TEST BANK FOR RN ATI FUNDAMENTALS (ALL CHAPTERS 1- 58 WITH
QUESTIONS AND ANSWERS WITH RATIONALES)/FUNDAMENTALS OF
NURSING 10TH EDITION (10.0) ATI, CONTENT MASTERY SERIES
REVIEW MODULE
Question 1
A nurse is receiving a telephone prescription from a provider for a client. Which of the following
actions should the nurse take to ensure accuracy?
A. Ask the provider to spell out the full name of the medication.
B. Instruct the charge nurse to verify the prescription.
C. Repeat the prescription back to the provider verbatim.
D. Transcribe the prescription directly into the client's electronic medical record.
Correct Answer: C) Repeat the prescription back to the provider verbatim.
Rationale: To prevent medication errors, the nurse must repeat the complete prescription
back to the provider. This "read-back" process confirms the medication, dose, route, and
frequency, and is a critical safety standard for all verbal or telephone orders.
Question 2
A nurse is reviewing the principles of HIPAA with a newly licensed nurse. Which of the following
statements indicates an understanding of information security?
A. "I can share my password with a trusted colleague if I need help with charting."
B. "I should communicate client information in the hallway if it's urgent."
C. "I can only access the medical records of the clients I am directly caring for."
D. "It is acceptable to use the client's full name on a display board outside their room."
Correct Answer: C) "I can only access the medical records of the clients I am directly caring
for."
Rationale: HIPAA dictates that healthcare professionals should only access a client's protected
health information (PHI) on a "need-to-know" basis, which is limited to the clients under their
direct care.
Question 3
A client tells the nurse, "I have a document that explains my wishes for medical treatment if I
,can't speak for myself." The nurse should recognize that the client is referring to which of the
following?
A. A durable power of attorney for health care (DPOA)
B. A provider's Do Not Resuscitate (DNR) order
C. An informed consent form
D. A living will
Correct Answer: D) A living will
Rationale: A living will is a legal document that outlines a client's wishes regarding medical
treatment, such as resuscitation or mechanical ventilation, in the event they become
incapacitated and unable to communicate their decisions.
Question 4
A nurse is caring for a competent adult client who has designated their adult child as their
health care proxy. The client has refused a blood transfusion. The family member insists the
client receive the treatment. Which of the following is the nurse's priority action?
A. Respect the client's refusal of the transfusion.
B. Follow the family member's wishes as the health care proxy.
C. Ask the provider to administer the blood transfusion.
D. Request an ethics committee consultation.
Correct Answer: A) Respect the client's refusal of the transfusion.
Rationale: A durable power of attorney for health care (DPOA) or health care proxy only takes
effect when the client is determined to be incapacitated. As long as the client is competent,
they have the right to make their own healthcare decisions (autonomy), including the right to
refuse treatment.
Question 5
A nurse in the emergency department is caring for an older adult client who has injuries
suggestive of physical abuse. Which of the following actions is the nurse required to take?
A. Ask the client if they wish to press charges.
B. Report the suspected abuse to the appropriate state agency.
, C. Document the findings and monitor for further signs of abuse.
D. Discuss the suspicions with the client's family member.
Correct Answer: B) Report the suspected abuse to the appropriate state agency.
Rationale: Nurses are mandated reporters. This means they are legally required to report any
suspicion of child, elder, or vulnerable adult abuse to the appropriate protective services
agency for investigation.
Question 6
A nurse is witnessing a client sign an informed consent form for surgery. Which of the following
is the nurse's responsibility in this role?
A. Explain the risks and benefits of the surgical procedure.
B. Describe alternative treatments available to the client.
C. Ensure the client is competent and signing the form voluntarily.
D. Inform the client about the surgeon's experience with the procedure.
Correct Answer: C) Ensure the client is competent and signing the form voluntarily.
Rationale: The nurse's role in informed consent is to act as a witness. This involves verifying
that the provider has explained the procedure, the client understands the information, the
client is competent to make the decision, and the signature is authentic and voluntary.
Question 7
A client who had a viral infection a month ago is now immune to that specific virus. This is an
example of which type of immunity?
A. Active natural immunity
B. Active artificial immunity
C. Passive natural immunity
D. Passive artificial immunity
Correct Answer: A) Active natural immunity
Rationale: Active natural immunity occurs when the body is exposed to a live pathogen,
develops the disease, and produces its own antibodies. This process provides long-term
immunity.
QUESTIONS AND ANSWERS WITH RATIONALES)/FUNDAMENTALS OF
NURSING 10TH EDITION (10.0) ATI, CONTENT MASTERY SERIES
REVIEW MODULE
Question 1
A nurse is receiving a telephone prescription from a provider for a client. Which of the following
actions should the nurse take to ensure accuracy?
A. Ask the provider to spell out the full name of the medication.
B. Instruct the charge nurse to verify the prescription.
C. Repeat the prescription back to the provider verbatim.
D. Transcribe the prescription directly into the client's electronic medical record.
Correct Answer: C) Repeat the prescription back to the provider verbatim.
Rationale: To prevent medication errors, the nurse must repeat the complete prescription
back to the provider. This "read-back" process confirms the medication, dose, route, and
frequency, and is a critical safety standard for all verbal or telephone orders.
Question 2
A nurse is reviewing the principles of HIPAA with a newly licensed nurse. Which of the following
statements indicates an understanding of information security?
A. "I can share my password with a trusted colleague if I need help with charting."
B. "I should communicate client information in the hallway if it's urgent."
C. "I can only access the medical records of the clients I am directly caring for."
D. "It is acceptable to use the client's full name on a display board outside their room."
Correct Answer: C) "I can only access the medical records of the clients I am directly caring
for."
Rationale: HIPAA dictates that healthcare professionals should only access a client's protected
health information (PHI) on a "need-to-know" basis, which is limited to the clients under their
direct care.
Question 3
A client tells the nurse, "I have a document that explains my wishes for medical treatment if I
,can't speak for myself." The nurse should recognize that the client is referring to which of the
following?
A. A durable power of attorney for health care (DPOA)
B. A provider's Do Not Resuscitate (DNR) order
C. An informed consent form
D. A living will
Correct Answer: D) A living will
Rationale: A living will is a legal document that outlines a client's wishes regarding medical
treatment, such as resuscitation or mechanical ventilation, in the event they become
incapacitated and unable to communicate their decisions.
Question 4
A nurse is caring for a competent adult client who has designated their adult child as their
health care proxy. The client has refused a blood transfusion. The family member insists the
client receive the treatment. Which of the following is the nurse's priority action?
A. Respect the client's refusal of the transfusion.
B. Follow the family member's wishes as the health care proxy.
C. Ask the provider to administer the blood transfusion.
D. Request an ethics committee consultation.
Correct Answer: A) Respect the client's refusal of the transfusion.
Rationale: A durable power of attorney for health care (DPOA) or health care proxy only takes
effect when the client is determined to be incapacitated. As long as the client is competent,
they have the right to make their own healthcare decisions (autonomy), including the right to
refuse treatment.
Question 5
A nurse in the emergency department is caring for an older adult client who has injuries
suggestive of physical abuse. Which of the following actions is the nurse required to take?
A. Ask the client if they wish to press charges.
B. Report the suspected abuse to the appropriate state agency.
, C. Document the findings and monitor for further signs of abuse.
D. Discuss the suspicions with the client's family member.
Correct Answer: B) Report the suspected abuse to the appropriate state agency.
Rationale: Nurses are mandated reporters. This means they are legally required to report any
suspicion of child, elder, or vulnerable adult abuse to the appropriate protective services
agency for investigation.
Question 6
A nurse is witnessing a client sign an informed consent form for surgery. Which of the following
is the nurse's responsibility in this role?
A. Explain the risks and benefits of the surgical procedure.
B. Describe alternative treatments available to the client.
C. Ensure the client is competent and signing the form voluntarily.
D. Inform the client about the surgeon's experience with the procedure.
Correct Answer: C) Ensure the client is competent and signing the form voluntarily.
Rationale: The nurse's role in informed consent is to act as a witness. This involves verifying
that the provider has explained the procedure, the client understands the information, the
client is competent to make the decision, and the signature is authentic and voluntary.
Question 7
A client who had a viral infection a month ago is now immune to that specific virus. This is an
example of which type of immunity?
A. Active natural immunity
B. Active artificial immunity
C. Passive natural immunity
D. Passive artificial immunity
Correct Answer: A) Active natural immunity
Rationale: Active natural immunity occurs when the body is exposed to a live pathogen,
develops the disease, and produces its own antibodies. This process provides long-term
immunity.
