ATI COMPREHENSIVE PREDICTOR
STUDY THIS ONE
What0can0be0delegated0to0Assistive0personnel0(AP)?0-0ans✔-0ADLs0-0bathing0-
0grooming0-0dressing0-0ambulating0-0feeding0(w/o0swallow0precautions)0-0positioning0-
0bed0making0-0specimen0collection0-0I&O0-0VS0(stable0clients
A0nurse0on0a0med0surge0unit0has0recieved0change0of0shift0report0and0will0care0for040cl
ients.0Which0of0the0following0clients0needs0will0the0nurse0assign0to0an0AP?
0A.0Feeding0a0client0who0was0admitted0240hours0ago0with0aspiration0pneumonia
B.0Reinforcing0teaching0with0a0client0who0is0learning0to0walk0with0a0quad0cane
C.0Reapplying0a0condom0catheter0for0a0client0who0has0urinary0incontinence
D.0Applying0a0sterile0dressing0to0a0pressure0ulcer0-0ans✔C
A0nurse0is0delegating0the0ambulation0of0a0client0who0had0knee0arthroplasty050days0ag
o0to0an0AP.0Which0of0the0following0info0should0the0nurse0share0with0the0AP?
Select0all:
A.0the0roommate0is0up0independently
B.0The0client0ambulates0with0his0slippers0on0over0his0antiembolic0stockings
C.0The0client0uses0a0front0wheeled0walker0when0ambulating
D.0The0client0had0pain0meds0300minutes0ago
E.0The0client0is0allergic0to0codeine
F.0the0client0ate0500%0of0his0breakfast0this0morning0-0ans✔B
C
D
An0RN0is0making0assignments0for0client0care0to0an0LPN0at0the0beginning0of0the0shift.0
Which0of0the0following0assignments0should0the0LPN0question?
A.0Assisting0a0client0who0is0240hr0postop0to0use0an0incentive0spirometer
B.0Collecting0a0clean0catch0urine0specimen0from0a0client0who0was0admitted0on0the0pr
evious0shift
C.0providing0nasopharyngeal0suctioning0for0a0client0who0has0pneumonia
D.0Replacing0the0cartridge0and0tubing0on0a0PCA0pump0-0ans✔D
A0nurse0is0preparing0an0inservice0program0about0delegation.0Which0of0the0following0el
ements0should0she0identify0when0presenting0the050rights0of0delegation.0Select0all:
A.0Right0client
B.0Right0supervision/evaluation
,C.0Right0direction/communication
D.0Right0time
E.0Right0circumstances0-0ans✔B
C
E
A0nurse0manager0of0a0med0surge0unit0is0assigning0care0responsibilities0for0the0oncomi
ng0shift.0A0client0is0waiting0transfer0back0to0the0unit0from0the0PACU0following0thoracic0
surgery.0To0which0staff0member0should0the0nurse0assign0the0client?
A.0Charge0nurse
B.0RN
C.0LVN
D.0AP0-0ans✔B
What0is0the0study0of0conduct0and0character?0-0ans✔Ethics
What0are0the0values0and0beliefs0that0guide0behavior0and0decision0making?0-
0ans✔Morals
What0is0the0right0to0make0ones0own0personal0decisions,0even0tho0those0decisions0mig
ht0not0be0in0the0persons0best0interest0-0ans✔Autonomy
What0are0positive0actions0to0help0others0-0ans✔Beneficience
What0is0an0agreement0to0keep0promises0-0ans✔Fidelity
What0is0fairness0in0care0delivery0and0use0of0resources0-0ans✔Justice
What0is0avoidance0of0harm0or0injury0-0ans✔Non-maleficence
A0nurse0is0caring0for0a0client0who0decides0not0to0have0surgery0despite0significant0bloc
kages0in0his0coronary0arteries.0The0nurse0understands0that0this0clients0choice0is0an0ex
ample0of0what0principles?
A.0Fidelity
B.0Autonomy
C.0Justice
D.0Nonmalificience0-0ans✔A
A0nurse0offers0pain0meds0to0a0client0who0is0postop0prior0to0ambulation.0The0nurse0un
derstands0that0this0aspect0of0care0delivery0is0an0example0of0which0of0the0following0eth
ical0principles?
A.0Fidelity0
B.0Autonomy
C.0Justice
D.0Beneficience0-0ans✔D
, A0nurse0is0instructing0a0group0of0nursing0students0about0the0responsibilities0involved0
with0organ0donation0and0procurement.0When0the0nurse0explains0that0all0clients0waiting
0for0a0kidney0transplant0have0to0meet0the0same0qualifications,0the0students0should0un
derstand0that0this0aspect0of0care0delivery0is0an0example0of0which0ethical0principle
A.0Fidelity
B.0Autonomy
C.0Justice
D.0Nonmaleficence0-0ans✔C
A0nurse0questions0a0med0prescription0as0too0extreme0and0light0of0the0clients0advance
d0age0and0unstable0status.0The0nurse0understands0that0this0action0is0an0example0of0w
hich0ethical0principle
A.0Fidelity
B.0Autonomy
C.0Justice
D.0Nonmalificence0-0ans✔D
Which0of0the0following0situations0can0be0identified0as0an0ethical0dilemma?
A.0A0nurse0on0a0med0surge0unit0demonstrates0signs0of0chemical0impairment
B.0A0nurse0over0hears0another0nurse0telling0an0older0adult0client0that0if0he0doesnt0stay
0in0bed0she0will0restrain0him
C.0A0family0has0conflicting0feelings0about0the0initiation0of0enteral0tube0feedings0of0their
0father0who0is0terminally0ill
D.0A0client0who0is0terminally0ill0hesitates0to0name0her0spouse0on0her0durable0power0of
0attorney0form0-0ans✔C
Most0managers0can0be0categorized0as0-
0ans✔authoritative,0democratic,0and0laissez0faire
makes0decisions0of0the0group
motivates0by0coercion0
communication0occurs0down0the0chain0of0command0
Work0output0by0the0staff0is0usually0high-
good0for0crisis0situations0and0bureaucratic0settings0-0ans✔Authoritative
includes0the0group0when0decisions0are0made
Motivates0by0supporting0star0achievements
Communication0occurs0up0and0down0the0chain0of0command0
Work0output0by0staff0is0usually0of0good0quality-
good0when0cooperation0and0collaboration0is0necessary0-0ans✔Democratic
makes0very0few0decisions0and0does0little0planning0
motivation0is0largely0the0responsibility0of0individuals0staff0members0
Communication0occurs0up0and0down0the0chain0of0command0and0between0group0mem
bers
Work0output0is0low0unless0an0informal0leader0evolves0from0the0group0
STUDY THIS ONE
What0can0be0delegated0to0Assistive0personnel0(AP)?0-0ans✔-0ADLs0-0bathing0-
0grooming0-0dressing0-0ambulating0-0feeding0(w/o0swallow0precautions)0-0positioning0-
0bed0making0-0specimen0collection0-0I&O0-0VS0(stable0clients
A0nurse0on0a0med0surge0unit0has0recieved0change0of0shift0report0and0will0care0for040cl
ients.0Which0of0the0following0clients0needs0will0the0nurse0assign0to0an0AP?
0A.0Feeding0a0client0who0was0admitted0240hours0ago0with0aspiration0pneumonia
B.0Reinforcing0teaching0with0a0client0who0is0learning0to0walk0with0a0quad0cane
C.0Reapplying0a0condom0catheter0for0a0client0who0has0urinary0incontinence
D.0Applying0a0sterile0dressing0to0a0pressure0ulcer0-0ans✔C
A0nurse0is0delegating0the0ambulation0of0a0client0who0had0knee0arthroplasty050days0ag
o0to0an0AP.0Which0of0the0following0info0should0the0nurse0share0with0the0AP?
Select0all:
A.0the0roommate0is0up0independently
B.0The0client0ambulates0with0his0slippers0on0over0his0antiembolic0stockings
C.0The0client0uses0a0front0wheeled0walker0when0ambulating
D.0The0client0had0pain0meds0300minutes0ago
E.0The0client0is0allergic0to0codeine
F.0the0client0ate0500%0of0his0breakfast0this0morning0-0ans✔B
C
D
An0RN0is0making0assignments0for0client0care0to0an0LPN0at0the0beginning0of0the0shift.0
Which0of0the0following0assignments0should0the0LPN0question?
A.0Assisting0a0client0who0is0240hr0postop0to0use0an0incentive0spirometer
B.0Collecting0a0clean0catch0urine0specimen0from0a0client0who0was0admitted0on0the0pr
evious0shift
C.0providing0nasopharyngeal0suctioning0for0a0client0who0has0pneumonia
D.0Replacing0the0cartridge0and0tubing0on0a0PCA0pump0-0ans✔D
A0nurse0is0preparing0an0inservice0program0about0delegation.0Which0of0the0following0el
ements0should0she0identify0when0presenting0the050rights0of0delegation.0Select0all:
A.0Right0client
B.0Right0supervision/evaluation
,C.0Right0direction/communication
D.0Right0time
E.0Right0circumstances0-0ans✔B
C
E
A0nurse0manager0of0a0med0surge0unit0is0assigning0care0responsibilities0for0the0oncomi
ng0shift.0A0client0is0waiting0transfer0back0to0the0unit0from0the0PACU0following0thoracic0
surgery.0To0which0staff0member0should0the0nurse0assign0the0client?
A.0Charge0nurse
B.0RN
C.0LVN
D.0AP0-0ans✔B
What0is0the0study0of0conduct0and0character?0-0ans✔Ethics
What0are0the0values0and0beliefs0that0guide0behavior0and0decision0making?0-
0ans✔Morals
What0is0the0right0to0make0ones0own0personal0decisions,0even0tho0those0decisions0mig
ht0not0be0in0the0persons0best0interest0-0ans✔Autonomy
What0are0positive0actions0to0help0others0-0ans✔Beneficience
What0is0an0agreement0to0keep0promises0-0ans✔Fidelity
What0is0fairness0in0care0delivery0and0use0of0resources0-0ans✔Justice
What0is0avoidance0of0harm0or0injury0-0ans✔Non-maleficence
A0nurse0is0caring0for0a0client0who0decides0not0to0have0surgery0despite0significant0bloc
kages0in0his0coronary0arteries.0The0nurse0understands0that0this0clients0choice0is0an0ex
ample0of0what0principles?
A.0Fidelity
B.0Autonomy
C.0Justice
D.0Nonmalificience0-0ans✔A
A0nurse0offers0pain0meds0to0a0client0who0is0postop0prior0to0ambulation.0The0nurse0un
derstands0that0this0aspect0of0care0delivery0is0an0example0of0which0of0the0following0eth
ical0principles?
A.0Fidelity0
B.0Autonomy
C.0Justice
D.0Beneficience0-0ans✔D
, A0nurse0is0instructing0a0group0of0nursing0students0about0the0responsibilities0involved0
with0organ0donation0and0procurement.0When0the0nurse0explains0that0all0clients0waiting
0for0a0kidney0transplant0have0to0meet0the0same0qualifications,0the0students0should0un
derstand0that0this0aspect0of0care0delivery0is0an0example0of0which0ethical0principle
A.0Fidelity
B.0Autonomy
C.0Justice
D.0Nonmaleficence0-0ans✔C
A0nurse0questions0a0med0prescription0as0too0extreme0and0light0of0the0clients0advance
d0age0and0unstable0status.0The0nurse0understands0that0this0action0is0an0example0of0w
hich0ethical0principle
A.0Fidelity
B.0Autonomy
C.0Justice
D.0Nonmalificence0-0ans✔D
Which0of0the0following0situations0can0be0identified0as0an0ethical0dilemma?
A.0A0nurse0on0a0med0surge0unit0demonstrates0signs0of0chemical0impairment
B.0A0nurse0over0hears0another0nurse0telling0an0older0adult0client0that0if0he0doesnt0stay
0in0bed0she0will0restrain0him
C.0A0family0has0conflicting0feelings0about0the0initiation0of0enteral0tube0feedings0of0their
0father0who0is0terminally0ill
D.0A0client0who0is0terminally0ill0hesitates0to0name0her0spouse0on0her0durable0power0of
0attorney0form0-0ans✔C
Most0managers0can0be0categorized0as0-
0ans✔authoritative,0democratic,0and0laissez0faire
makes0decisions0of0the0group
motivates0by0coercion0
communication0occurs0down0the0chain0of0command0
Work0output0by0the0staff0is0usually0high-
good0for0crisis0situations0and0bureaucratic0settings0-0ans✔Authoritative
includes0the0group0when0decisions0are0made
Motivates0by0supporting0star0achievements
Communication0occurs0up0and0down0the0chain0of0command0
Work0output0by0staff0is0usually0of0good0quality-
good0when0cooperation0and0collaboration0is0necessary0-0ans✔Democratic
makes0very0few0decisions0and0does0little0planning0
motivation0is0largely0the0responsibility0of0individuals0staff0members0
Communication0occurs0up0and0down0the0chain0of0command0and0between0group0mem
bers
Work0output0is0low0unless0an0informal0leader0evolves0from0the0group0
