ATI Fundamentals Practice 308 Questions with Verified Answers
Chapter 1 - CORRECT ANSWER Health care delivery systems
A nurse is discussing
... [Show More] restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers - CORRECT ANSWER A, B, D
A nurse is explaining the various types of health care coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms 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 - CORRECT ANSWER B, E
A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
A. Collaborating with providers to perform obesity screenings during routine office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
C. Providing specialized intraoperative training regarding surgical treatments for obesity
D. Educating acute care nurses on postoperative complications related to obesity - CORRECT 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 state licensing boards?
A. Monitoring evidence based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining if medications are safe for administration to clients - CORRECT ANSWER B
A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care - CORRECT ANSWER A, B, C
Chapter 2 - CORRECT ANSWER Interprofessional team
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.)
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 that 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. - CORRECT 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 referral to which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - CORRECT 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 the client in understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - CORRECT 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?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech language pathologist - CORRECT 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.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - CORRECT ANSWER A, B, C, E
Chapter 3 - CORRECT ANSWER Ethical responsibilities
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?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT 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?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - CORRECT ANSWER D
A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. 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?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT 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?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT 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?
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. - CORRECT ANSWER C
Chapter 4 - CORRECT ANSWER Legal responsibilities
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?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - CORRECT 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?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - CORRECT 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?
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." - CORRECT ANSWER C
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery. - CORRECT ANSWER A, B
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found
the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take?
A. Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit.
D. Leave the nurse alone to sleep. - CORRECT ANSWER C
Chapter 5 - CORRECT ANSWER Information technology
A nurse is preparing information for change of shift report. Which of the following information should the nurse include in the report?
A. Input and output for the shift
B. Blood pressure from the previous day
C. Bone scan scheduled for today
D. Medication routine from the medication administration record - CORRECT ANSWER C
A nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the following information should the nurse include? (Select all that apply.)
A. A single electronic records password is provided for nurses on the same unit.
B. Family members should provide a code prior to receiving client health information.
C. Communication of client information can occur at the nurses' station.
D. A client can request a copy of her medical record.
E. A nurse may photocopy a client's medical record for transfer to another facility. - CORRECT ANSWER B, C, D
A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply.)
A. Cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. - CORRECT ANSWER B, C
A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply).
A. Medication error
B. Needlesticks
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Complaint from a client's family member - CORRECT ANSWER A, B, D
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.)
A. Repeat the details of the prescription back to the provider.
B. Have another nurse listen to the telephone prescription.
C. Obtain the provider's signature on the prescription within 24 hr.
D. Decline the verbal prescription because it is not an emergency situation.
E. Tell the charge nurse that the provider has prescribed morphine by telephone. - CORRECT ANSWER A, B, C
Chapter 6 - CORRECT ANSWER Delegation and supervision
A nurse on a medical surgical unit has received change of shift report and will care for four clients.
Which of the following client's needs should the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hr ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWER C
A nurse manager of a medical surgical unit is assigning
care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PA CU following thoracic surgery. To which of the following staff members should the nurse assign this client?
A. Charge nurse
B. RN
C. Practical nurse (PN)
D. Assistive personnel (AP) - CORRECT ANSWER B
A nurse is delegating the ambulation of a client who had
knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? (Select all that apply.)
A. The roommate ambulates independently.
B. The client ambulates with his slippers on over his antiembolic stockings.
C. The client uses a front wheeled walker when ambulating.
D. The client had pain medication 30 min ago.
E. The client is allergic to codeine.
F. The client ate 50% of his breakfast this morning. - CORRECT ANSWER B, C, D
An RN is making assignments for a practical nurse (PN) at the beginning of the shift. Which of the following assignments should the PN question?
A. Assisting a client who is 24 hr postoperative to use
an incentive spirometer
B. Collecting a clean catch urine specimen from a client who has a wound infection
C. Providing nasopharyngeal suctioning for a client
who has pneumonia
D. Teaching a client who has asthma to use a metered dose inhaler - CORRECT ANSWER D
A nurse is preparing an in service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation (Select all that apply.)
A. Right client
B. Right supervision and evaluation
C. Right direction and communication
D. Right time
E. Right circumstances - CORRECT ANSWER B, C, E
Chapter 7 - CORRECT ANSWER Nursing processes
By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain relief.
B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing his pain. - CORRECT ANSWER A
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hours ago. The prescription reads every 4 hours PRN for
pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I checked with
the client 40 minutes later, and he said his pain is going away." The charge nurse should inform the newly licensed nurse that she left out which of the following steps of the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - CORRECT ANSWER A
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "He said he hurts after walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp. - CORRECT ANSWER A, D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain.
B. Inserting a nasogastric (NG) tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal.
E. Repositioning a client every 2 hr to reduce pressure ulcer risk. - CORRECT ANSWER C, D, E
A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process?
A. "I will determine the most important client problems
that we should address."
B. "I will review the past medical history on the client's record to get more information."
C. "I will go carry out the new prescriptions from the provider."
D. "I will ask the client if his nausea has resolved." - CORRECT ANSWER A
Chapter 8 - CORRECT ANSWER Critical thinking and clinical judgment
A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
A. Basic
B. Commitment
C. Complex
D. Integrity - CORRECT ANSWER A
A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that she is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate?
A. Fairness
B. Responsibility
C. Risk taking
D. Creativity - CORRECT ANSWER B
A nurse is caring for a client who is 24 hr postoperative
following abdominal surgery. The nurse suspects the client's pain management is inadequate. Which of the following data reinforce this suspicion? (Select all that apply.)
A. The client seems easily agitated.
B. The client is nonadherent with coughing, deep
breathing, and dangling.
C. The client may have pain medication every 4 to 6 hr but accepts it every 6 to 7 hr.
D. The client reports tenderness in his right lower leg.
E. The client's vital signs are heart rate 110/min, respiratory rate 20/min, temperature 37° C (98.6° F), and blood pressure 136/80 mm Hg. - CORRECT ANSWER B, C, E
A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information?
A. Knowledge
B. Experience
C. Intuition
D. Competence - CORRECT ANSWER A
A nurse uses a head to toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate?
A. Confidence
B. Perseverance
C. Integrity
D. Discipline - CORRECT ANSWER D
Chapter 9 - CORRECT ANSWER Admissions, transfers, and discharge
A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse?
A. Orient the client to his room.
B. Conduct a client care conference.
C. Review medical prescriptions.
D. Develop a plan of care. - CORRECT ANSWER A
A nurse is admitting a client who has acute cholecystitis to
a medical surgical unit. Which of the following actions are
essential steps of the admission procedure? (Select all that apply.)
A. Explain the roles of other care delivery staff.
B. Begin discharge planning.
C. Provide information about advance directives.
D. Document the client's wishes about organ donation.
E. Introduce the client to his roommate. - CORRECT ANSWER A, B, C, E
A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (Select all that apply.)
A. Ensure that the client has possession of his valuables.
B. Confirm that the rehabilitation center has a room available at the time of transfer.
C. Assess how the client tolerates the transfer.
D. Give a verbal transfer report via telephone.
E. Complete a transfer form for the receiving facility. - CORRECT ANSWER A, B, D, E
A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (Select all that apply.)
A. Advance directives status
B. Follow up care
C. Instructions for diet and medications
D. Most recent vital sign data
E. Contact information for the home health care agency - CORRECT ANSWER B, C, E
As part of the admission process, a nurse at a long term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of
the nutrition evaluation is the priority for the nurse to determine from the client's family?
A. Body mass index
B. Usual times for meals and snacks
C. Favorite foods
D. Any difficulty swallowing - CORRECT ANSWER D
Chapter 10 - CORRECT ANSWER Medical and surgical asepsis
When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field?
A. Keep the sterile field at least 6 ft away from
the client's bedside.
B. Instruct the client to refrain from coughing and sneezing during the dressing change.
C. Place a mask on the client to limit the spread of micro organisms into the surgical wound.
D. Keep a box of facial tissues nearby for the client to use during the dressing change. - CORRECT ANSWER C
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
A. The flap closest to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body - CORRECT ANSWER D
A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.)
A. A bottle containing a sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand - CORRECT ANSWER C, D, E
A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the
following instructions should the nurse include when discussing handwashing? (Select all that apply.)
A. Apply 3 to 5 mL of liquid soap to dry hands.
B. Wash the hands with soap and water for at least 15 seconds.
C. Rinse the hands with hot water.
D. Use a clean paper towel to turn off hand faucets.
E. Allow the hands to air dry after washing. - CORRECT ANSWER B, D
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (Select all that apply.)
A. The provider drops a sterile instrument onto the near side of the sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
C. The procedure is delayed 1 hr because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
E. The client's hand brushes against the outer edge of the sterile field. - CORRECT ANSWER B, C, D
Chapter 11 - CORRECT ANSWER Infection control
A nurse is caring for a client diagnosed with severe acute
respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply.)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common source outbreaks - CORRECT ANSWER A, B, C, E
A nurse is caring for a client who presents with linear clusters of fluid containing vesicles with some
crustings. The nurse should identify the client has manifestations of which of the following conditions?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster - CORRECT ANSWER D [Show Less]