ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 9
Although the NCLEX-RN examination has new formats for questions, the most common format is the:
Correct Answer: B
Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information. Choices A, C, and D are incorrect: A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions. C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam. D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.
Question 2 of 9
A student is planning to enroll in prerequisite courses after graduating from high school and is researching options for nursing programs. During a career fair the student compares different types of nursing education programs and discovers that:
Correct Answer: D
Rationale: The correct answer is D because master's programs, like the one for clinical nurse leaders, indeed provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations. This choice stands out as it specifically addresses the advanced level of education and specialization required for handling complex cases. Choice A is incorrect because diploma programs typically focus on basic nursing skills rather than specialization in complex client populations. Choice B is incorrect as most practicing RNs nowadays graduate from associate's or bachelor's degree programs, not diploma programs. Choice C is incorrect because baccalaureate programs emphasize a broader education including leadership, research, and critical thinking skills rather than just technical and hands-on nursing skills.
Question 3 of 9
The disaster medical assistance team works quickly to contain contaminants from a chemical plant explosion. Afterward, personnel undergo a special process to remove harmful chemicals from equipment and supplies. This removal process is known as:
Correct Answer: B
Rationale: The correct answer is B: decontamination. Decontamination is the process of removing harmful chemicals from equipment and supplies to prevent further exposure and contamination. In this scenario, the disaster medical assistance team is working to contain contaminants first and then proceed with decontamination to ensure the safety of personnel. Containment (choice A) refers to preventing the spread of contaminants, not removing them. Triage (choice C) is the process of prioritizing patients based on the severity of their injuries, not removing chemicals. Scene assessment (choice D) involves evaluating the situation to determine the extent of the disaster, not the removal of harmful chemicals.
Question 4 of 9
A nurse preparing a resume for the first position is anxious to demonstrate all achievements, which included completing a rigorous accelerated program and maintaining a high GPA while also serving in many community projects and leadership positions. The applicant finds it impossible to include all the accolades on one page and researches tips for professional cover letters and resumes and learns:
Correct Answer: A
Rationale: The correct answer is A because having margins of at least 0.5 inch on all four sides allows for a clear and organized presentation of information. By adhering to this guideline, the resume will appear neat and professional, making it easier for the recruiter to read and comprehend the content. This promotes conciseness by forcing the applicant to prioritize the most relevant achievements and information. The other choices are incorrect because using bright colored paper (B) may come across as unprofessional and distracting. Legal size paper (C) is not recommended as it deviates from the standard letter size and can make it difficult for the recruiter to handle and file the resume. Standardized cover letters (D) may appear generic and fail to highlight the unique qualifications and achievements of the applicant.
Question 5 of 9
The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among health care workers, the nurse should focus efforts on prevention of:
Correct Answer: C
Rationale: The correct answer is C: bloodborne disease. Health care workers are at risk for exposure to bloodborne pathogens such as HIV and hepatitis B and C. Prevention strategies include proper use of personal protective equipment and adherence to infection control protocols. Bloodborne diseases can have serious consequences on the health and well-being of healthcare workers, leading to mortality and morbidity if not properly prevented. Explanation for incorrect choices: A: Suicide - While mental health is an important concern, it is not specifically related to mortality among healthcare workers. B: Violence related injury - While workplace violence is a concern, it may not be the leading cause of mortality among healthcare workers. D: Ergonomic hazards - While important for preventing injuries, it may not directly relate to mortality among healthcare workers compared to bloodborne diseases.
Question 6 of 9
A nurse is preparing to teach a class related to risk factors for cancer to a diverse ethnic group attending a health fair. The nurse should be aware:
Correct Answer: C
Rationale: The correct answer is C because it provides accurate information about a specific risk factor related to a particular ethnic group. American-Indian women do have a higher rate of ovarian cancer than the general population, making it crucial for the nurse to be aware of this when teaching about cancer risk factors. A is incorrect as it discusses breast cancer and not ovarian cancer. B is incorrect as it mentions esophageal cancer, which is not the specific focus of the question. D is also incorrect as it makes a general statement about cancer, heart disease, and stroke in ethnic groups without providing specific information about ovarian cancer in American-Indian women.
Question 7 of 9
The first field of nursing to certify advanced practitioners was the field of:
Correct Answer: B
Rationale: The correct answer is B: nurse-midwifery. Nurse-midwifery was the first field of nursing to certify advanced practitioners, starting in the 1920s. Nurse-midwives provide prenatal, childbirth, and postpartum care to women. Other choices are incorrect because adult nurse practitioners, clinical nurse specialists, and nurse anesthesia programs were established after nurse-midwifery certification.
Question 8 of 9
Which organization provides federal funding for research?
Correct Answer: A
Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.
Question 9 of 9
A patient experiences migraine headaches that are not relieved by traditional Western medical practices. The family physician suggests acupuncture, which: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because acupuncture is indeed based on the belief that meridians, energy pathways in the body, are vital for life and when they are out of balance, pain occurs. Acupuncture aims to restore the balance of these meridians to alleviate pain. Explanation: 1. Acupuncture theory is rooted in Traditional Chinese Medicine, which emphasizes the flow of energy (Qi) along meridians. 2. By inserting needles at specific points along the meridians, acupuncturists aim to restore the balance of Qi and alleviate pain. 3. Meridian theory is fundamental to the practice of acupuncture and differentiates it from other pain relief modalities. 4. Choices B, C, and D are incorrect as they do not accurately represent the core principles of acupuncture and how it works. Summary: Option A is correct because it aligns with the foundational principles of acupuncture, focusing on meridians and energy balance. Options B, C, and D are