Ati fundamentals exam| Over 280 Multiple Choice
Questions And Answers With Rationale, Updated
2024| Complete Solution 100%
Ch. 1) 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.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers
A, B, D
Rationale: A. Restorative health care involves immediate follow up care for restoring
health and prolonged self-care home healthcare is a type of restorative healthcare
B. Rehabilitation facilities are a type of restorative health care
D. Skilled nursing facilities are a type of restorative healthcare
Ch. 1) A nurse is explaining the various types of health clients might have to a
group care coverage 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
B, E
Rationale: Medicare and Medicaid are federally funded.
PPOs, Long-term care insurance and EPOs are privately funded
Ch. 1) 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?
A. Collaborating with providers to perform obesity screenings during routine
office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients
who have obesity
C. Providing specialized intraoperative training in surgical treatments for obesity
D. Educating acute care nurses about postoperative complications related to
obesity
A
Rationale: identify obesity screenings at office visit as an example of primary
healthcare. primary healthcare emphasizes health promotion and disease control, is
often delivered during office visit, and includes screenings.
,Ch. 1) 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
B
Rationale: identify that state licensing boards are responsible for ensuring that
healthcare providers and agencies comply with state regulations.
Ch. 1) 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? (Select all that apply)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care
A, B, C
Rationale: tertiary healthcare involves the provision of specialized and highly technical
care (icu, oncology treatment center, and burn centers)
Ch. 2) 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 states, "I do not understand how to use a nebulizer."
A, B, D
Rationale:
A. initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a patient
B. Initiate a referral for a social worker to provide information and assistance in
coordinating care for community resources available for clients
D. Initiate a referral for a social worker to assist the client in obtaining medical
equipment for use after discharge
Ch. 2) 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?
A. Social worker
B. Certified nursing assistant
,C. Registered dietitian
D. Occupational therapist
D
Rationale: an occupational therapist can assist clients who have physical challenges to
use adaptive devices and strategies to help with self-care activities
Ch. 2) 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
A, C, D
Rationale:
A. The provider must be knowledgeable about any medication prescribed for the client
including its actions, effects, and interactions
C. A pharmacist must be knowledgeable about any medication dispensed for the client,
including its actions, effects, and interactions.
D. A registered nurse must be knowledgeable about any medication administered,
including its actions, effects, and interactions.
Ch. 2) 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?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist
D
Rationale: A speech language pathologist can initiate specific therapy for clients who
have difficulty with feeding due to swallowing difficulties
Ch. 2) 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.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs
, A, B, C, E
Rationale: it is within the range of function for a CNA to provide basic care to patients
(bathing, assisting with ambulation, assisting with toileting, measuring and recording
vital signs)
Ch. 4) 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?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
A
Rationale: by threatening the client, the AP is committing a salt. The AP's threats could
make the client become fearful and apprehensive.
Ch. 4) 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?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
B
Rationale: administering a medication as a chemical restraint to keep the client from
leaving the facility against medical advice is false imprisonment, because the client
neither requested nor consented to receiving the sedative.
Ch. 4) 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?
A. "I'd rather have my brother make decisions for me, but I know it has to be my
wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the
hospital."
C
Rationale: The patient has the right to decide and specify which medical procedures he
wants when a life-threatening situation arises.
Questions And Answers With Rationale, Updated
2024| Complete Solution 100%
Ch. 1) 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.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers
A, B, D
Rationale: A. Restorative health care involves immediate follow up care for restoring
health and prolonged self-care home healthcare is a type of restorative healthcare
B. Rehabilitation facilities are a type of restorative health care
D. Skilled nursing facilities are a type of restorative healthcare
Ch. 1) A nurse is explaining the various types of health clients might have to a
group care coverage 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
B, E
Rationale: Medicare and Medicaid are federally funded.
PPOs, Long-term care insurance and EPOs are privately funded
Ch. 1) 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?
A. Collaborating with providers to perform obesity screenings during routine
office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients
who have obesity
C. Providing specialized intraoperative training in surgical treatments for obesity
D. Educating acute care nurses about postoperative complications related to
obesity
A
Rationale: identify obesity screenings at office visit as an example of primary
healthcare. primary healthcare emphasizes health promotion and disease control, is
often delivered during office visit, and includes screenings.
,Ch. 1) 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
B
Rationale: identify that state licensing boards are responsible for ensuring that
healthcare providers and agencies comply with state regulations.
Ch. 1) 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? (Select all that apply)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care
A, B, C
Rationale: tertiary healthcare involves the provision of specialized and highly technical
care (icu, oncology treatment center, and burn centers)
Ch. 2) 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 states, "I do not understand how to use a nebulizer."
A, B, D
Rationale:
A. initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a patient
B. Initiate a referral for a social worker to provide information and assistance in
coordinating care for community resources available for clients
D. Initiate a referral for a social worker to assist the client in obtaining medical
equipment for use after discharge
Ch. 2) 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?
A. Social worker
B. Certified nursing assistant
,C. Registered dietitian
D. Occupational therapist
D
Rationale: an occupational therapist can assist clients who have physical challenges to
use adaptive devices and strategies to help with self-care activities
Ch. 2) 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
A, C, D
Rationale:
A. The provider must be knowledgeable about any medication prescribed for the client
including its actions, effects, and interactions
C. A pharmacist must be knowledgeable about any medication dispensed for the client,
including its actions, effects, and interactions.
D. A registered nurse must be knowledgeable about any medication administered,
including its actions, effects, and interactions.
Ch. 2) 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?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist
D
Rationale: A speech language pathologist can initiate specific therapy for clients who
have difficulty with feeding due to swallowing difficulties
Ch. 2) 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.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs
, A, B, C, E
Rationale: it is within the range of function for a CNA to provide basic care to patients
(bathing, assisting with ambulation, assisting with toileting, measuring and recording
vital signs)
Ch. 4) 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?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
A
Rationale: by threatening the client, the AP is committing a salt. The AP's threats could
make the client become fearful and apprehensive.
Ch. 4) 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?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
B
Rationale: administering a medication as a chemical restraint to keep the client from
leaving the facility against medical advice is false imprisonment, because the client
neither requested nor consented to receiving the sedative.
Ch. 4) 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?
A. "I'd rather have my brother make decisions for me, but I know it has to be my
wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the
hospital."
C
Rationale: The patient has the right to decide and specify which medical procedures he
wants when a life-threatening situation arises.
