ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
Which task is appropriate for the RN to delegate to the unlicensed assistive personnel (UAP) provided the delegatee has had experience and training?
Correct Answer: D
Rationale: The correct answer is D because obtaining a sterile urine sample from a patient with a Foley catheter connected to a closed drainage system is a task that can be safely delegated to UAP who have experience and training. Here's the rationale: 1. Task Complexity: This task involves a straightforward procedure that does not require specialized medical knowledge. 2. Training and Experience: UAP can be trained to perform this task under supervision and with specific guidelines. 3. Minimal Risk: When performed correctly, obtaining a sterile urine sample carries minimal risk to the patient. 4. Routine Procedure: This task is a common and routine procedure that UAP can be trained to perform effectively. Other Choices: A: Evaluating the ability of a patient to swallow ice after a gastroscopy involves medical assessment and potential risk of aspiration, which should be done by a licensed healthcare professional. B: Assisting a postoperative hip replacement patient to ambulate for the first time requires monitoring for complications and assessing patient response, which should be done
Question 2 of 9
Which statement concerning the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is correct?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): Graduates from all three types of nursing programs (diploma, associate degree, and baccalaureate degree) take the same examination 1. The NCLEX-RN is a standardized examination administered by the National Council of State Boards of Nursing (NCSBN). 2. The purpose of this exam is to ensure that candidates possess the knowledge and skills necessary to practice safely as entry-level registered nurses. 3. Since the exam serves as a licensure requirement, it must be fair and consistent for all candidates, regardless of their educational background. 4. Therefore, graduates from all types of nursing programs, including diploma, associate degree, and baccalaureate degree programs, take the same NCLEX-RN examination to demonstrate their competency. 5. This standardization ensures that all candidates are held to the same standards and competencies, regardless of the educational pathway they have chosen to become a registered nurse. Summary of Incorrect Choices: B: The
Question 3 of 9
A person from an underrepresented background in nursing is interested in entering nursing school and researches the ethnicity, age, and gender make-up of the nursing profession and finds:
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C): 1. The correct answer is C because the majority of registered nurses (RNs) in the US are indeed white or non-Hispanic according to statistical data. 2. This information is important for the person from an underrepresented background to understand the current demographic makeup of the nursing profession. 3. By knowing that the majority of RNs are white or non-Hispanic, the individual can better assess the existing diversity within the profession. 4. Understanding the demographics can help the individual navigate potential challenges related to representation and cultural competence. 5. It is crucial for the person to have accurate information to make informed decisions about pursuing a career in nursing. Summary of why other choices are incorrect: A: Nursing is not primarily made up of women younger than 30 years. B: The number of male RNs has not equalized with the number of female RNs. D: More than half of all RNs are not ages 55 through
Question 4 of 9
The order reads: Administer 500 mg of Kefzol (cefazolin sodium) Intramuscular. Using information located on the medication vial above, the nurse will administer how many mL? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
Correct Answer: A
Rationale: The correct answer is A: Multiple-response item, comprehension level. This question requires the nurse to understand the medication label information and convert the dosage from mg to mL. It tests comprehension by assessing the nurse's ability to apply knowledge to a practical situation. The other choices are incorrect because: B: Hot-spot item, application level - Hot-spot items require the selection of a specific area on an image, not applicable in this scenario. C: Chart/exhibit item, analysis level - Chart/exhibit items typically involve interpreting data from charts or exhibits to analyze information, not relevant to this question. D: Drag-and-drop item, knowledge level - Drag-and-drop items involve matching or categorizing information, which does not apply to this question's context.
Question 5 of 9
Mandatory overtime and reduction in RN staff have resulted in decreased client satisfaction and a sentinel event. Management is unwilling to discuss a change in staffing, and collective bargaining interest is sparked. During the pre-election period, what actions by management are prohibited? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because seeking individuals to spy on coworkers who are possible union supporters is a violation of the National Labor Relations Act (NLRA). This action is considered an unfair labor practice as it interferes with employees' rights to engage in protected concerted activities, including discussing unionization. It creates a hostile work environment and undermines the employees' right to organize. Choices B, C, and D are incorrect because they do not directly violate the NLRA. Photographing employees participating in union-related activities may be considered intimidating but is not explicitly prohibited. Visiting managers outside of work to gain their perception of union popularity is not inherently illegal, as long as it does not coerce or intimidate them. Threatening to relocate the company if the union wins is considered an unfair labor practice, but in this scenario, it is mentioned that there is no intention to relocate, so it does not apply.
Question 6 of 9
With the crisis in health care and the nursing shortage, why is the image of nursing still important?
Correct Answer: A
Rationale: The correct answer is A because during times of uncertainty in healthcare, patients rely on nurses for care and support. The image of nursing as trustworthy and competent can strengthen the nurse-patient relationship. This fosters a sense of security and confidence in patients. Option B is incorrect because nursing has its own distinct body of knowledge, including theories, principles, and skills that guide practice. Option C is incorrect because while presenting a unified image is important, it is not the sole factor in establishing nursing as a profession. Option D is incorrect because while technologic competence is essential in modern healthcare, the caring aspect of nursing remains crucial, especially during times of crisis.
Question 7 of 9
One workplace issue "the nursing shortage" is caused by several complex issues, including:
Correct Answer: D
Rationale: The correct answer is D: an aging nursing workforce. This is because as nurses age, many are retiring or reducing their work hours, leading to a shortage of experienced nurses in the workforce. This issue is further exacerbated by the increasing demand for healthcare services due to population growth and aging populations. The other choices are incorrect because: A: Movement of nurses into acute care settings may shift the distribution of nurses but does not directly cause a shortage. B: The use of unlicensed assistive personnel may impact the workload of RNs but is not the primary cause of the nursing shortage. C: While Baby Boomers may have contributed to the overall number of nurses, it does not directly explain the current shortage.
Question 8 of 9
A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?
Correct Answer: D
Rationale: The correct answer is D because it specifically asks about the exercise practices the older adults participate in, providing detailed information on their current exercise routines. This question is valuable as it helps the nurse understand the type, intensity, and frequency of exercises being performed by the individuals with osteoporosis. Choice A is too broad and doesn't focus on specific exercise practices. Choice B is about personal preferences rather than actual exercise practices. Choice C focuses on the timing of exercise but does not delve into the types of exercises being performed. Thus, D is the most valuable question for gathering pertinent information regarding the exercise practices of older adults with osteoporosis.
Question 9 of 9
Which statement about qualitative research is correct?
Correct Answer: D
Rationale: The correct answer is D because interviews are a common and effective method in qualitative research to gather in-depth insights and descriptions of complex phenomena. Interviews help researchers understand participants' perspectives and experiences, allowing for a rich and nuanced exploration of the research topic. In contrast, options A, B, and C are incorrect because qualitative research can still be time-consuming, does not require large sample sizes for statistical significance, and focuses on in-depth understanding rather than generalizability to a larger population.