ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
A graduate nurse should begin the job search knowing that:
Correct Answer: C
Rationale: The correct answer is C because efforts to reduce healthcare expenditures do not necessarily impact the need for RNs, which remains stable. This is supported by the ongoing demand for nurses in various healthcare settings. Choice A is incorrect as the demand for RNs is generally high. Choice B is incorrect because job availability depends on various factors beyond just the location of the hospital. Choice D is incorrect as the need for nurses in acute care hospitals remains significant despite the shift towards outpatient and ambulatory settings.
Question 2 of 9
When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, the first step is assessment, which involves gathering data to identify the issue or problem. Similarly, in the policy process, identifying the problem is equivalent to the assessment phase. This step sets the foundation for the subsequent steps of diagnosis, planning, and implementation. Choice B: Diagnosis is incorrect as it comes after assessment in the nursing process and focuses on analyzing the data to determine the underlying cause of the issue. Choice C: Planning is incorrect as it follows diagnosis in the nursing process and involves developing a plan of action based on the identified problem. Choice D: Implementation is incorrect as it is the final step in the nursing process where the plan is put into action after assessment, diagnosis, and planning have been completed.
Question 3 of 9
A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
Question 4 of 9
The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?
Correct Answer: A
Rationale: The correct answer is A: Prehistoric times and the Middle Ages. In prehistoric times, herbs were used as the primary form of medicine. During the Middle Ages, herbal medicine continued to be prevalent due to limited medical knowledge. Other choices are incorrect because B, C, and D do not align with historical periods where herbal medicine was a dominant health practice.
Question 5 of 9
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase. Other choices are incorrect: B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase. C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment. D: Resolution - This phase involves accepting the reality of the new role and moving forward
Question 6 of 9
On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:
Correct Answer: B
Rationale: The correct answer is B: planning. Setting goals in collaboration with other healthcare team members falls under the planning phase of the nursing process. During this phase, nurses work with the healthcare team to establish specific, measurable, achievable, relevant, and time-bound (SMART) goals for patient care. This involves identifying priorities, outlining interventions, and determining the expected outcomes. Collaboration with the healthcare team ensures that goals are comprehensive and align with the overall care plan. Incorrect Choices: A: Assessment - Assessment involves collecting and analyzing data to identify the patient's needs and problems. Setting goals is not part of the assessment phase. C: Analysis - Analysis involves interpreting data and identifying patterns or relationships. Setting goals is more focused on planning and identifying interventions. D: Implementation - Implementation involves carrying out the planned interventions to achieve the established goals. Setting goals precedes the implementation phase.
Question 7 of 9
A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?
Correct Answer: B
Rationale: The correct answer is B: Right-to-work law. This law prohibits requiring union membership or payment of union fees as a condition of employment. The nurse can work in the unionized trauma center without being obligated to join or pay fees due to the provisions of the Right-to-work law. A: National Labor Relations Act - This act protects the rights of employees to join or form unions but does not specifically address the issue of mandatory union membership or fees. C: National Labor Relations Act - This is a duplicate choice. D: Taft-Hartley Act - This act regulates labor unions but does not specifically address the issue of mandatory union membership or fees.
Question 8 of 9
A nurse who is licensed in Georgia and moves to Oregon:
Correct Answer: A
Rationale: The correct answer is A because when a nurse moves to a new state, they must check the new state's nurse practice act related to licensure for endorsement. This is important to ensure the nurse meets all requirements and regulations for practicing in the new state. Option B is incorrect as licensure is not automatically transferred. Option C is incorrect as certification is different from licensure, and the NCLEX-RN® is typically required for licensure. Option D is incorrect as the American Nurses Credentialing Center is not responsible for determining state licensure eligibility. Checking the new state's nurse practice act is the standard procedure for obtaining licensure endorsement.
Question 9 of 9
Historically, what movement most influenced unionization in American health care agencies/hospitals?
Correct Answer: C
Rationale: Step 1: The Industrial Revolution introduced poor working conditions in factories, which extended to hospitals. Step 2: Poor conditions in hospitals led to the need to protect healthcare workers, sparking unionization. Step 3: This movement influenced the unionization in American health care agencies and hospitals. Step 4: As a result, choice C is the correct answer. Summary: Choice A is incorrect as immigration laws did not directly influence the unionization movement in American healthcare. Choice B is incorrect as women entering the workforce, while significant, did not have the most influence on healthcare unionization. Choice D is incorrect as the exposure to diseases among nurses, while important, did not drive the overall movement for worker protection in healthcare during that time.