Download ATI Fundamentals for Nursing Edition 11.0 Questions and answers
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11.0 Questions and answers
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring evidence - based practice for clients who have a specific diagnosis. B. Ensuring that health care providers comply with regulations. C. Setting quality standards for accreditation of health care facilities. D. Determining whether medications are safe for administration to clients. CORRECT ANSWERS✅ 1. A. Utilization review committees have the responsibility of monitoring for appropriate diagnosis and treatment according to evidence-based practice for diagnosis and treatment of hospitalized clients. B. CORRECT: State licensing boards are responsible for ensuring that health care providers and agencies comply with state regulations. C. The Joint Commission has the responsibility of setting quality standards for accreditation of health care facilities. D. The U.S. Food and Drug Administration has the responsibility of determining whether medications are safe for administration to clients.
11.0 Questions and answers
- A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E.. Medicaid CORRECT ANSWERS✅ 2. A. PPOs, long-term care insurance, and EPOs are privately funded. B. CORRECT: Medicare and Medicaid are federally funded health insurance programs. C. PPOs, long-term care insurance, and EPOs are privately funded. D. PPOs, long-term care insurance, and EPOs are privately funded. E. CORRECT: Medicare and Medicaid are federally funded health insurance programs.
- A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
11.0 Questions and answers
C. Burn center D. Cardiac rehabilitation E. Home health care CORRECT ANSWERS✅ 4. A. CORRECT: Tertiary health care involves the provision of specialized and highly technical care (the care nurses deliver in intensive care units). B. CORRECT: Tertiary health care involves the provision of specialized and highly technical care, such as the care nurses deliver in intensive care units, an oncology treatment center, and a burn center. C. CORRECT: Tertiary health care involves the provision of specialized and highly technical care, such as the care nurses deliver in intensive care units, an oncology treatment center, and a burn center. D. Cardiac rehabilitation and home health care are examples of restorative care. E. Cardiac rehabilitation and home health care are examples of restorative care.
- A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply)
11.0 Questions and answers
A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers CORRECT ANSWERS✅ 5. A. CORRECT: Restorative health care involves intermediate follow-up care for restoring health and promoting self. care. Home health care, rehabilitation faollities, and skilled nursing facilities are types of restorative health care. B. CORRECT: Restorative health care involves intermediate follow-up care for restoring health and promoting self, care. Home health care, rehabilitation facilities, and skilled nursing facilises are types of restorative health care. C. Secondary health care includes the diagnosis and treatment of acute injury or liness. Diagnostic centers are a type of secondary health care. D. CORRECT: Restorative healóh care involves intermediate follow-up care for restoring health and promoting sell. care. Home health care, rehabilitation facilities, and skilled nursing facilities are types of restorative health care.
11.0 Questions and answers
- A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.) A. A client who has terminal cancer requests hospice care in the home. B. A client asks about community resources available for older adults. C. A client states, "I would like to have my child baptized before surgery." D. A client requests an electric wheelchair for use after discharge. E. A client CORRECT ANSWERS✅ 2. A. CORRECT: The nurse should initiate a referral for a social worker to provide information and assistance in coordinating hospice care for a client. B. CORRECT: The nurse should initiate a referral for a social worker to provide information and assistance in coordinating care for community resources available for clients. C. The nurse should initiate a referral for spiritual support staff it a client requests specific religious sacraments or prayers. D. CORRECT: The nurse should initiate a referral for a social worker to assist the client in obtaining medical equipment for use after discharge. E. The nurse should provide client teaching for concerns regarding the use of a nebulizer. If additional information is needed, initiate a referral for a respiratory therapist.
11.0 Questions and answers
- A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? (Select all that apply.) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory therapist CORRECT ANSWERS✅ 3. A. CORRECT: The provider must be knowledgeable about any medication prescribed for the client, including its actions, effects, and interactions. B. It is not within the scope of a certified nursing assistant's duties to counsel a client about medications. C. CORRECT: A pharmacist must be knowledgeable about any medication dispensed for the client, including its actions, effects, and interactions. D. CORRECT: A registered nurse must be knowledgeable about any medication administered, including its actions, effects, and interactions. E. Although some analgesics can cause respiratory depression, requiring assistance from a respiratory therapist, it is not within this therapist's scope of practice to counsel the client about medications prescribed by the provider.
11.0 Questions and answers
assistants (CNAs) can perform, which of the following client activities should the nurse include? (Select all that apply.) A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs CORRECT ANSWERS✅ 5. A, B, C, E. CORRECT: The nurse should identify that it is within the range of function for a CNA to provide basic care to clients, such as bathing, assisting with ambulation, assisting with toileting, and measuring and recording vital signs. D. Determining pain level is a task that requires the assessment skills of licensed personnel (nurses). It is outside the range of function for a CNA.
- A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice
11.0 Questions and answers
D. Nonmaleficence CORRECT ANSWERS✅ 1. A. Fidelity is the fulfillment of promises. The nurse has not made any promises; this is the client's decision. B. CORRECT: The nurse identifies that in this situation, the client is exercising their right to make their own personal decision about surgery, regardless of others' opinions of what is "best" for them. This is an example of autonomy. C. Justice is fairness in care delivery and in the use of resources. Because the client has chosen not to use them, this principle does not apply. D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur whether or not the client has surgery. However, because they choose not to, this principle does not apply.
- A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Beneficence CORRECT ANSWERS✅ 2. A. Fidelity is the fulfillment of promises. Unless the nurse has specifically promised the client a pain-free recovery, which is unlikely, this principle does not apply to this action.
11.0 Questions and answers
numbers of potential recipients who need them, no one can promise anyone an organ. Thus, this principle does not apply. B. Autonomy is the right to make personal decisions, even when they are not necessarily in the person's best interest. No personal decision is involved with the qualifications for organ recipients. C. CORRECT: The nurse should identify that justice is fairness in care delivery and in the use of resources. By applying the same qualifications to all potential kidney transplant recipients, organ procurement organizations demonstrate this ethical principle in determining the allocation of these scarce resources. D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur to organ donors and to recipients. The requirements of the organ procurement organizations are standard procedures and do not address avoidance of harm or injury.
- A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice
11.0 Questions and answers
D. Nonmaleficence CORRECT ANSWERS✅ 4. A. Fidelity is the fulfillment of promises. The nurse is not addressing a specific promise when they determine the appropriateness of a prescription for the client. Thus, this principle does not apply. B. Autonomy is the right to make personal decisions, even when they are not necessarily in the person's best interest. No personal decision is involved when the nurse questions the client's prescription. C. Justice is fairness in care delivery and in the use of resources. In this situation, the nurse is delivering responsible client care and is not assessing available resources. This principle does not apply. D. CORRECT: The nurse should identify that nonmaleficence is a commitment to do no harm. In this situation, administering the medication could harm the client. By questioning it, the nurse is demonstrating this ethical principle.
- A nurse is instructing a group of newly licensed nurses about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical dilemma? A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment. B. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply restraints.
11.0 Questions and answers
AP is committing assault. The AP's threats could make the client become fearful and apprehensive. B. Battery is actual physical contact without the client's consent. Because the AP has only verbally threatened the client, battery has not occurred. C. Unless the AP restrains the client, there is no false imprisonment involved. D. Invasion of privacy involves disclosing information about a client to an unauthorized individual.
- A nurse notes that an oncoming nurse smells of alcohol and seems unsteady. Which of the following actions should the nurse take? A. Report the oncoming nurse to the board of nursing. B. Confront the oncoming nurse. C. Notify the oncoming supervisor. D. Ask an assistive personnel (AP) if they smelled alcohol on the oncoming nurse's breath. CORRECT ANSWERS✅ 2. A. The nurse should report the observation to the oncoming supervisor whose duty is to ensure that a thorough investigation occurs, and if the facts indicate the nurse reported to work after drinking alcohol, reporting the nurse to the state board of nursing. B. The nurse should avoid confronting the oncoming nurse who might become hostile.
11.0 Questions and answers
C. CORRECT: The nurse's duty is to protect client safety. The nurse should report the observation to the oncoming supervisor whose duty is to ensure that a thorough investigation occurs, and if the facts indicate the nurse reported to work after drinking alcohol, report the nurse to the state board of nursing. D. The nurse should also avoid involving another person on the shift such as the AP.
- A nurse is providing preoperative teaching for a client who is scheduled for surgery the next week. The client tells the nurse, "I plan to prepare my advance directives before I come to the hospital." Which of the following statements made by the client indicates an understanding of advance directives? A. "I'd rather have my brother make my decisions for me, but I know it must be my spouse.' B. "I know they won't go ahead with the surgery unless I fill out the form." C. "I plan to tell them I CORRECT ANSWERS✅ 3. A. When analyzing cures, the nurse should recognize that the client can designate any competent adult to be their health care proxy. It does not have to be their spouse.
11.0 Questions and answers
- A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply.) A. Cover errors with correction fluid, and write in the correct information. B. Put the date and time on all entries. C. Document objective data, leaving out opinions. D. Use as many abbreviations as possible. E. Wait until the end of the shift to document. CORRECT ANSWERS✅ 1. B., C. CORRECT: When taking actions, the nurse should ensure that the day and time confirm the recording of the correct sequence of events. The nurse should ensure that the documentation is factual, descriptive, and objective, without opinions or criticism. A. Correction fluid implies that the nurse might have tried to ha the previous documentation or deface the medical record. D. Too many abbreviations can make the entry difficult to understand. The nurse should minimize use of abbreviations and use only those the facility approves. E. Documentation should be current. Waiting until the end of the shift can result in data omission.
11.0 Questions and answers
- A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.) A. Repeat the details of the prescription back to the provider. B. Have another nurse listen to the telephone prescription. C. Obtain the provider's signature on the prescription within 24 hr. D. Decline the verbal prescription because it is not an emergency situation. E. Tell the charge CORRECT ANSWERS✅ 2. A. CORRECT: When taking actions, the nurse should repeat the medication's name, dosage, time or interval route, and any other pertinent information back to the provider and receive document confirmation. B. CORRECT: The nurse should have another nurse listen to the telephone prescription as a safety precaution to help prevent medication errors due to miscommunication. C. CORRECT: The provider must sign the prescription within the time frame the facility specifies in its policies (generally 24 hr). D: The nurse should identify that unrelieved pain can become an emergency situation without the appropriate pain management interventions. E. There is no need to inform the charge nurse every time a nurse receives a medication prescription, whether by telephone, verbally or in the medical record. by telephone, verbally, or in the medical record.
