ATI FUNDAMENTALS Midterm QUESTIONS AND ANSWERS 100% ACCURATE.
a nurse is explaining the various types of health care coverage clients might have to a group of
nursing students, which of the following HC financing mechanisms are federally funded (select
all that apply) (P.5)
A. Preferred provider org (PPO)
B. medicare
C. long-term care insurance
D. exclusive provider org (EPO)
E. medicaid - ANSWER: B.E
a nurse manager is developing strategies to care for increasing number of clients who have
obesity. which of the following actions should the nurse include as a primary care strategy? (P.5)
A. collaborating with providers to perform obesity screenings during routine office visits
B. ensure availability of specialized beds in rehab centers
C. provide specialized intraoperative training regarding surgical treatments for obesity
D. educate acute care nurses on postoperative complications related to obesity - ANSWER: A
a nurse is discussing the purpose of regulatory agencies during a staff meeting. which of the
following tasks should the nurse identify as the responsibility of the state licensing boards? (P.5)
A. monitor evidence-based practice for clients who have a specific diagnosis
B. ensure that health care providers comply with regulations
C. setting quality standards for accreditation of HC facilities
D. determine of meds are safe for administration - ANSWER: B
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following
client care needs should the nurse initiate a referral for a social worker? (Select all that apply.)
(P. 9)
A. A client who has terminal cancer requests hospice care in her home
B. A client asks about community resources available for older adults
C. A client states she wants her child baptized before surgery
D. A client requests an electric wheelchair for use after discharge
E. A client states that he does not understand how to use a nebulizer - ANSWER: A.B.D
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a federal to which of the
following care members of the interprofessional care team? (P.9)
A. Social worker
B. Certified nursing assistant
C. Registered dietician
D. Occupational therapist - ANSWER: D
A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
,interprofessional care team can assist with client in understanding the medication's effects?
(Select all that apply.) (P.9)
A. Provider
B. Certified nursing assistant
C.Pharmacist
D. Registered nurse
E. Respiratory therapist - ANSWER: A.C.D
A client who has had a cerebrovascular accident has persistent problems with dysphagia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team? (P.9)
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER: D
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of
the health care team they will encounter on a medical-surgical unit. When she gives examples of
the types of tasks certified nursing assistants (CNAs) may perform, which of the following client
activities should she include? (Select all that apply) (P.9)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - ANSWER: A.B.C.E
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? (P. 13)
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER: B
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? (P.13)
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - ANSWER: D
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? (P.13)
, A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER: C
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? (P.13)
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER: D
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? (P.13)
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 nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal
properly. The AP tells him she 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 committing? (P. 19)
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - ANSWER: A
A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving
the hospital against medical advice. The nurse believes that this is not in the client's best interest,
so she prepares to administer a PRN sedative medication the client has not requested along with
his usual medication. Which of the following types of tort is the nurse about to commit? (P.19)
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - ANSWER: B
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for
surgery the following week. The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which of the following statements made by the client should
indicate to the nurse an understanding of advance directives? (P.19)
a nurse is explaining the various types of health care coverage clients might have to a group of
nursing students, which of the following HC financing mechanisms are federally funded (select
all that apply) (P.5)
A. Preferred provider org (PPO)
B. medicare
C. long-term care insurance
D. exclusive provider org (EPO)
E. medicaid - ANSWER: B.E
a nurse manager is developing strategies to care for increasing number of clients who have
obesity. which of the following actions should the nurse include as a primary care strategy? (P.5)
A. collaborating with providers to perform obesity screenings during routine office visits
B. ensure availability of specialized beds in rehab centers
C. provide specialized intraoperative training regarding surgical treatments for obesity
D. educate acute care nurses on postoperative complications related to obesity - ANSWER: A
a nurse is discussing the purpose of regulatory agencies during a staff meeting. which of the
following tasks should the nurse identify as the responsibility of the state licensing boards? (P.5)
A. monitor evidence-based practice for clients who have a specific diagnosis
B. ensure that health care providers comply with regulations
C. setting quality standards for accreditation of HC facilities
D. determine of meds are safe for administration - ANSWER: B
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following
client care needs should the nurse initiate a referral for a social worker? (Select all that apply.)
(P. 9)
A. A client who has terminal cancer requests hospice care in her home
B. A client asks about community resources available for older adults
C. A client states she wants her child baptized before surgery
D. A client requests an electric wheelchair for use after discharge
E. A client states that he does not understand how to use a nebulizer - ANSWER: A.B.D
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a federal to which of the
following care members of the interprofessional care team? (P.9)
A. Social worker
B. Certified nursing assistant
C. Registered dietician
D. Occupational therapist - ANSWER: D
A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
,interprofessional care team can assist with client in understanding the medication's effects?
(Select all that apply.) (P.9)
A. Provider
B. Certified nursing assistant
C.Pharmacist
D. Registered nurse
E. Respiratory therapist - ANSWER: A.C.D
A client who has had a cerebrovascular accident has persistent problems with dysphagia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team? (P.9)
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER: D
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of
the health care team they will encounter on a medical-surgical unit. When she gives examples of
the types of tasks certified nursing assistants (CNAs) may perform, which of the following client
activities should she include? (Select all that apply) (P.9)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - ANSWER: A.B.C.E
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? (P. 13)
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER: B
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? (P.13)
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - ANSWER: D
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? (P.13)
, A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER: C
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? (P.13)
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER: D
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? (P.13)
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 nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal
properly. The AP tells him she 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 committing? (P. 19)
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - ANSWER: A
A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving
the hospital against medical advice. The nurse believes that this is not in the client's best interest,
so she prepares to administer a PRN sedative medication the client has not requested along with
his usual medication. Which of the following types of tort is the nurse about to commit? (P.19)
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - ANSWER: B
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for
surgery the following week. The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which of the following statements made by the client should
indicate to the nurse an understanding of advance directives? (P.19)