ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 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 5 of 5
A nurse is caring for a client. Select the 3 findings that require immediate follow-up.
Correct Answer: C,D,E
Rationale: The correct choices for immediate follow-up are C, D, and E. Urticaria (
C) could indicate an allergic reaction requiring intervention. A blood pressure of 1630 (
D) is dangerously high and needs prompt attention. Dysphagia (E) could indicate a swallowing issue, posing a risk of aspiration.
Choices A and B do not require immediate follow-up.