ATI FUNDAMENTALS EXAM STUDY
GUIDE QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
nursing personnel - ✔✔RNs, LPNs, Unlicensed assistive personnel (UAP), certified nursing
assistants (CNA), certified medical assistants (CMA), and non-nursing personnel such as dialysis
techs, monitor techs, and phlebotomists. They work together to advocate for and meet needs
of the clients within HC delivery system. RN is the lead member, soliciting input from all
nursing team members, setting priorities, sharing info with other disciplines, and coordinating
client care.
registered nurse (RN) - ✔✔Edu. Prep: must meet the state board of nursing's
requirements for licensure, requires completion of diploma prog, an associate degree, or
baccalaureate degree in nursing prior to taking the licensure exam.
Roles/Responsibilities: function legally under state nurse practice acts, perform assessments,
establish nursing diagnoses, goals, and interventions; and conduct ongoing client evaluations,
participate in developing interprofessional plans for client care, share appropriate info
among team members; initiate referrals for client assistance, including health edu; and
identify community resources.
licensed practical nurse (LPN) - ✔✔Edu. Prep: must meet the state board of nursing's
requirements, requires vocational or community college education prior to taking the
licensure exam.
Roles/Responsibilities: work under the supervision of RN, collaborate within the nursing
process, coordinate the plan of care, consult with other team members, and recognize the
needs for referrals to assist with actual or potential problems, possess technical knowledge
and skills, and participate in delivery of nursing care, using the nursing process as framework.
unlicensed and licensed assistive personnel - ✔✔Edu. Prep: must meet the state's formal
or informal training requirements. requirement by most states for training and examination to
attain CNA status.
,Roles/Responsibilities: work under the direct supervision of an RN or LPN. position description in
the employing facility outlines specific tasks. tasks may include feeding, preparing nutritional
supplements, lifting, basic care, measuring and recording vitals, and ambulating clients.
expanded nursing roles - ✔✔advanced practice nurse (APN), clinical nurse specialist (CNS),
nurse practitioner (NP), certified registered nurse anesthetist (CRNA), certified nurse-midwife
(CNM), nurse educator, nurse administrator, nurse researcher.
advanced practice nurse (APN) - ✔✔usually have a minimum of a master's degree in
nursing (or related field), advanced education in pharmacology and physical assessment, and
certification in a specialized area of practice including the following roles: CNS, NP, CRNA, and
CNM.
clinical nurse specialist (CNS) - ✔✔typically specializes in a practice setting or a clinical field.
nurse practitioner (NP) - ✔✔collaborates with one or more providers to
deliver nonemergency primary health care in a variety of settings.
certified registered nurse anesthetist (CRNA) - ✔✔administers anesthesia and provides
care during procedures under the supervision of an anesthesiologist.
certified nurse-midwife (CNM) - ✔✔collaborates with one or more providers to deliver
care to maternal-newborn clients and their families.
nurse educator - ✔✔teaches in schools of nursing, staff development departments in
health care facilities, or client education departments.
nurse administrator - ✔✔provides leadership to nursing departments within a health
care facility.
nurse researcher - ✔✔conducts research primarily to improve the quality of client care.
,ethics - ✔✔study of conduct and character.
morals - ✔✔values and beliefs that guide behavior and decision making.
ethical theory - ✔✔examines principles, ideas, systems, and philosophies that
affect judgements about what is right and wrong, and good and bad. Two common
types are utilitarianism and deontology.
ethical principles - ✔✔standards of what is right or wrong with regard to important
social values and norms. principles pertaining to the tx of clients include autonomy,
beneficence, fidelity, justice, and nonmaleficence.
autonomy - ✔✔the right to make one's own personal decisions, even when those
decisions might not be in that person's own best interest.
beneficence - ✔✔positive actions to help others.
fidelity - ✔✔agreement to keep promises
justice - ✔✔fairness in care delivery and use of resources.
nonmaleficence - ✔✔avoidance of harm or injury.
ethics committees - ✔✔generally address unusual or complex ethical issues.
ethical dilemmas - ✔✔problems that involve more than one choice and stem from
the different values and beliefs of the decision makers.
, problem as an ethical dilemma - ✔✔a review of scientific data is not enough to solve it. it
involves a conflict between two moral imperatives. the answer will have a profound effect on
the situation and the client.
ethical decision making - ✔✔a process that requires striking a balance between science and
morality. steps: 1. identify whether the issue is indeed an ethical dilemma. 2. state the ethical
dilemma, including all surrounding issues and individuals involved. 3. list and analyze all
possible options for resolving the dilemma, and review implications of each option. 4. select
the option that is in concert with the ethical principle that applies to this situation, the decision
maker's values and beliefs, and the profession's values for client care. 5. apply this decision
to the dilemma, and evaluate the outcomes.
basic principles of ethics - ✔✔advocacy, responsibility, accountability, and confidentiality.
advocacy - ✔✔support of client's health, safety, and personal rights.
responsibility - ✔✔willingness to respect obligations and follow through on promises.
accountability - ✔✔ability to answer for one's own actions.
confidentiality - ✔✔protection of privacy without diminishing access to high-quality care.
bioethics - ✔✔the field that addresses dilemmas that arise from advancing science
and technology.
nursing roles in ethical decision making - ✔✔1. an agent for the client facing an ethical
decision. ex. caring for an adolescent client who has to decide whether to undergo an abortion
even though her parents think its wrong, discussing options with a parent who has to decide
whether to consent to a blood transfusion for a child when his religion prohibits such tx.
2. a decision maker for health care delivery. ex. assigning staff nurses a higher client load
than recommended because administration has cut the number of nurses per shift,
GUIDE QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
nursing personnel - ✔✔RNs, LPNs, Unlicensed assistive personnel (UAP), certified nursing
assistants (CNA), certified medical assistants (CMA), and non-nursing personnel such as dialysis
techs, monitor techs, and phlebotomists. They work together to advocate for and meet needs
of the clients within HC delivery system. RN is the lead member, soliciting input from all
nursing team members, setting priorities, sharing info with other disciplines, and coordinating
client care.
registered nurse (RN) - ✔✔Edu. Prep: must meet the state board of nursing's
requirements for licensure, requires completion of diploma prog, an associate degree, or
baccalaureate degree in nursing prior to taking the licensure exam.
Roles/Responsibilities: function legally under state nurse practice acts, perform assessments,
establish nursing diagnoses, goals, and interventions; and conduct ongoing client evaluations,
participate in developing interprofessional plans for client care, share appropriate info
among team members; initiate referrals for client assistance, including health edu; and
identify community resources.
licensed practical nurse (LPN) - ✔✔Edu. Prep: must meet the state board of nursing's
requirements, requires vocational or community college education prior to taking the
licensure exam.
Roles/Responsibilities: work under the supervision of RN, collaborate within the nursing
process, coordinate the plan of care, consult with other team members, and recognize the
needs for referrals to assist with actual or potential problems, possess technical knowledge
and skills, and participate in delivery of nursing care, using the nursing process as framework.
unlicensed and licensed assistive personnel - ✔✔Edu. Prep: must meet the state's formal
or informal training requirements. requirement by most states for training and examination to
attain CNA status.
,Roles/Responsibilities: work under the direct supervision of an RN or LPN. position description in
the employing facility outlines specific tasks. tasks may include feeding, preparing nutritional
supplements, lifting, basic care, measuring and recording vitals, and ambulating clients.
expanded nursing roles - ✔✔advanced practice nurse (APN), clinical nurse specialist (CNS),
nurse practitioner (NP), certified registered nurse anesthetist (CRNA), certified nurse-midwife
(CNM), nurse educator, nurse administrator, nurse researcher.
advanced practice nurse (APN) - ✔✔usually have a minimum of a master's degree in
nursing (or related field), advanced education in pharmacology and physical assessment, and
certification in a specialized area of practice including the following roles: CNS, NP, CRNA, and
CNM.
clinical nurse specialist (CNS) - ✔✔typically specializes in a practice setting or a clinical field.
nurse practitioner (NP) - ✔✔collaborates with one or more providers to
deliver nonemergency primary health care in a variety of settings.
certified registered nurse anesthetist (CRNA) - ✔✔administers anesthesia and provides
care during procedures under the supervision of an anesthesiologist.
certified nurse-midwife (CNM) - ✔✔collaborates with one or more providers to deliver
care to maternal-newborn clients and their families.
nurse educator - ✔✔teaches in schools of nursing, staff development departments in
health care facilities, or client education departments.
nurse administrator - ✔✔provides leadership to nursing departments within a health
care facility.
nurse researcher - ✔✔conducts research primarily to improve the quality of client care.
,ethics - ✔✔study of conduct and character.
morals - ✔✔values and beliefs that guide behavior and decision making.
ethical theory - ✔✔examines principles, ideas, systems, and philosophies that
affect judgements about what is right and wrong, and good and bad. Two common
types are utilitarianism and deontology.
ethical principles - ✔✔standards of what is right or wrong with regard to important
social values and norms. principles pertaining to the tx of clients include autonomy,
beneficence, fidelity, justice, and nonmaleficence.
autonomy - ✔✔the right to make one's own personal decisions, even when those
decisions might not be in that person's own best interest.
beneficence - ✔✔positive actions to help others.
fidelity - ✔✔agreement to keep promises
justice - ✔✔fairness in care delivery and use of resources.
nonmaleficence - ✔✔avoidance of harm or injury.
ethics committees - ✔✔generally address unusual or complex ethical issues.
ethical dilemmas - ✔✔problems that involve more than one choice and stem from
the different values and beliefs of the decision makers.
, problem as an ethical dilemma - ✔✔a review of scientific data is not enough to solve it. it
involves a conflict between two moral imperatives. the answer will have a profound effect on
the situation and the client.
ethical decision making - ✔✔a process that requires striking a balance between science and
morality. steps: 1. identify whether the issue is indeed an ethical dilemma. 2. state the ethical
dilemma, including all surrounding issues and individuals involved. 3. list and analyze all
possible options for resolving the dilemma, and review implications of each option. 4. select
the option that is in concert with the ethical principle that applies to this situation, the decision
maker's values and beliefs, and the profession's values for client care. 5. apply this decision
to the dilemma, and evaluate the outcomes.
basic principles of ethics - ✔✔advocacy, responsibility, accountability, and confidentiality.
advocacy - ✔✔support of client's health, safety, and personal rights.
responsibility - ✔✔willingness to respect obligations and follow through on promises.
accountability - ✔✔ability to answer for one's own actions.
confidentiality - ✔✔protection of privacy without diminishing access to high-quality care.
bioethics - ✔✔the field that addresses dilemmas that arise from advancing science
and technology.
nursing roles in ethical decision making - ✔✔1. an agent for the client facing an ethical
decision. ex. caring for an adolescent client who has to decide whether to undergo an abortion
even though her parents think its wrong, discussing options with a parent who has to decide
whether to consent to a blood transfusion for a child when his religion prohibits such tx.
2. a decision maker for health care delivery. ex. assigning staff nurses a higher client load
than recommended because administration has cut the number of nurses per shift,
