ATI Fundamentals Practice Questions and solutions

ATI Fundamentals Practice Questions and solutions

Chapter 1 - answersHealth care delivery systems
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A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the
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nurse include in the teaching? (Select all that apply.)
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A. Home health care
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B. Rehabilitation facilities
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C. Diagnostic centers
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D. Skilled nursing facilities
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E. Oncology centers - answersA, B, D
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A nurse is explaining the various types of health care coverage clients might have to a group of nursing students. Which
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the following health care financing mechanisms are federally funded? (Select all that apply.)
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A. Preferred provider organization (PPO)
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B. Medicare
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C. Long-term care insurance
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D. Exclusive provider organization (EPO)
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E. Medicaid - answersB, E
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A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the
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following actions should the nurse include as a primary health care strategy?
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A. Collaborating with providers to perform obesity screenings during routine office visits
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B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
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C. Providing specialized intraoperative training regarding surgical treatments for obesity
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D. Educating acute care nurses on postoperative complications related to obesity - answersA
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A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the
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nurse identify as the responsibility of state licensing boards?
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A. Monitoring evidence-based practice for clients who have a specific diagnosis
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B. Ensuring that health care providers comply with regulations
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C. Setting quality standards for accreditation of health care facilities
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D. Determining if medications are safe for administration to clients - answersB
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A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the followin
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examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.)
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A. Intensive care unit
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B. Oncology treatment center
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C. Burn center
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,D. Cardiac rehabilitation
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E. Home health care - answersA, B, C
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Chapter 2 - answersInterprofessional team mi mi mi mi




A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the
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nurse initiate a referral for a social worker? (Select all that apply.)
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A. A client who has terminal cancer requests hospice care in her home.
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B. A client asks about community resources available for older adults.
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C. A client states that she wants her child baptized before surgery.
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D. A client requests an electric wheelchair for use after discharge.
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E. A client states that he does not understand how to use a nebulizer. - answersA, B, D
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A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse
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caring for the client should initiate a referral to which of the following members of the interprofessional care team?
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A. Social worker
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B. Certified nursing assistant
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C. Registered dietitian
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D. Occupational therapist - answersD
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A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is
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receiving for pain management. Which of the following members of the interprofessional care team can assist the client
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understanding the medication's effects? (Select all that apply.)
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A. Provider
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B. Certified nursing assistant
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C. Pharmacist
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D. Registered nurse
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E. Respiratory therapist - answersA, C, D
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A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty swallowing). The
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nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team
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A. Social worker
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B. Certified nursing assistant
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C. Occupational therapist
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D. Speech-language pathologist - answersD
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A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team the
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will encounter on a medical-surgical unit. When
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she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client
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activities should she include? (Select all that apply.)
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A. Bathingmi




B. Ambulating
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C. Toileting
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D. Determining pain level
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E. Measuring vital signs - answersA, B, C, E
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,Chapter 3 - answersEthical responsibilities mi mi mi mi




A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The
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nurse understands that this client's choice is an example of which of the following ethical principles?
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A. Fidelity mi




B. Autonomy mi




C. Justice mi




D. Nonmaleficence - answersB
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A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspe
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of care delivery is an example of which of the following ethical principles?
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A. Fidelity mi




B. Autonomy mi




C. Justice mi




D. Beneficence - answersD
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A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve.
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When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the student
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should understand that this aspect of care delivery is an example of which of the following ethical principles?
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A. Fidelity mi




B. Autonomy mi




C. Justice mi




D. Nonmaleficence - answersC
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A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. Th
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nurse understands that this action is an example of which of the following ethical principles?
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A. Fidelity mi




B. Autonomy mi




C. Justice mi




D. Nonmaleficence - answersD
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A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise.
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Which of the following situations should the students identify as an ethical dilemma?
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A. A nurse on a medical-surgical unit demonstrates signs
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of chemical impairment.
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B. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply
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restraints.
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C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
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D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form. - answersC
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Chapter 4 - answersLegal responsibilities mi mi mi mi




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,A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him sh
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will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP
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committing?
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A. Assault mi




B. Battery mi




C. False imprisonment mi mi




D. Invasion of privacy - answersA
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A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against
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medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer a PRN
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sedative medication the client has not requested along with his usual medication. Which of the following types of tort is t
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nurse about to commit?
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A. Assault mi




B. False imprisonment mi mi




C. Negligence mi




D. Breach of confidentiality - answersB
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A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following
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week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the
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following statements made by the
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client should indicate to the nurse an understanding of advance directives?
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A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
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B. "I know they won't go ahead with the surgery unless I prepare these forms."
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C. "I plan to write that I don't want them to keep me on a breathing machine."
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D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - answersC
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A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the
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following actions regarding informed consent? (Select all that apply.)
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A. Make sure the surgeon obtained the client's consent.
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B. Witness the client's signature on the consent form.
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C. Explain the risks and benefits of the procedure.
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D. Describe the consequences of choosing not to have the surgery.
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E. Tell the client about alternatives to having the surgery. - answersA, B
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A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to
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focus on the issue at hand. Today, she found
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the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurs
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take?
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A. Alert the American Nurses Association.
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B. Fill out an incident report.
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C. Report the observations to the nurse manager on the unit.
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D. Leave the nurse alone to sleep. - answersC
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Chapter 5 - answersInformation technology mi mi mi mi





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