ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is scheduling a client for surgery. Which of the following actions should the nurse take to obtain precertification for the client to have surgery?
Correct Answer: B
Rationale: The correct answer is B: Contact the client's insurance carrier to obtain authorization. This is the correct action to obtain precertification for the client to have surgery. By contacting the insurance carrier, the nurse ensures that the surgery will be covered by the client's insurance plan. This step is crucial to avoid any unexpected financial burden on the client.
Choice A is incorrect because pre-paying for surgery is not the same as obtaining precertification from the insurance carrier.
Choice C is incorrect because the provider does not typically handle insurance authorization processes.
Choice D is incorrect as witnessing the client sign the surgical consent form does not address the precertification requirement.
Question 3 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 4 of 5
A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C - The client's urine output has been 50 mL since surgery. This is important to report to the provider as it could indicate potential kidney dysfunction or inadequate fluid status postoperatively. Low urine output may be a sign of impaired renal function or inadequate fluid intake, which can lead to complications such as dehydration or acute kidney injury. It is crucial for the provider to be aware of this to intervene promptly.
Choice A is incorrect because serosanguineous drainage on the abdominal dressing is expected postoperatively.
Choice B is incorrect because the postoperative laboratory results of Hgb 15% and Hct 40% are within normal range.
Choice D is incorrect because a decrease in pain level post-morphine administration is an expected outcome.
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.