FUNDAMENTALS ATI PROCTORED EXAM STUDY GUIDE LATEST EXAM TEST(2023/2024)

FUNDAMENTALS ATI PROCTORED EXAM STUDY GUIDE LATEST EXAM TEST(2023/2024) A nurse observes an assistive personnel reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if she does not use the urinal more carefully next time . Which of the following torts is the AP committing. - CORRECT ANSWER-Assault A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit? - CORRECT ANSWER-False imprisonment A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? - CORRECT ANSWER-I plan to write that I don't want them to keep me on a breathing machine. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, should found the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take? - CORRECT ANSWER-Report observations to the nurse manager on the unit A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? - CORRECT ANSWER-Make sure the surgeon obtained the client's consent. Witness the client's signature on the consent form. When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing a sterile field? - CORRECT ANSWER-Place a mask on the client to limit the spread of microorganisms into the surgical wound A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? - CORRECT ANSWER-The flap furthest from the body A nurse is wearing sterile gloves in preparation for performing sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? - CORRECT ANSWER-the inner wrapping of an item on the sterile field an irrigation syringe on the sterile field one gloved hand with the other gloved hand A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of the following instructions should the nurse include when discussing handwashing? - CORRECT ANSWER-Wash the hands with soap and water for at least 15 seconds. Use a clean paper towel to turn off hand faucets. A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field. - CORRECT ANSWER-The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. The procedure is delayed 1 hour because the provider receives an emergency call. The nurse turns to speak to someone who enters through the door behind the nurse. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? - CORRECT ANSWERHome health care Rehab facilities Skilled nursing facilities A nurse is explaining the various types of health care coverage. Which of the following health care financing mechanisms are federally funded? - CORRECT ANSWERMedicare Medicaid A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary care strategy? - CORRECT ANSWER-Collaborating with providers to perform obesity screenings during routine office visits. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? - CORRECT ANSWER-Ensuring that health care providers comply with regulations A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? - CORRECT ANSWER-Intensive Care Unit (ICU) Oncology treatment center Burn center A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? - CORRECT ANSWER-A client who has terminal cancer requests hospice care in home A client asks about community resources available for older adults A client requests an electric wheelchair for use after discharge A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? - CORRECT ANSWEROccupational therapist A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? - CORRECT ANSWER-Provider Pharmacist RN A client who had a CVA has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team? - CORRECT ANSWER-Speech-language pathologist A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? - CORRECT ANSWERBathing Ambulating Toileting Measuring vital signs A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles? - CORRECT ANSWER-Autonomy A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? - CORRECT ANSWER-Beneficence A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and procurement involved. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand that this aspect of care delivery is an example of which of the following ethical principles? - CORRECT ANSWER-Justice A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? - CORRECT ANSWERNonmaleficence A nurse is instructing a group of newly licensed nurses about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical dilemma? - CORRECT ANSWER-A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminal ill. A nurse is preparing information to a change-of-shift-report. Which of the following information should the nurse include in the report? - CORRECT ANSWER-A bone scan that is scheduled for today A nurse manager is discussing the HIPAA privacy rule with a group of newly hired nurses during orientation. Which of the following information should the nurse manager include? - CORRECT ANSWER-Family members should provide a code prior to receiving client health information Communication of client information can occur at the nurse's station A client can request a copy of her medical record A nurse may photocopy a client's medical record for transfer to another facility A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? - CORRECT ANSWER-Put the date and time on all entries. Document objective data, leaving out opinions. A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? - CORRECT ANSWER-Medication error Needlestick Omission of prescription A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? - CORRECT ANSWER-Repeat the details of the prescription back to the provider. Have another nurse listen to the telephone prescription. Obtain the provider's signature on the prescription within 24 hr. A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the client's needs should the nurse assign to an assistive personnel (AP) - CORRECT ANSWER-Reapplying a condom catheter for client who has urinary incontinence. A nurse manager of a medical-surgical unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which of the following staff members should the nurse assign this client? - CORRECT ANSWER-The RN A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? - CORRECT ANSWER-The client ambulates with his slippers on over his anti embolic stockings The client uses a front-wheeled walker when ambulating The client had pain medication 30 min ago