ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?
Correct Answer: B
Rationale: The correct answer is B because scheduling a mammogram for a client with a family history of breast cancer is an example of secondary prevention. Secondary prevention aims to detect and treat disease in its early stages to prevent complications. In this case, the client is being screened for breast cancer to detect any abnormalities early on.
A: Influenza vaccination is an example of primary prevention as it aims to prevent the onset of illness.
C: Not scheduling tests for an asymptomatic client does not fall under any level of illness prevention.
D: Scheduling an echocardiogram for a client with heart failure is an example of tertiary prevention, focusing on managing and treating existing conditions.
Question 2 of 5
A nurse is caring for a client. Select the 3 findings that require immediate follow-up.
Correct Answer: C,D,E
Rationale: The correct choices for immediate follow-up are C, D, and E. Urticaria (
C) could indicate an allergic reaction requiring intervention. A blood pressure of 1630 (
D) is dangerously high and needs prompt attention. Dysphagia (E) could indicate a swallowing issue, posing a risk of aspiration.
Choices A and B do not require immediate follow-up.
Question 3 of 5
A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the duty to do no harm and to prevent harm to the client. In this scenario, protecting a client's safety aligns with the principle of nonmaleficence as it focuses on ensuring that the client is not harmed by the actions or decisions of the healthcare provider.
A: Beneficence is the ethical principle of doing good and promoting the well-being of the client, which is different from the concept of preventing harm.
B: Fidelity refers to the faithfulness and loyalty in the nurse-client relationship, not specifically related to avoiding harm.
C: Justice relates to fairness and equality in the distribution of healthcare resources and services, but it is not directly linked to the prevention of harm in this context.
In summary, the correct answer is D because protecting a client's safety by not causing harm aligns with the ethical principle of nonmaleficence, which emphasizes the obligation to prevent
Question 4 of 5
A nurse is teaching a newly licensed nurse about end-of-life care. The nurse should include that which of the following services provides support for a client's caregiver?
Correct Answer: C
Rationale: The correct answer is C: Respite care. Respite care provides temporary relief to caregivers by offering professional support to care for the patient, allowing the caregiver to take a break. This service helps prevent caregiver burnout and ensures the patient receives continuous care. Postmortem care (
A) is provided after the patient has passed away. Home care (
B) focuses on providing care to the patient at home, not necessarily supporting the caregiver. Restorative care (
D) aims to improve the patient's functional abilities rather than directly assisting the caregiver.
Question 5 of 5
A public health nurse is preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: SDOH are conditions in an individual's environment that affect their well-being. This is accurate because social determinants of health refer to the social and economic conditions that influence individuals' health outcomes. These factors include income, education, housing, access to healthcare, and social support systems. By addressing these environmental conditions, public health interventions can improve overall health and well-being.
Choices A, C, and D are incorrect.
Choice A is incorrect as SDOH are not solely determined by an individual's ethnic background but by a broader range of social and economic factors.
Choice C is incorrect because identifying SDOH actually helps to reduce disparities in health care by targeting interventions to address underlying social inequalities.
Choice D is incorrect because while psychological factors can impact health, they are not considered social determinants of health.