ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse. Which of the following examples should the nurse provide when discussing Level I evidence?
Correct Answer: A
Rationale: The correct answer is A: Systematic review. Systematic reviews are considered Level I evidence in the hierarchy of evidence for evidence-based practice. This is because they involve a comprehensive review and synthesis of multiple studies on a particular topic, providing the highest level of evidence for clinical decision-making. Systematic reviews minimize bias and offer a more reliable overview of the available research. Credible websites (
B), expert opinions (
C), and qualitative studies (
D) are not considered Level I evidence as they do not meet the same rigorous standards of evidence synthesis and critical appraisal as systematic reviews.
Question 2 of 5
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?
Correct Answer: A
Rationale: The correct answer is A: Charting by exception (CBE). This method involves documenting only unexpected findings related to the client's condition, which allows for quicker and more efficient charting. By focusing on deviations from the norm, nurses can easily identify changes in the client's status. This approach promotes timely interventions and enhances communication among healthcare team members.
Choice B, Focus charting, involves documenting data, action, and response, which is not specific to unexpected findings only.
Choice C, Problem-oriented medical record, focuses on organizing information around client problems.
Choice D, SOAP documentation, includes subjective, objective, assessment, and plan, which is a comprehensive method but not specific to unexpected findings.
Question 3 of 5
A nurse is preparing an in-service to review the Code of Ethics (COE) with a group of nursing colleagues. Which of the following statements should the nurse make during the in-service about the COE?
Correct Answer: B
Rationale: The correct answer is B: Professional expectations are included in the COE. The Code of Ethics (COE) is a set of principles that guide ethical behavior and decision-making in nursing practice. Professional expectations, such as maintaining patient confidentiality, promoting patient autonomy, and advocating for patient rights, are fundamental components of the COE. By emphasizing this statement, the nurse reinforces the importance of upholding ethical standards in nursing practice.
Incorrect
Choices:
A: The use of social media is not included in the COE - This statement is incorrect as the COE may address the appropriate use of social media in maintaining patient confidentiality and professionalism.
C: Student nurses are not held accountable to COE - This statement is incorrect as student nurses are also expected to adhere to the ethical principles outlined in the COE.
D: Criteria for obtaining licensure is included in the COE - This statement is incorrect as the COE typically focuses on ethical principles rather than licensure requirements.
Question 4 of 5
The nurse is educating a patient with phlebitis of the left leg. What alternative therapy should this patient avoid until the condition is resolved?
Correct Answer: B
Rationale: The correct answer is B: Therapeutic massage. Phlebitis involves inflammation of veins, and therapeutic massage can potentially dislodge a blood clot or worsen the condition. Yoga (
A) and acupressure (
C) are generally safe as long as they do not put pressure directly on the affected leg. The other choices are not provided, but it is essential to avoid any form of massage directly on the affected area to prevent complications.
Question 5 of 5
A nurse is caring for a client who is scheduled for surgery. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. Hyperlipidemia (
A), diabetes mellitus (
B), certain medications in the medication history (
C), and low prealbumin level (E) can all contribute to delayed wound healing. Hyperlipidemia and diabetes can impair blood flow and decrease the body's ability to fight infection. Certain medications may interfere with the healing process. A low prealbumin level indicates poor nutritional status, which is essential for wound healing. Cholesterol level (
D) alone does not directly impact wound healing. A, B, C, and E are all factors that can directly affect the body's ability to heal wounds efficiently.