ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a newly licensed nurse about the purpose of documentation in the client's health record. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C. Documentation in the client's health record allows health care team members to document client care accurately, ensuring continuity of care and communication among team members. It facilitates coordination, evaluation, and planning of care.
Choice A is incorrect because billing is not the primary purpose of documentation.
Choice B is incorrect as it suggests duplication of documentation, which can lead to errors.
Choice D is incorrect as providers do not need to co-sign all nurses' notes.
Question 2 of 5
A nurse is caring for a client who is desiring their wound care to be provided at 1400. The nurse returns at 1400 to perform wound care for the client. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: D
Rationale: The correct answer is D: Fidelity. Fidelity refers to the principle of faithfulness or honoring commitments. By returning at 1400 to perform wound care as requested by the client, the nurse is demonstrating fidelity by following through on their commitment to provide care at the agreed-upon time. This shows the nurse's dedication to fulfilling their duty to the client.
A: Justice does not directly apply in this scenario as it pertains to fairness and equal treatment.
B: Autonomy relates to respecting the client's right to make their own decisions, which is not the focus here.
C: Veracity involves truthfulness and honesty, which are not the primary considerations in this situation.
In summary, the nurse's action aligns with the principle of fidelity as it involves fulfilling obligations and responsibilities to the client, making it the most appropriate ethical principle in this context.
Question 3 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.
Question 4 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 5 of 5
A nurse is teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?
Correct Answer: B
Rationale: The correct answer is B: Analysis. Interpreting data involves examining information to understand its meaning and significance, which is a key component of the analysis step in critical thinking. Analysis helps in identifying patterns, relationships, and drawing conclusions based on evidence. Questioning (
A) involves asking critical questions to gather information, intuition (
C) is a gut feeling or instinct which may not always be based on evidence, and creativity (
D) involves generating new ideas or solutions.
Therefore, the correct choice is B as it specifically pertains to interpreting data in the context of critical thinking.