ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health (SDOH) is challenging for the client?
Correct Answer: A
Rationale: The correct answer is A: Economic stability. Economic stability is a key factor in the social determinants of health (SDOH) as unemployment can lead to financial insecurity, limited access to healthcare, and increased stress levels impacting overall health outcomes. The other choices are incorrect because Neighborhood environment (
B), Education (
C), and Social and community context (
D) are also important SDOH factors, but in this scenario, the client's current unemployment status directly relates to economic instability and its negative impact on health.
Question 2 of 5
A nurse is gathering evidence-based practice on catheter-associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?
Correct Answer: A
Rationale: The correct answer is A: Researcher. The nurse is gathering evidence-based practice on CAUTI, which involves conducting research to gather and analyze data from various sources. Researcher role involves investigating, interpreting, and applying evidence to improve patient outcomes. Nurse manager (
B) focuses on overseeing nursing staff and unit operations. Educator (
C) focuses on teaching and providing information to patients and staff. Case manager (
D) coordinates patient care and resources. In this scenario, the nurse is specifically engaged in research activities, making option A the most appropriate choice.
Question 3 of 5
A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who is a preceptor to new staff members is at which of the following stages?
Correct Answer: B
Rationale: The correct answer is B: Proficient. A nurse who is a preceptor to new staff members is at the proficient stage of Benner's stages of clinical competence. At this stage, nurses have gained enough experience to effectively teach and guide others, demonstrating competency in their clinical skills. This nurse is able to provide mentorship and support to novice nurses, helping them transition from beginner to competent practitioners.
Incorrect answers:
A: Advanced beginner - Nurses at this stage have limited experience and are still developing their skills, making them unlikely candidates for preceptorship.
C: Expert - Experts have extensive experience and advanced clinical judgment, typically focused on their own practice rather than teaching others.
D: Competent - Competent nurses have developed their skills but may not have the depth of knowledge and experience required to effectively mentor new staff members.
Question 4 of 5
A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?
Correct Answer: D
Rationale: The correct answer is D: "I am responsible for ensuring that a delegated task is completed." This statement indicates understanding of delegation because the delegatee holds accountability for the completion of the task they were delegated. This shows awareness of the importance of follow-up and ensuring tasks are done correctly and on time.
Choice A is incorrect as there are 5 rights of delegation (right task, right circumstance, right person, right direction/communication, right supervision/evaluation).
Choice B is incorrect as it is important for the delegatee to seek clarification and ask questions to ensure understanding of the delegated task.
Choice C is incorrect as while the nurse manager plays a role in delegation, the responsibility for delegating tasks may also fall on the charge nurse or team leader.
Question 5 of 5
A charge nurse is providing teaching to a nursing team member about the competencies required for interprofessional collaboration. Which of the following statements by the nursing team member indicates an understanding?
Correct Answer: C
Rationale: The correct answer is C: Communication with other team members is a competency that promotes openness in client care. This answer is correct because effective communication is essential for interprofessional collaboration. By communicating openly and effectively with team members, nurses can share information, coordinate care, and make decisions together to provide the best possible care for clients.
Choice A is incorrect because collective bargaining refers to negotiating terms of employment, not a competency for collaboration.
Choice B is incorrect as confrontation is not a positive competency for collaboration, as it can lead to conflict rather than cooperation.
Choice D is incorrect as coercive power is not a healthy or effective way to improve client outcomes; collaboration is based on mutual respect and shared decision-making.