ATI Fundamentals of nursing test Fall 2021/22 190 Questions & Answers

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ATI Fundamentals of nursing test Fall 2021/22 190 Questions & Answers A nurse is discussing restorative health care with a newly licenced nurse. Which of the following examples should the nurse inc... lude in the teaching? - -Home health care -Rehab facilities -Skilled nursing facilities 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? - -Medicare -Medicaid 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? - - Collaborating with providers to perform obesity screenings during routine office visits 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? - -Ensuring that health care providers comply with regulations A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? - -ICU -Oncology treatment center -Burn center 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 client who has terminal cancer requests hospice care in the home. -A client asks about community resources available for older adults. -A client requests an electric wheelchair for use after discharge.A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? - Occupational therapist 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.) - Provider Pharmacist Registered nurse A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team? - Speech-language pathologist A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical-surgical unit. When providing examples of the types of tasks certified nursing assistants (CNAS) can perform, which of the following client activities should the nurse include? (Select all that apply.) - Bathing Ambulating Toileting Measuring vital signs 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? - Autonomy 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? - Beneficence A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand that this aspect of care delivery is an example of which of the following ethical principles? - JusticeA 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? - Nonmaleficence 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 family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill. A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? - Assault A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning whether the doctor discharges me or not." The nurse believes that this is not in the client's best interest, and prepares to administer a PRN sedative medication the client has not requested along with the scheduled morning medication. Which of the following types of tort is the nurse about to commit? - False imprisonment A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that "I plan to prepare my advance directives before I come to the hospital." Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? - "I plan to write that i dont want them to keep me on a breathing machine." A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? - -Make sure the surgeon obtained the clients consent -Witness the clients signature on the consent form A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take? - Report the observations to the nurse manager on the unitA nurse is preparing information for a change of shift report. Which of the following information should the nurse include in the report? - Bone scan scheduled for today A nurse manager is discussing the HIPPA privacy rule with a group of newly hired nurses during orientation. Which of the following information should the nurse manager include? Select all that apply - -Family members should provide a code prior to receiving client health information -Communication of client information can occur at the nurses station -A client can request a copy of their medical record -A nurse can photocopy a clients medical record for transfer to another facility 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 clients record? Select all that apply - -Put the date and time on all entries -Document objective data, leaving out opinions A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? Select all that apply - Medication error Needlesticks Omission of prescription 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.) - -Repeat the details of the prescription back to the provider. -Have another nurse listen to the telephone prescription. -Obtain the provider's signature on the prescription within 24 hr. A nurse on a medical-surgical unit has received change of shift report and will care for four clients. Which of the following tasks should the nurse assign to an assistive personnel? - -Reapplying a condom catheter for a client who has urinary incontinence A nurse manager is assigning care of a client who is being admitted from the PACU following thoracic surgery. The nurse manager should assign the client to which of the following staff members? - -RNA nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? (Select all that apply.) - -The client ambulates wearing slippers over antiembolic stockings. -The client uses a front-wheeled walker when ambulating. -The client had pain medication 30 min ago. A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse assign to a Practical Nurse? - Providing nasopharyngeal suctioning for a client who has pneumonia A nurse is preparing an in-service program about delegation. Which of the following are components of the five rights of delegation? (Select all that apply.) - -Right supervision and evaluation -Right direction and communication -Right circumstances By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? - Reassess the client to determine the reasons for inadequate pain relief A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked with the client 40 min later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process? - Assessment A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply.) - -respiratory rate is 22/min with even, unlabored respirations -the clients skin is pink, warm and dry -the assistive personnel reports that the client walked with a limp A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.) - -Showing a client how to use progressive muscle relaxation-Performing a daily bath after the evening meal -Repositioning a client every 2 hr to reduce pressure injury risk A nurse is discussing the nursing process a newly licensed nurse. Which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the planning step of the nursing process? - "I will determine the most important client problems that we should address." A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client, "I will call the surgeon and ask for a change in diet." The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking? - Basic A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that the client is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate? - Responsibility A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take? (Select all that apply.) - -Find a mentor. -Use a journal to write about the outcomes of clinical judgments. -Review articles about evidence-based practice. 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