ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is planning care for clients. Which of the following tasks can the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: The correct answer is D: Obtaining a blood pressure for a client who is to be discharged later in the day. The nurse can delegate this task to an assistive personnel (AP) as it is within their scope of practice and does not require critical thinking or decision-making skills. The AP can be trained to accurately measure blood pressure, ensuring the client's safety and well-being. Tasks A, B, and C involve more specialized knowledge and skills that only a nurse should perform.
Choice A requires specific training in tracheostomy care, choice B involves assessing a client post-surgery which may require critical thinking, and choice C involves teaching a preoperative client about using an incentive spirometer, which requires educational expertise.
Therefore, choices A, B, and C are not appropriate tasks for delegation to an AP.
Question 3 of 5
A nurse is conducting an in-service for hospice nurses about interventions to reduce the risk for compassion fatigue. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Perform daily exercise. Daily exercise can help reduce stress, improve mood, and increase resilience, all of which are important in preventing compassion fatigue. Exercise releases endorphins, which are natural mood lifters, and helps in managing stress levels. It also promotes physical well-being, which is essential for overall health.
Explanation for why other choices are incorrect:
A: Working through lunch breaks can lead to burnout and increased stress levels, contributing to compassion fatigue.
B: Volunteering on days off may add extra stress and workload, potentially increasing the risk of compassion fatigue.
D: Working additional shifts can lead to exhaustion and lack of self-care, exacerbating the risk of compassion fatigue.
Question 4 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 5 of 5
A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome?
Correct Answer: B
Rationale: The correct answer is B: Planning. Planning is the step in the nursing process where the nurse formulates goals and establishes a plan of care to achieve positive outcomes for the client. During this stage, the nurse considers the assessment data gathered in the previous step to set specific, measurable, achievable, relevant, and time-bound goals. The nurse also determines interventions and strategies to help the client reach these goals. Assessment (choice
A) involves collecting data about the client's health status. Evaluation (choice
C) involves assessing the effectiveness of the interventions and determining if goals were met. Implementation (choice
D) involves carrying out the plan of care.
Choices E, F, and G are irrelevant as they are not part of the nursing process steps. In summary, Planning is the correct choice as it directly relates to formulating goals for a positive outcome in the nursing process.