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Exam (elaborations)

ATI PN Fundamentals | Questions with 100% Verified Answers | Latest Update 2026/2027

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ATI PN Fundamentals | Questions with 100% Verified Answers | Latest Update 2026/2027

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ATI PN Fundamentals | Questions with 100% Verified
Answers | Latest Update 2026/2027
Question: Autonomy
Answer: client's right to make own personal decisions, even when those decisions might not be
in
the client's own best interest

Question: Beneficence
Answer: positive actions to help others

Question: Fidelity
Answer: agreement to keep promises

Question: Justice
Answer: fairness in care delivery and use of resources

Question: Nonmaleficence
Answer: avoidance of harm or injury

Question: Paternalism
Answer: assumption that one person can assume responsibility for making the decisions of
another person

Question: Advocacy
Answer: support of clients' health, safety, and personal rights

Question: Responsibility
Answer: willingness to respect obligations and follow through on promises

Question: Accountability
Answer: ability to answer for one's own actions

Question: Confidentiality
Answer: protection of privacy without diminishing access to high-quality care

Question: When is a problem an ethical dilemma?
Answer: When:
- A review of scientific data is not enough to solve it.
- It involves a conflict between two moral imperatives.
- The answer will have a profound effect on the situation and the client.

Question: Ethical decision making
Answer: Process that requires striking a balance between science and morality

,Question: A nurse is caring for a client who decides not to have surgery
despite significant blockages in his
coronary arteries. The nurse understands that this client's
choice is an example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B. Autonomy
In this situation, the client is exercising his right to make his own personal decision about
surgery, regardless of others' opinions of what is "best" for him. This is an example of
autonomy.

Question: 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?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence
Answer: D. Beneficence
Beneficence is taking positive actions to help others. By administering pain medication
before the client attempts a potentially painful exercise like ambulation, the nurse is
taking a
specific and positive action to help the client.

Question: A nurse is instructing a group of nursing students about the
responsibilities involved with organ
donation and procurement. When the nurse explains that all
clients waiting for a kidney transplant have
to meet the same qualifications, the students should
understand that this aspect of care delivery is an
example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: C. Justice
Justice is fairness in care delivery and in the use of resources. By applying the same
qualifications to all potential kidney transplant recipients, organ procurement
organizations
demonstrate this ethical principle in determining the allocation of these scarce resources.

, Question: 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?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: D. Nonmaleficence
Nonmaleficence is the avoidance of harm or injury. In this situation, administering the
medication could harm the client. By questioning it, the nurse is demonstrating this ethical
principle.

Question: A nurse is instructing a group of nursing students about how
to know and what to expect when ethical
dilemmas arise. Which of the following situations should the
students identify as an ethical dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of
chemical impairment.
B. A nurse overhears another nurse telling an older adult client
that if he doesn't stay in bed, she
will have to apply restraints.
C. A family has conflicting feelings about the initiation of
enteral tube feedings for their father, who
is terminally ill.
D. A client who is terminally ill hesitates to name her spouse on
her durable power of
attorney form.
Answer: C. A family has conflicting feelings about the initiation of enteral tube feedings for
their
father, who
is terminally ill.
Making the decision about initiating enteral tube feedings is an example of an ethical
dilemma. *A review of scientific data cannot resolve the issue, and it is not easy to resolve.
The
decision will have a profound effect on the situation and on the client.*

Question: Medical asepsis
[AKA: "Clean Technique"]
Answer: - practices to reduce the number, growth, and spread of micro-organisms;
- Used for: admin oral meds, managing NG tubes, providing personal hygiene, etc.

Question: Surgical asepsis
[AKA: "Sterile Technique"]
Answer: - practices to eliminate all micro-organisms from an object or area to prevent
contamination;
- Used for: parenteral med admin, insertion of urinary catheters, surgical procedures,
sterile dressing changes, etc.

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