ATI Fundamentals
Remediation
1. B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Ad-
ministration (FDA): A nurse is explaining differences among various agencies that
address healthcare. Nurse should note which of following are health care regulatory
agencies? (Select all that apply.)
A: American Nurses Association (ANA)
B: Joint Commission
C: State boards of nursing
D: National League for Nursing (NLN) E:
Food and Drug Administration (FDA)
2. B. Medicare, E. Medicaid: Nurse is explaining various types of healthcare cov- erage
clients might have to group of nursing students & should mention which of following are
federally funded? (Select all that apply.)
A: Preferred provider organization (PPO) B:
Medicare
C: Long-term care insurance
D: Exclusive provider organization (EPO) E:
Medicaid
3. B. Primary: A hospital is conducting community BP screening. This is an example of
which of following levels of care?
A: Preventative
B: Primary
C: Secondary
D: Tertiary
4. C. Provider: A client in managed care organization (MCO) requires hospitaliza- tion.
Which of following must first approve admission?
A: Emergency department physician B:
Utilization review committee
C: Provider
D: Managed care administrator
5. A. ICU, B. Oncology Treatment Center, C. Burn Center: Nursing instructor is
explaining various levels of healthcare to group of nursing students. Which of
following examples of care or care settings should nurse classify as tertiary care? A: ICU
B: Oncology treatment center
C: Burn center
D: Cardiac rehabilitation
E: Home health care
6. D. Social Worker: Nurse is caring for older adult client who lives alone & is to be
discharged in 3 days. He states difficulty preparing adequate nutritious meals at
, ATI Fundamentals
Remediation
home for just 1 person. Which member of team should nurse refer him to? A:
Registered dietitian
B: Occupational therapist
C: Physical therapist
D: Social worker
7. D. Occupational Therapist: A goal for client who has difficulty with self-feeding d/t
RA is to use adaptive devices. The nurse caring for the client should initiate a referral
with which of following members of interprofessional care team?
A: Social worker
B: CNA
C: Registered dietitian
D: Occupational therapist
8. A.Provider, C. Pharmacist, D. RN: A post-op client is concerned about adverse
effects of meds he is receiving for pain. Which of following members of interprofes- sional
care team may assist the client in understanding med's effects? (Select all that apply.)
A: Provider
B: CNA
C: Pharmacist
D: RN
E: Respiratory therapist
9.D. Speech-language pathologist: A client who had CVA has persistent problems with
dysphagia. Nurse caring for client should initiate a referral with which member? A: Social
worker
B: CNA
C: Occupational therapist
D: Speech-language pathologist
10.A. Bathing, B. Ambulating, E. Measuring vital signs: Nursing instructor is teaching
students about roles of various members of healthcare team on med-surg unit. When she
gives examples of types of tasks CNAs may perform, which of following client activities
should she include? (Select all that apply.)
A: Bathing
B: Ambulating
C: Toileting
D: Determining pain level
E: Measuring vital signs
11.B. Autonomy: Nurse is caring for client who decides not to have surgery despite
significant coronary artery blockages. Nurse understands that this client's choice is
example of following ethical principles?
, ATI Fundamentals
Remediation
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
12.D. Beneficence: Nurse offers pain med to a client who is post-op prior to
ambulation. Nurse understands that this aspect of care delivery is an example of which
ethical principles?
A: Fidelity
B: Autonomy
C: Justice
D: Beneficence
13.C. Justice: Nurse is instructing students about responsibilities involved with organ
donation/procurement. When nurse explains all clients waiting for kidney transplant have
to meet same qualifications, students should understand that this aspect of care delivery
is an example of which of following ethical principle?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
14.D. Nonmaleficence: A nurse questions med prescription as too extreme in light of
client's advanced age & unstable status. Nurse understands this action is example of which
ethical principles?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
15.C. A family has conflicting feelings about initiation of enteral tube feedings for
their father, who is terminally ill: Nurse is instructing students about how to know &
what to expect when ethical dilemmas arise. Which of following situations should students
identify as an ethical dilemma?
A: Nurse on med-surg unit demonstrates signs of chemical impairment
B: Nurse overhears another nurse telling older adult client that if he doesn't stay in bed,
she will have to apply restraints
C: A family has conflicting feelings about initiation of enteral tube feedings for their
father, who is terminally ill
D: Client who is terminally ill hesitates to name her spouse on her durable power of
attorney form
16.A. Assult: Nurse observes assistive personnel (AP) reprimanding a client for not using
urinal properly. The AP tells him she will put a diaper on him if he doesn't use
, ATI Fundamentals
Remediation
urinal more carefully next time. Which of following torts is AP committing? A:
Assault
B: Battery
C: False imprisonment
D: Invasion of privacy
17.B. False imprisonment: Adult client who is competent tells the nurse that he is
thinking about leaving the hospital against medical advice. Nurse believes that this is not
in client's best interest, so she administers a PRN sedative med that the client has not
requested along with his usual med. Which of following types of tort has nurse
committed?
A: Assault
B: False imprisonment
C: Negligence
D: Breach of confidentiality
18.C. "I plan to write that I don't want them to keep me on a breathing machine":
Client who will undergo neurosurgery in 1 week tells the nurse in office that he will
prepare his advance directives before he goes to the hospital. Which of following
statements by client indicates to nurse that he understands them?
A: "I'd rather have my brother make decisions for me, but I know it has to be my wife." B:
"I know they won't go ahead with the surgery unless I prepare these forms."
C: "I plan to write that I don't want them to keep me on a breathing machine"
D: "I will get my regular doctor to approve my plan before I hand it in at the hospital"
19. A. Make sure the surgeon obtained the client's consent,
B. Witness client's signature on consent form: A client is about to undergo an elective
surgical procedure. Which of following actions are appropriate for nurse providing pre-op
care regarding informed consent? (Select all that apply.)
A: Make sure the surgeon obtained the client's consent B:
Witness client's signature on consent form
C: Explain the risks/benefits of procedure
D: Describe consequences of choosing not to have surgery E:
Tell client about alternatives to having surgery
20.C. Report observations to nurse manager on unit: Nurse has noticed several times
in past week when another nurse on unit seemed drowsy & unable to focus. Today, she
found nurse asleep in chair in break room when she was not on a break. Which of
following actions should nurse take?
A: Remind nurse that safe client care is priority on unit
B: Ask other s on team whether they have seen same behavior C:
Report observations to nurse manager on unit
D: Conclude her coworker's fatigue is not her problem to solve
Remediation
1. B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Ad-
ministration (FDA): A nurse is explaining differences among various agencies that
address healthcare. Nurse should note which of following are health care regulatory
agencies? (Select all that apply.)
A: American Nurses Association (ANA)
B: Joint Commission
C: State boards of nursing
D: National League for Nursing (NLN) E:
Food and Drug Administration (FDA)
2. B. Medicare, E. Medicaid: Nurse is explaining various types of healthcare cov- erage
clients might have to group of nursing students & should mention which of following are
federally funded? (Select all that apply.)
A: Preferred provider organization (PPO) B:
Medicare
C: Long-term care insurance
D: Exclusive provider organization (EPO) E:
Medicaid
3. B. Primary: A hospital is conducting community BP screening. This is an example of
which of following levels of care?
A: Preventative
B: Primary
C: Secondary
D: Tertiary
4. C. Provider: A client in managed care organization (MCO) requires hospitaliza- tion.
Which of following must first approve admission?
A: Emergency department physician B:
Utilization review committee
C: Provider
D: Managed care administrator
5. A. ICU, B. Oncology Treatment Center, C. Burn Center: Nursing instructor is
explaining various levels of healthcare to group of nursing students. Which of
following examples of care or care settings should nurse classify as tertiary care? A: ICU
B: Oncology treatment center
C: Burn center
D: Cardiac rehabilitation
E: Home health care
6. D. Social Worker: Nurse is caring for older adult client who lives alone & is to be
discharged in 3 days. He states difficulty preparing adequate nutritious meals at
, ATI Fundamentals
Remediation
home for just 1 person. Which member of team should nurse refer him to? A:
Registered dietitian
B: Occupational therapist
C: Physical therapist
D: Social worker
7. D. Occupational Therapist: A goal for client who has difficulty with self-feeding d/t
RA is to use adaptive devices. The nurse caring for the client should initiate a referral
with which of following members of interprofessional care team?
A: Social worker
B: CNA
C: Registered dietitian
D: Occupational therapist
8. A.Provider, C. Pharmacist, D. RN: A post-op client is concerned about adverse
effects of meds he is receiving for pain. Which of following members of interprofes- sional
care team may assist the client in understanding med's effects? (Select all that apply.)
A: Provider
B: CNA
C: Pharmacist
D: RN
E: Respiratory therapist
9.D. Speech-language pathologist: A client who had CVA has persistent problems with
dysphagia. Nurse caring for client should initiate a referral with which member? A: Social
worker
B: CNA
C: Occupational therapist
D: Speech-language pathologist
10.A. Bathing, B. Ambulating, E. Measuring vital signs: Nursing instructor is teaching
students about roles of various members of healthcare team on med-surg unit. When she
gives examples of types of tasks CNAs may perform, which of following client activities
should she include? (Select all that apply.)
A: Bathing
B: Ambulating
C: Toileting
D: Determining pain level
E: Measuring vital signs
11.B. Autonomy: Nurse is caring for client who decides not to have surgery despite
significant coronary artery blockages. Nurse understands that this client's choice is
example of following ethical principles?
, ATI Fundamentals
Remediation
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
12.D. Beneficence: Nurse offers pain med to a client who is post-op prior to
ambulation. Nurse understands that this aspect of care delivery is an example of which
ethical principles?
A: Fidelity
B: Autonomy
C: Justice
D: Beneficence
13.C. Justice: Nurse is instructing students about responsibilities involved with organ
donation/procurement. When nurse explains all clients waiting for kidney transplant have
to meet same qualifications, students should understand that this aspect of care delivery
is an example of which of following ethical principle?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
14.D. Nonmaleficence: A nurse questions med prescription as too extreme in light of
client's advanced age & unstable status. Nurse understands this action is example of which
ethical principles?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
15.C. A family has conflicting feelings about initiation of enteral tube feedings for
their father, who is terminally ill: Nurse is instructing students about how to know &
what to expect when ethical dilemmas arise. Which of following situations should students
identify as an ethical dilemma?
A: Nurse on med-surg unit demonstrates signs of chemical impairment
B: Nurse overhears another nurse telling older adult client that if he doesn't stay in bed,
she will have to apply restraints
C: A family has conflicting feelings about initiation of enteral tube feedings for their
father, who is terminally ill
D: Client who is terminally ill hesitates to name her spouse on her durable power of
attorney form
16.A. Assult: Nurse observes assistive personnel (AP) reprimanding a client for not using
urinal properly. The AP tells him she will put a diaper on him if he doesn't use
, ATI Fundamentals
Remediation
urinal more carefully next time. Which of following torts is AP committing? A:
Assault
B: Battery
C: False imprisonment
D: Invasion of privacy
17.B. False imprisonment: Adult client who is competent tells the nurse that he is
thinking about leaving the hospital against medical advice. Nurse believes that this is not
in client's best interest, so she administers a PRN sedative med that the client has not
requested along with his usual med. Which of following types of tort has nurse
committed?
A: Assault
B: False imprisonment
C: Negligence
D: Breach of confidentiality
18.C. "I plan to write that I don't want them to keep me on a breathing machine":
Client who will undergo neurosurgery in 1 week tells the nurse in office that he will
prepare his advance directives before he goes to the hospital. Which of following
statements by client indicates to nurse that he understands them?
A: "I'd rather have my brother make decisions for me, but I know it has to be my wife." B:
"I know they won't go ahead with the surgery unless I prepare these forms."
C: "I plan to write that I don't want them to keep me on a breathing machine"
D: "I will get my regular doctor to approve my plan before I hand it in at the hospital"
19. A. Make sure the surgeon obtained the client's consent,
B. Witness client's signature on consent form: A client is about to undergo an elective
surgical procedure. Which of following actions are appropriate for nurse providing pre-op
care regarding informed consent? (Select all that apply.)
A: Make sure the surgeon obtained the client's consent B:
Witness client's signature on consent form
C: Explain the risks/benefits of procedure
D: Describe consequences of choosing not to have surgery E:
Tell client about alternatives to having surgery
20.C. Report observations to nurse manager on unit: Nurse has noticed several times
in past week when another nurse on unit seemed drowsy & unable to focus. Today, she
found nurse asleep in chair in break room when she was not on a break. Which of
following actions should nurse take?
A: Remind nurse that safe client care is priority on unit
B: Ask other s on team whether they have seen same behavior C:
Report observations to nurse manager on unit
D: Conclude her coworker's fatigue is not her problem to solve
