ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance. A: Flexible scheduling is important but not specified in ANA's recommendations. B: Advancement expectations are important, but not a priority in ANA's recommendations. C: Staff retention is relevant, but not emphasized in ANA's recommendations.
Question 2 of 9
The NCLEX examination is created and administered by the:
Correct Answer: C
Rationale: The correct answer is C: National Council of State Boards of Nursing (NCSBN). The NCLEX examination is developed and administered by the NCSBN, which is responsible for regulating nursing practice in the United States. They create the exam to ensure that nurses entering the profession meet minimum competency standards. The AACN (choice A) focuses on advancing nursing education, the ANA (choice B) is a professional organization representing nurses, and the NLN (choice D) is an organization that promotes excellence in nursing education. Therefore, the NCSBN is the only organization directly involved in the creation and administration of the NCLEX exam.
Question 3 of 9
Who establishes the "rules" for nursing practice?
Correct Answer: A
Rationale: The correct answer is A: Individual state boards of nursing. State boards of nursing are responsible for regulating nursing practice within their respective states, including establishing rules and regulations to ensure safe and competent care. They set standards for licensure, education, and practice, as well as enforce disciplinary actions when necessary. State boards have the authority to govern nursing practice based on state laws and regulations. Employers, the US Department of Health and Human Services, and local health officials do not have the regulatory power to establish the rules for nursing practice at a state level.
Question 4 of 9
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety. Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification. Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification. Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
Question 5 of 9
The emergency response team responded to a terrorist attack where hundreds of people died following symptoms of chest tightness, palpations, seizures, and finally paralysis. A colorless odorless liquid known as Sarin (GB) was the agent, which is primarily inhaled with limited exposure through the skin. The concentration of Sarin has not been measured. What level is the minimum level of personal protection and safety equipment (PPE) that would be needed?
Correct Answer: B
Rationale: The correct answer is B: Level B. In a scenario involving Sarin, a highly toxic nerve agent primarily inhaled, Level B protective equipment is required. Level B PPE includes a chemical-resistant suit, chemical-resistant gloves, chemical-resistant boots, and a full-face respirator with appropriate filter cartridges. The choice of Level B is based on the fact that Sarin is primarily inhaled, indicating the need for respiratory protection. Level A is typically used for the highest level of protection, including protection against highly toxic chemicals in both the air and on the skin, which is not necessary in this scenario. Level C and D do not provide adequate protection against a highly toxic chemical like Sarin.
Question 6 of 9
A new nurse decides to use the Internet to apply for possible positions. How does applying online compare to applying by more traditional methods? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because regardless of the method of application, it is crucial to check the resume for correctness to present oneself professionally. This step is essential to avoid any errors or mistakes that could negatively impact the application process. Choice B is incorrect because the timeframe for follow-up does not solely depend on the method of application; it varies by company and industry. Choice C is incorrect as researching the mission and philosophy of the agency is important for both online and traditional applications to tailor the application to the specific organization. Choice D is incorrect as the importance of having the resume and cover letter reviewed for grammar and writing skills applies to both online and traditional applications to make a positive first impression.
Question 7 of 9
Which statement regarding informed consent is correct? Informed consent:
Correct Answer: D
Rationale: The correct answer is D because informed consent requires the registered nurse (RN) to communicate all necessary information to the patient so they can make an informed decision. This includes explaining the procedure, potential risks, benefits, alternatives, and any other pertinent information. The RN plays a crucial role in ensuring that the patient understands the information provided before giving consent. Choices A, B, and C are incorrect because informed consent is not solely mandated by federal law, must disclose risks as well as benefits, and should not involve concealing any known risks.
Question 8 of 9
What does the Spirit of Nursing statue honor?
Correct Answer: D
Rationale: The Spirit of Nursing statue honors all military nurses for their bravery and compassion. This is the correct answer because military nurses have demonstrated exceptional dedication and sacrifice in providing care to wounded soldiers during times of conflict. They embody the spirit of selflessness and service that is essential in the nursing profession. Incorrect answers: A: Florence Nightingale is known for her contributions to nursing and public health, but the statue specifically honors military nurses. B: Edith Cavell was a nurse who helped Allied soldiers escape from German-occupied Belgium during WWI, not related to the Tuskegee experiment. C: Clara Maas was a nurse who volunteered for yellow fever experiments, but her work was not during WWII and did not lead to a cure for the disease.
Question 9 of 9
A hospital refused to purchase a better grade of utility gloves, even after learning that the cheaper utility gloves are easily punctured during routine use. This unsafe situation led nurses to seek unionization. During the pre-election phase for unionization, which actions by union representatives are prohibited by the National Labor Relations Board? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B because distributing nondocumented information about gender-based performance evaluations violates the National Labor Relations Act, which prohibits making false statements about an employer. This action could potentially mislead employees and interfere with the election process. Choices A, C, and D are not prohibited actions by the National Labor Relations Board. Choice A involves a legal and common method of gauging interest in unionization. Choice C involves providing information about union benefits and grievances, which is a protected activity. Choice D is permissible as long as it does not contain false or coercive statements.