ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at the end of life. Which of the following interventions is most effective in reducing the client's social isolation?
Correct Answer: B
Rationale: The correct answer is B: Schedule home visits with the client. This option is the most effective in reducing social isolation as it involves direct physical interaction and emotional support, which can provide comfort and connection to the client at the end of life. Family phone calls (
A) may offer emotional support but lack the physical presence. Joining an online support group (
C) may not provide the same level of personal connection as face-to-face interactions. Text messages from friends (
D) may be impersonal compared to in-person visits.
Question 2 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 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 a newly licensed nurse about incident reports. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Identify other people involved with the event in the incident report. This is crucial as it helps in documenting all individuals connected to the incident for further investigation or follow-up. Including a note in the medical record (
A) is important but not specific to incident reports. Including personal opinions (
C) can bias the report and compromise its objectivity. Identifying the person responsible (
D) is important but should not be the sole focus as other parties involved should also be documented.
Question 5 of 5
A nurse is discussing a client's needs at an interdisciplinary team conference. The client had a stroke and requires inpatient rehabilitation incorporated into their plan of care. Which of the nursing competencies is the nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Collaborator. The nurse is demonstrating the competency of a collaborator by engaging in interdisciplinary teamwork to coordinate the client's care, including inpatient rehabilitation. Collaboration involves working with other healthcare professionals to achieve optimal outcomes for the client. In this scenario, the nurse is actively participating in a team conference to address the client's needs, which aligns with the collaborator competency.
Summary of other choices:
B: Case manager - While case managers also play a role in coordinating care, the focus is more on managing the overall care process rather than collaborating with a team.
C: Nurse manager - Nurse managers are responsible for overseeing nursing staff and unit operations, not specifically coordinating interdisciplinary care.
D: Advocate - Advocacy involves speaking up for the client's rights and needs, but in this case, the nurse is primarily engaging in collaborative teamwork rather than advocacy.