Questions 9

ATI RN

ATI RN Test Bank

Ethics & Issues in Contemporary Nursing Questions

Question 1 of 5

A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?

Correct Answer: B

Rationale: The correct answer is B: Appeal to common practice. The nurse's argument that "everyone just pushes the medicine slowly" and that "no one checks for compatibility" is based on the common practice in the unit rather than on scientific evidence or guidelines. This logical fallacy assumes that just because something is commonly done, it must be correct. In this case, the nurse is disregarding the importance of checking drug compatibility and following proper protocols. Incorrect choices: A: Ad hominem abusive - This choice involves attacking the person making the argument rather than addressing the argument itself, which is not evident in the scenario. C: Appeal to emotion - This choice would involve using emotions to manipulate the audience rather than relying on logic or evidence, which is not the case in the scenario. D: Appeal to tradition - This choice would involve arguing that something is right or good because it has been done that way for a long time, which is not explicitly stated in the scenario.

Question 2 of 5

The nurse managers of an organization are meeting with administration to plan the budget. The above graph shows last year's 2011 expenditures, and the team will trend the upcoming budget knowing that, with the slowdown in the economy, patient census will be lower. Which budget approach is being used?

Correct Answer: B

Rationale: The correct answer is B: Zero-based. Zero-based budgeting requires starting from scratch each budget cycle, meaning all expenses must be justified regardless of previous budgets. In this scenario, the nurse managers are planning for a budget based on the expectation of lower patient census due to the economic slowdown. This aligns with the zero-based approach as they will need to re-evaluate and justify all expenses to accommodate the changes in patient volume. A: Incremental budgeting involves making adjustments to the previous budget, which is not suitable for significant changes like a decrease in patient census. C: Productivity metrics focus on measuring efficiency and performance, rather than the budgeting approach. D: Capital budgeting is related to long-term investments in assets, which is not the primary focus in this scenario.

Question 3 of 5

The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:

Correct Answer: C

Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.

Question 4 of 5

A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," nurses with associate degrees will:

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements. 2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN. 3. This aligns with the principle of honoring past qualifications while moving forward with new standards. 4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows. 5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses. 6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.

Question 5 of 5

Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance. Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits. This pictorial representation is:

Correct Answer: B

Rationale: The correct answer is B: control chart. A control chart is used to display data over time and indicate variations within set limits, making it ideal for monitoring compliance with a standard like "All patients will be assessed by an RN within 2 hours of admission." The control chart allows for easy identification of trends, shifts, or patterns that may indicate a need for corrective action to maintain the 97% compliance goal. A: Pareto chart is used to identify the most significant factors contributing to a problem, not to monitor compliance over time. C: Deployment chart is not a standard tool in quality control or process monitoring. D: A top-down flowchart is used to depict the sequence of steps in a process, not to monitor compliance with a standard over time.

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