ATI Fundamentals Remediation
A nurse is explaining differences among various agencies that address healthcare. Nurse
should note which of 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) - ANSB, . Joint Commission; C. State Boards of
Nursing; E. Food and Drug Administration (FDA)
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 - ANSB. Medicare, E. Medicaid
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 - ANSB. Primary
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 - ANSC. Provider
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 - ANSA. ICU, B. Oncology Treatment Center, C. Burn Center
,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 - ANSD. Social Worker
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 - ANSD. Occupational Therapist
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 - ANSA.Provider, C. Pharmacist, D. RN
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 - ANSD. Speech-language pathologist
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 - ANSA. Bathing, B. Ambulating, E. Measuring vital signs
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 - ANSB. Autonomy
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 - ANSD. Beneficence
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 - ANSC. Justice
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 - ANSD. Nonmaleficence
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 - ANSC. A family has conflicting feelings about initiation of enteral tube feedings for their
father, who is terminally ill
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 - ANSA. Assult
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 - ANSB. False imprisonment
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" - ANSC. "I
plan to write that I don't want them to keep me on a breathing machine"
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 - ANSA. Make sure the surgeon obtained the
client's consent,
B. Witness client's signature on consent form
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: Ask other s on team whether they have seen same behavior
C: Report observations to nurse manager on unit
D: Conclude her coworker's fatigue is not her problem to solve - ANSC. Report observations to
nurse manager on unit
Nurse is preparing info for change-of-shift report. Which of following info should nurse include in
report?
A: Client's input & output for shift
B: Client's blood pressure from previous day
C: Bone scan that is scheduled for today
A nurse is explaining differences among various agencies that address healthcare. Nurse
should note which of 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) - ANSB, . Joint Commission; C. State Boards of
Nursing; E. Food and Drug Administration (FDA)
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 - ANSB. Medicare, E. Medicaid
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 - ANSB. Primary
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 - ANSC. Provider
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 - ANSA. ICU, B. Oncology Treatment Center, C. Burn Center
,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 - ANSD. Social Worker
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 - ANSD. Occupational Therapist
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 - ANSA.Provider, C. Pharmacist, D. RN
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 - ANSD. Speech-language pathologist
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 - ANSA. Bathing, B. Ambulating, E. Measuring vital signs
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 - ANSB. Autonomy
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 - ANSD. Beneficence
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 - ANSC. Justice
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 - ANSD. Nonmaleficence
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 - ANSC. A family has conflicting feelings about initiation of enteral tube feedings for their
father, who is terminally ill
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 - ANSA. Assult
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 - ANSB. False imprisonment
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" - ANSC. "I
plan to write that I don't want them to keep me on a breathing machine"
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 - ANSA. Make sure the surgeon obtained the
client's consent,
B. Witness client's signature on consent form
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: Ask other s on team whether they have seen same behavior
C: Report observations to nurse manager on unit
D: Conclude her coworker's fatigue is not her problem to solve - ANSC. Report observations to
nurse manager on unit
Nurse is preparing info for change-of-shift report. Which of following info should nurse include in
report?
A: Client's input & output for shift
B: Client's blood pressure from previous day
C: Bone scan that is scheduled for today
