ATI Fundamentals Exam- Amara
B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Administration (FDA) -
ANS-A nurse is explaining differences among various agencies that address healthcare. Nurse
should note which of the 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)
B. Medicare, E. Medicaid - ANS-Nurse is explaining various types of healthcare coverage
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
B. Primary - ANS-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
C. Provider - ANS-A client in managed care organization (MCO) requires hospitalization. Which
of following must first approve admission?
A: Emergency department physician
B: Utilization review committee
C: Provider
D: Managed care administrator
A. ICU, B. Oncology Treatment Center, C. Burn Center - ANS-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
D. Social Worker - ANS-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 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
D. Occupational Therapist - ANS-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
A.Provider, C. Pharmacist, D. RN - ANS-A post-op client is concerned about adverse effects of
meds he is receiving for pain. Which of following members of interprofessional 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
D. Speech-language pathologist - ANS-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
A. Bathing, B. Ambulating, E. Measuring vital signs - ANS-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
B. Autonomy - ANS-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?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
D. Beneficence - ANS-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
C. Justice - ANS-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
D. Nonmaleficence - ANS-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
C. A family has conflicting feelings about initiation of enteral tube feedings for their father, who is
terminally ill - ANS-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
A. Assult - ANS-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 urinal more
carefully next time. Which of following torts is AP committing?
A: Assault
B: Battery
C: False imprisonment
D: Invasion of privacy
B. False imprisonment - ANS-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
C. "I plan to write that I don't want them to keep me on a breathing machine" - ANS-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"
A. Make sure the surgeon obtained the client's consent,
B. Witness client's signature on consent form - ANS-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
C. Report observations to nurse manager on unit - ANS-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, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Administration (FDA) -
ANS-A nurse is explaining differences among various agencies that address healthcare. Nurse
should note which of the 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)
B. Medicare, E. Medicaid - ANS-Nurse is explaining various types of healthcare coverage
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
B. Primary - ANS-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
C. Provider - ANS-A client in managed care organization (MCO) requires hospitalization. Which
of following must first approve admission?
A: Emergency department physician
B: Utilization review committee
C: Provider
D: Managed care administrator
A. ICU, B. Oncology Treatment Center, C. Burn Center - ANS-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
D. Social Worker - ANS-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 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
D. Occupational Therapist - ANS-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
A.Provider, C. Pharmacist, D. RN - ANS-A post-op client is concerned about adverse effects of
meds he is receiving for pain. Which of following members of interprofessional 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
D. Speech-language pathologist - ANS-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
A. Bathing, B. Ambulating, E. Measuring vital signs - ANS-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
B. Autonomy - ANS-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?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence
D. Beneficence - ANS-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
C. Justice - ANS-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
D. Nonmaleficence - ANS-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
C. A family has conflicting feelings about initiation of enteral tube feedings for their father, who is
terminally ill - ANS-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
A. Assult - ANS-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 urinal more
carefully next time. Which of following torts is AP committing?
A: Assault
B: Battery
C: False imprisonment
D: Invasion of privacy
B. False imprisonment - ANS-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
C. "I plan to write that I don't want them to keep me on a breathing machine" - ANS-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"
A. Make sure the surgeon obtained the client's consent,
B. Witness client's signature on consent form - ANS-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
C. Report observations to nurse manager on unit - ANS-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
