ATI Custom Fundamentals Final Exam Fall 2023 | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Contact the client's insurance carrier to obtain authorization. This is the correct action to obtain precertification for the client to have surgery. By contacting the insurance carrier, the nurse ensures that the surgery will be covered by the client's insurance plan. This step is crucial to avoid any unexpected financial burden on the client.


Choice A is incorrect because pre-paying for surgery is not the same as obtaining precertification from the insurance carrier.
Choice C is incorrect because the provider does not typically handle insurance authorization processes.
Choice D is incorrect as witnessing the client sign the surgical consent form does not address the precertification requirement.

Correct Answer: B

Rationale: The correct answer is B: 0.25 mL.
To calculate the volume needed, use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). In this case, Volume = 50 mg / 200 mg/mL = 0.25 mL. It's important to round off to the nearest hundredth as requested.
Choice A (0.3 mL) is incorrect because the calculated volume is less than that.
Choice C (0.4 mL) is incorrect as it's more than the calculated volume.
Choice D (0.15 mL) is incorrect as it's less than the calculated volume.

Correct Answer: A

Rationale: The correct answer is A. By contacting the provider and completing an incident report, the nurse is demonstrating accountability, which is a key component of professionalism. Accountability involves taking responsibility for one's actions, acknowledging mistakes, and taking steps to rectify them. In this scenario, the nurse is taking proactive measures to address the error and prevent harm to the client.

Summary of other choices:
B: Accountability - This is the correct answer.
C: Confidence - Confidence is not the primary component being demonstrated in this scenario.
D: Fairness - Fairness is not directly related to the nurse's actions in administering the wrong medication.
E: Advocacy - While advocacy is important in nursing, it is not the primary focus in this situation where accountability is key.

Correct Answer: A

Rationale: The correct answer is A: objective. In the SOAP charting model, the subjective component includes information that is based on the client's own perceptions and feelings, such as symptoms they report. In this case, the client reporting chest pain after mowing the lawn is subjective as it is based on their experience and perception.

Choices B, C, D, and E are incorrect because they involve objective information such as assessment findings (
B), treatment administered (
C), vital signs (E), and physical observations (G). These choices are not part of the subjective component, which is focused on the client's own account of their symptoms.

Correct Answer: C

Rationale: The correct answer is C: Advocate. The nurse obtaining informed consent is demonstrating the role of an advocate by ensuring the client fully understands the procedure, risks, benefits, and alternatives. Advocacy involves supporting and protecting the client's rights and facilitating informed decision-making. A: Case manager focuses on coordinating care, B: Nurse manager oversees nursing staff, D: Researcher involves conducting research. These roles do not directly relate to obtaining informed consent.