ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 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 2 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 3 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 4 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.
Question 5 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