ATI Fundamentals Retake 2025
What do nurses use when preparing change-of-shift report? - Answer Standard handoff
communication tools, such as Introduction, Situation, Background, Assessment, Recommendation
(ISBAR) to facilitate transfers and discharges.
When should discharge planning begin? - Answer On admission with every patient.
Discharge documentation should include - Answer Type of discharge, date & time of discharge, who
went with the client & transportation, where the client went, summary of clients current condition at
discharge, description of any unresolved difficulties and disposition of valuables, medications brought
from home & prescriptions.
Documentation & abbreviations and symbols - Answer Being accurate & concise is an important
element of documentation. Only abbreviations & symbols approved by The Joint Commission and the
facility are acceptable.
A nurse is discussing the HIPPA privacy rule with nurses during new employee orientation. Which of the
following information should the nurse include? - Answer Family members should provide a code prior
to receiving client health information, communication of a client can occur at the nurse's station, a client
can request a hard copy of their records and a nurses may photocopy a client's medical record for
transfer to another facility.
A nurse is receiving a providers prescription for morphine by telephone for a client who is reporting
moderate to severe pain. What are the appropriate nursing actions? - Answer Repeat the details of the
prescription back to the provider, have another nurse listen to the telephone prescription and obtain
the providers signature on the prescription within 24 hours.
A problem is an ethical dilemma when - Answer I. A review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the client
, Ethical dilemmas are problems that - Answer involve more than one choice and stem from differences
in the values and beliefs of decision makers
Autonomy - Answer the right to makes one's own personal decisions, even when those decisions might
not be in the that person's best interest.
Beneifience - Answer positive actions to help others (do good)
Fidelity - Answer agreement to keep promises
Justice - Answer fairness in care delivery and use of resources
Nonmaleficence - Answer avoidance of harm or injury (do no harm)
Admission inventory of personal items include - Answer clothing, jewelry, money, credit cards,
assistive devices, medications, cell phones and other technology devices, and religious articles... Nurses
should discourage keeping valuables at the bedside.
The nurse will document what related to personal items? - Answer The nurse will document
communication with the client related to items left within the room and valuables locked in the facility's
safe.
Assault (International Tort) - Answer The conduct of one person makes another person fearful and
apprehensive.
Example: a nurse threatens to place an NG tube in a client who is refusing to eat.
Battery (International Tort) - Answer Intentional & wrongful physical contract with a person that
involves an injury of offensive contact.
What do nurses use when preparing change-of-shift report? - Answer Standard handoff
communication tools, such as Introduction, Situation, Background, Assessment, Recommendation
(ISBAR) to facilitate transfers and discharges.
When should discharge planning begin? - Answer On admission with every patient.
Discharge documentation should include - Answer Type of discharge, date & time of discharge, who
went with the client & transportation, where the client went, summary of clients current condition at
discharge, description of any unresolved difficulties and disposition of valuables, medications brought
from home & prescriptions.
Documentation & abbreviations and symbols - Answer Being accurate & concise is an important
element of documentation. Only abbreviations & symbols approved by The Joint Commission and the
facility are acceptable.
A nurse is discussing the HIPPA privacy rule with nurses during new employee orientation. Which of the
following information should the nurse include? - Answer Family members should provide a code prior
to receiving client health information, communication of a client can occur at the nurse's station, a client
can request a hard copy of their records and a nurses may photocopy a client's medical record for
transfer to another facility.
A nurse is receiving a providers prescription for morphine by telephone for a client who is reporting
moderate to severe pain. What are the appropriate nursing actions? - Answer Repeat the details of the
prescription back to the provider, have another nurse listen to the telephone prescription and obtain
the providers signature on the prescription within 24 hours.
A problem is an ethical dilemma when - Answer I. A review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the client
, Ethical dilemmas are problems that - Answer involve more than one choice and stem from differences
in the values and beliefs of decision makers
Autonomy - Answer the right to makes one's own personal decisions, even when those decisions might
not be in the that person's best interest.
Beneifience - Answer positive actions to help others (do good)
Fidelity - Answer agreement to keep promises
Justice - Answer fairness in care delivery and use of resources
Nonmaleficence - Answer avoidance of harm or injury (do no harm)
Admission inventory of personal items include - Answer clothing, jewelry, money, credit cards,
assistive devices, medications, cell phones and other technology devices, and religious articles... Nurses
should discourage keeping valuables at the bedside.
The nurse will document what related to personal items? - Answer The nurse will document
communication with the client related to items left within the room and valuables locked in the facility's
safe.
Assault (International Tort) - Answer The conduct of one person makes another person fearful and
apprehensive.
Example: a nurse threatens to place an NG tube in a client who is refusing to eat.
Battery (International Tort) - Answer Intentional & wrongful physical contract with a person that
involves an injury of offensive contact.
