teaching?

A. Decrease protein intake
B. Limit salt intake
C. Increase fluid intake
D. Limit alcohol

Correct answer: C

Rationale: Correct answer: Increasing fluid intake is essential when taking allopurinol to prevent kidney stones and aid in uric acid excretion. This helps reduce the risk of developing complications associated with gout. Decreasing protein intake (Choice A) is not directly related to allopurinol therapy. Limiting salt intake (Choice B) and alcohol consumption (Choice D) are important for overall health but are not specific recommendations when taking allopurinol for gout.

4. What is the most important nursing intervention for a patient with diarrhea?

A. Encourage the patient to increase fluid intake.
B. Monitor the patient's skin integrity.
C. Check the patient's electrolyte levels.
D. Educate the patient about infection control measures.

Correct answer: B

Rationale: The correct answer is to monitor the patient's skin integrity. This is crucial because diarrhea can lead to skin breakdown due to frequent bowel movements and increased moisture in the perineal area. By monitoring skin integrity, nurses can prevent skin breakdown, infection, and other associated issues. Encouraging fluid intake (Choice A) is important but not the most critical intervention. Checking electrolyte levels (Choice C) is essential but may not be the top priority at the onset. Educating the patient about infection control (Choice D) is important but secondary to preventing skin breakdown in a patient with diarrhea.

5. A client is administering insulin. Which statement by the client shows proper understanding of insulin administration?

A. I will inject insulin into my thigh before exercise
B. I will skip meals to lower blood sugar
C. I will store my insulin in the freezer
D. I will rotate injection sites for insulin administration

Correct answer: D

Rationale: The correct answer is D because rotating injection sites prevents tissue damage and ensures better absorption of insulin. Option A is incorrect as injecting insulin into the thigh before exercise can lead to hypoglycemia. Option B is incorrect as skipping meals can cause blood sugar levels to drop dangerously low. Option C is incorrect as insulin should not be stored in the freezer as it can alter its effectiveness.