ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is providing an in-service on the Healthy People 2030 framework. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Establishes health objectives for Americans. The Healthy People 2030 framework sets specific, measurable objectives to improve the health and well-being of Americans. It focuses on promoting health equity and preventing diseases.
Choice A is incorrect because Healthy People 2030 does not solely focus on viruses worldwide.
Choice C is incorrect because it does not specifically use data from the past 20 years.
Choice D is incorrect as Healthy People 2030 focuses on modifiable risk factors rather than nonmodifiable ones.
Question 2 of 5
A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: The ACA reduces disparities in health care. The nurse should include this information because the ACA aims to improve access to healthcare services for all individuals, including marginalized populations, thus reducing disparities.
Choice B is incorrect as the ACA is not solely for individuals requiring tertiary care but for all individuals.
Choice C is incorrect as individuals do not need to qualify to participate in ACA insurance coverage; it is available to all.
Choice D is incorrect as the ACA specifically prohibits insurance companies from denying coverage to individuals with pre-existing conditions.
Question 3 of 5
A nurse is caring for a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client?
Correct Answer: D
Rationale: The correct answer is D: Autonomy. Autonomy is the ethical principle that upholds an individual's right to make their own decisions about their healthcare. In this scenario, the client has expressed their desire to not proceed with the surgery, and the nurse must respect and support this decision in line with the principle of autonomy.
Choice A: Justice refers to fair and equal treatment, but in this case, the client's autonomy takes precedence over justice.
Choice B: Fidelity is about being faithful and keeping promises, but in this situation, the client's autonomy is more important.
Choice C: Veracity relates to truth-telling, which is essential in healthcare, but respecting the client's autonomy is the primary concern.
In summary, the nurse should uphold the ethical principle of autonomy by respecting the client's decision regarding the elective surgery, making choice D the correct answer.
Question 4 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 5 of 5
A nurse is preparing to review discharge instructions with a client who reports having hearing loss. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Stand next to the client when speaking. This is the most appropriate action because it allows the nurse to speak closer to the client, making it easier for the client to hear and understand. Standing next to the client also helps in ensuring that the client can see the nurse's facial expressions and lip movements, which can aid in communication for someone with hearing loss.
A: Guiding the client away from background noise may help reduce distractions but standing closer to the client when speaking is more effective for direct communication.
B: Providing instructions in Braille is not suitable for a client with hearing loss as Braille is for individuals with visual impairments.
D: While repeating misunderstood phrases is helpful, standing closer to the client when speaking is more effective in initial communication.
In summary, choice C is the best option as it directly addresses the client's hearing loss and facilitates effective communication.