ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse overhears two assistive personnel (APs) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?
Correct Answer: C
Rationale:
Correct
Answer: C - Confront the APs to discuss their argument.
Rationale: Confronting the APs to discuss their argument is the best approach for conflict resolution. By addressing the issue directly, the nurse can facilitate communication, clarify misunderstandings, and guide the APs towards finding a resolution. This approach promotes a professional and respectful work environment.
Summary:
A: Telling the APs they are acting immature may escalate the conflict and not address the underlying issues.
B: Allowing the APs to resolve their issues without intervention may lead to unresolved conflict and potential negative outcomes.
D: Reporting the APs to the charge nurse may create tension and distrust among the team members.
Question 2 of 5
A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Active listening. Active listening is an essential technique in therapeutic communication as it involves fully concentrating, understanding, responding, and remembering what is being said. It helps build trust, rapport, and empathy with patients. Using medical jargon (
A) can confuse patients and hinder effective communication. Giving advice (
C) can come across as judgmental and may not be what the patient needs. Using closed-ended questions (
D) limits the conversation and may not encourage patients to open up.
Therefore, active listening is the most appropriate technique for promoting effective communication and building a therapeutic relationship with patients.
Question 3 of 5
A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? rounded off to the nearest hundredth
Correct Answer: B
Rationale: The correct answer is B: 0.25 mL.
To calculate the volume needed, use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). In this case, Volume = 50 mg / 200 mg/mL = 0.25 mL. It's important to round off to the nearest hundredth as requested.
Choice A (0.3 mL) is incorrect because the calculated volume is less than that.
Choice C (0.4 mL) is incorrect as it's more than the calculated volume.
Choice D (0.15 mL) is incorrect as it's less than the calculated volume.
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 planning a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?
Correct Answer: D
Rationale: The correct answer is D: Clinical practice guidelines for the management of high blood pressure. This is the most appropriate resource for the nurse as it provides evidence-based recommendations on health promotion activities for clients with hypertension. Clinical practice guidelines offer standardized best practices for healthcare providers and are regularly updated based on the latest research.
A: Standards of care for monitoring clients with a history of blood pressure elevation is more focused on monitoring rather than health promotion activities.
B: A critical pathway for clients who have had a stroke is not directly related to health promotion activities for hypertension.
C: Acute care facility protocol for clients experiencing a hypertensive crisis is specific to managing a crisis situation, not health promotion.
E, F, G: These choices are not provided, but they would likely be irrelevant to the topic of health promotion for clients with hypertension.