Questions 9

ATI RN

ATI RN Test Bank

Contemporary Issues in Nursing Questions

Question 1 of 5

A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?

Correct Answer: C

Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data. Incorrect choices: A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation. B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions. D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.

Question 2 of 5

A nurse explaining the above graph indicates the frequency of falls in 2011 to detect and possibly explain causes of variation. The peaks in June were attributed to regular staff vacations during which agency nurses were used. The nurse is employed in which role?

Correct Answer: B

Rationale: Step 1: The nurse's role involves analyzing data to identify causes of variation in falls, indicating a focus on quality improvement. Step 2: As a Quality Manager, the nurse is responsible for monitoring and improving the quality of care provided. Step 3: Case Managers focus on coordinating patient care, Forensic Nurses deal with legal aspects, and Occupational Health Nurses focus on workplace health. Step 4: Therefore, the nurse's role aligns most closely with a Quality Manager in this scenario, making choice B the correct answer.

Question 3 of 5

A nurse who is participating in a health fair asks, "Other than nursing, what are some opportunities for careers in the health care professions, and what education is required?" The nurse informs participants that a baccalaureate degree is required as the minimum standard for the role of:

Correct Answer: D

Rationale: The correct answer is D: nurse anesthetist. Nurse anesthetists require a minimum of a baccalaureate degree in nursing as a prerequisite for their advanced practice role. They then need to complete a master's or doctoral program in nurse anesthesia. This advanced education and training enable nurse anesthetists to provide anesthesia care in various healthcare settings. Incorrect answers: A: Speech therapists require a master's degree in speech-language pathology. B: Occupational therapists require a master's degree in occupational therapy. C: Nurse-midwives require a master's degree in nurse-midwifery or a related field. In summary, the minimum education requirement of a baccalaureate degree aligns with the role of a nurse anesthetist, making choice D the correct answer.

Question 4 of 5

When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing?

Correct Answer: B

Rationale: The correct answer is B because nurses play a crucial role in advocating for violence prevention programs to create a safe work environment. Nurses can raise awareness, implement policies, and support victims. Incorrect answers: A: Trust in nursing doesn't prevent violence. Violence can still occur due to various factors. C: Verbal assault is recognized as a form of violence in the nursing profession. D: Evaluating all nurses for the risk of committing violence may not be feasible or effective in preventing violence.

Question 5 of 5

A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:

Correct Answer: C

Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues. A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice. B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings. D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.

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