ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
Correct Answer: D
Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity. Step 2: This mindset leads them to change institutions to achieve their career goals. Step 3: The nurse learns about this behavior during the committee meeting. Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses. Summary: A: Encouraging older nurses to retire is age discrimination and does not address retention issues. B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues. C: Multitasking preferences do not directly relate to recruitment and retention challenges.
Question 2 of 9
A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:
Correct Answer: B
Rationale: The correct answer is B: educator. The nurse is providing information and teaching patients about preventing diabetic neuropathies, which aligns with the role of an educator. Educators focus on imparting knowledge and empowering individuals to make informed decisions about their health. The other choices are incorrect because: A: Change agents initiate and lead changes within an organization, not directly related to patient education. C: Managers oversee daily operations and resources within a healthcare setting, not specifically focused on patient education. D: Coordinators facilitate communication and collaboration among healthcare team members, but not primarily responsible for patient education.
Question 3 of 9
An older adult woman who stops using complementary alternative medicine (CAM) becomes disoriented and is given a diagnosis of dementiThe family is upset with the family physician and the CAM practitioner for not diagnosing the condition earlier. Which CAM may have interfered with early detection of the dementia?
Correct Answer: A
Rationale: The correct answer is A because large doses of calcium causing cerebral plaques to form can potentially mask the atrophy of the brain, which is a common indicator of dementia on imaging studies. This interference could delay the detection of dementia. Choice B is incorrect because excess folic acid would not mask a vitamin B deficiency that could lead to dementia. Choice C is incorrect as hypnotherapy focusing on current thoughts would not necessarily eliminate clues to past cognitive decline. Choice D is incorrect because there is no evidence that the electrical current from magnetic fields interferes with normal brain waves in a way that would cause confusion and inability to concentrate.
Question 4 of 9
The nurse caring for a patient who practices Ayurveda would assess for:
Correct Answer: C
Rationale: The correct answer is C, as Ayurveda is a traditional Indian medicine system using herbal remedies. Assessing for over-the-counter remedies aligns with Ayurvedic practices. A: Stool osmolality gap and dehydration are not directly related to Ayurveda. B: Petechiae from fine-needle punctures are not typically associated with Ayurveda. D: Magnets on joints are not a common Ayurvedic practice. In summary, assessing for over-the-counter remedies is the most relevant choice for a patient who practices Ayurveda.
Question 5 of 9
A nurse is interested in understanding the meaning of the human experience of surviving polio. Subject recruitment targets persons who have been diagnosed with the disease. The researcher reflects on the data and identifies common themes in order to understand the "lived experience." These characteristics are consistent with the qualitative research method known as:
Correct Answer: C
Rationale: The correct answer is C: phenomenology. Phenomenology focuses on exploring and understanding individuals' lived experiences to uncover the essence of a phenomenon. In this case, the nurse is interested in understanding the meaning of surviving polio from the perspective of those diagnosed with the disease. By reflecting on the data and identifying common themes, the researcher aims to capture the essence of the human experience of surviving polio. Grounded theory (A) is a method used to develop theories from data, not necessarily focusing on the lived experience. Ethnography (B) involves studying cultures and societies, which is not directly aligned with understanding individual experiences. Case study (D) typically focuses on in-depth analysis of a specific individual or group, rather than exploring common themes across individuals' experiences.
Question 6 of 9
This certificate of inspection is health policy enforced at which level of government?
Correct Answer: B
Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.
Question 7 of 9
Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: nurse practitioner. Nurse practitioners are advanced practice nurses prepared at the master's level with prescriptive privileges. They are trained to provide comprehensive care, including diagnosing and prescribing medications. A: Clinical nurse leader focuses on improving patient outcomes in a specific unit or department, but they do not have prescriptive privileges. C: Nursing administrator is a managerial role that does not typically involve direct patient care or prescribing medications. D: Certified nurse-midwife is an advanced practice nurse focused on maternal and newborn care, but they do not have prescriptive privileges unless they also hold a nurse practitioner certification.
Question 8 of 9
A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?
Correct Answer: A
Rationale: The correct answer is A: Solicitation of illegal drugs. This offense typically results in a minor criminal offense because it involves attempting to purchase or obtain illegal drugs, which is considered a less serious crime compared to the other choices. Stealing a car (B) is a major criminal offense, as it involves theft of property. Failing to report elder abuse (C) is a serious offense as it neglects the duty to protect vulnerable individuals. Billing Medicare for services not rendered (D) is a form of fraud and can result in severe consequences. Therefore, the solicitation of illegal drugs is the least serious offense among the options provided.
Question 9 of 9
A nurse who wishes to practice in another state: (select all that apply)
Correct Answer: B
Rationale: Step-by-step rationale: 1. Determining if the state is a compact state is important because nurses from compact states can practice in other compact states without obtaining additional licenses. 2. If the state is not a compact state, the nurse can obtain licensure by endorsement, which means transferring their license to the new state without retaking the NCLEX-RN. 3. Revoking licensure in the current state is not necessary, as nurses can hold licenses in multiple states through either compact agreements or endorsement. Therefore, the correct answer is B. Choice A is incorrect because the nurse does not have to retake the NCLEX-RN. Choice C is incorrect because obtaining licensure by endorsement is an option. Choice D is incorrect as nurses can hold licenses in multiple states.