ATI Professional Nursing Practice Guide 2024/2025

Both nurses are discussing nursing school programs. Which of the following is a characteristic of a profession that is accomplished by schools of nursing? a. Providing standardized content b. Providing NCLEX- RN® preparation courses c. Offering multiple programs to become a nurse - ANSWERSa. Providing standardized content Both nurses are discussing nursing as a profession. Which of the following is an appropriate statement for a nurse to make? a. "Nursing as a profession is the art and science of healing." b. "Nursing as a profession is accountable for the effective use of medications." c. "Nursing as a profession has a social contract between nursing and society." - ANSWERS"Nursing as a profession has a social contract between nursing and society." Which of the following professional associations advances the nursing profession by creating high standards for nursing practice? a. American Nurses Association b. National League for Nursing c. American Association of Colleges of Nursing - ANSWERSAmerican Nurses Association Which of the following are characteristics exhibited by a professional? (Select all that apply) a. Technical competence b. Self-centeredness c. Concerns for others d. Interpersonal skills e. Ethnocentrism - ANSWERSTechnical Competence, Concerns for others, Interpersonal skills Which of the following provisions in the ANA resource Code of Ethics for Nurses with Interpretative Statements describes the duty of nurses to develop collaborative solutions to broad health issues? a. Provision 4 b. Provision 6 c. Provision - ANSWERSProvision Which of the following tenets in the ANA resource Scope and Standards of Practice describes the use of evidence-based knowledge in the provision of nursing care? a. Tenet 2 b. Tenet 4 c. Tenet 5 - ANSWERSTenet 4 Which of the following resources provides guidance on the legal responsibilities of nurses to clients and society? a. Nursing's Social Policy Statement b. Code of Ethics for Nurses c. Scope and Standards of Practice - ANSWERSCode of Ethics for Nurses Which of the following professional organizations provides specific guidance to licensed practical nurses? a. IPNRC b. NAPNES c. AACN - ANSWERSNAPNES What are the formal expectations of the nursing profession first learned? a. Working as a new nurse in a health care facility b. Through classroom and clinical experiences in nursing school During a relationship with an informal mentor - ANSWERSThrough classroom and clinical experiences in nursing school Which of the following is responsible for authorizing the practice of nursing? a. State board of nursing b. NCLEX c. American Nurses Association - ANSWERSState board of nursing A nurse who displays a selfless concern for others is exhibiting which of the following? a. Accountability b. Altruism Responsibility - ANSWERSAltruism Which of the following is one of the foundations of the nursing profession? a. Personal morals b. Professional identity c. Professional Values - ANSWERSProfessional Values Which of the following actions demonstrates the professional concept of assertiveness? a. Boldly sharing conflicting ideas b. Using a team-based approach c. Feelings of strong self-esteem - ANSWERSBoldly sharing conflicting ideas A nurse is acting as a preceptor for a student studying the concept of autonomy. The nurse confirms the student's clear understanding of autonomy when the student describes it as which of the following? a. Critical thinking b. Team collaboration c. Individual choice - ANSWERSIndividual Choice Which of the following relates to the concept of caring in professional nursing? a. Straying from current values b. Promoting role excellence c. Reflecting historical evidence - ANSWERSPromoting role excellence Which of the following can threaten professional integrity? (Select all that apply) a. Anxiety b. Beneficence c. Fast-paced environment d. Substance abuse Assertiveness - ANSWERSAnxiety, Fast-paced environment, Substance abuse A nurse is compiling an orientation handout related to accountability and responsibility. Which of the following should the nurse use to describe responsibilities a. An internal obligation to others b. Duty to report quality of work c. Basic care needs of clients - ANSWERSBasic care needs of clients A nurse is reviewing information related to balancing autonomy with boundaries. Which of the following phrases should the nurse expect to find related to the concept of boundaries? a. Allow for increased flexibility in caregiving b. Impede design and delivery of safe care c. Guided by state nurse practice acts - ANSWERSGuided by state nurse practice acts A nurse educator is describing positive peer-to-peer interactions during a staff meeting. Which of the following should he use to accurately describe coaching? a. Helps overall care delivery b. Has a designed time frame c. Outlines clear initial goals. - ANSWERSHelps overall care delivery 1. The inclusion of autonomy in the provision of the client care incorporates which of the following traits? (Select all that apply) a. Decision making b. Sympathy c. Flexibility d. Prioritization e. Affirmation - ANSWERSDecision making, Flexibility, Prioritization Which of the following situations is an example of horizontal violence? a. A nurse blames a peer for her error b. A provider openly scorns a charge nurse c. An assistive personnel is belittled by a nurse manager - ANSWERSA nurse blames a peer for her error A nurse manager is developing an evaluation form for employees. Which of the following descriptions should be used to measure integrity? a. Utilizes good decision-making b. Performs wound care successfully c. Follows standards and protocols - ANSWERSFollows standards and protocols Which of the following professional associations established the code of ethics, Social Policy Statement, and Scope of Standards of Practice? a. American Association of Colleges of Nursing b. American Nurses Association c. National League for Nursing - ANSWERSAmerican association of colleges of nursing A nurse is telling the truth, keeping promises, and doing no harm while caring for a client who is experiencing conflict with his family. Which of the following is the nurse demonstrating? a. Honoring client autonomy b. Primary commitment to the client c. Accountability for professional practice - ANSWERSPrimary commitment to the client In what role does a nurse assess resources, strengths and weaknesses, coping behaviors, and the environment to help the client regain health to a maximum level of independent functioning? a. Client advocate b. Collaborator c. Care provider - ANSWERSCare provider Which of the following makes it acceptable to report confidential information if abuse, neglect, or exploitation is suspected? a. Patient Self-Determination Act b. Health Insurance Portability and Accountability Act c. Americans with Disabilities Act - ANSWERSHealth Insurance Portability and Accountability Act A nurse acting to accomplish goals in an efficient manner with other people is fulfilling which of the following roles? a. Change agent b. Manager c. Educator - ANSWERSManager When obtaining written consent for a procedure to be performed by someone else, the nurse's signature confirms which of the following? (Select all that apply) a. The client appears competent to agree to the procedure b. The client understands the risks of the procedure c. The client has been notified of alternatives to the procedure d. The client consents voluntarily to the procedure e. The family supports the client's decision to have the procedure - ANSWERSThe client appears competent to agree to the procedure, The client consents voluntarily to the procedure Participation in health policy development and the political process is a significant part of which of the following nursing roles? a. Manager b. Collaborator c. Advocate - ANSWERSAdvocate Which of the following actions represents the professional value of altruism? a. A nurse mentoring a colleague in professional growth b. A nurse respecting a client's decision to refuse treatment c. A nurse encouraging a clinic to treat a homeless man who is unable to pay for his care. - ANSWERSA nurse mentoring a colleague in professional growth Which of the following defines nursing's scope of practice in each state? a. Nurse Practice Acts b. American Nursing Association c. Department of Health and Human Services - ANSWERSNurse practice acts Which of the following is an example of an unintentional tort? a. False imprisonment b. Battery c. Negligence - ANSWERSNegligence Which of the following is a characteristic of a mentor? a. Formally assigned by the nurse manager b. Assists protégé in professional development c. Orients new graduates to a specific work environment - ANSWERSAssists protege in professional development A nurse is working as a member of an interprofessional team. Which of the following actions should the nurse take? a. Plan client care on the nursing perspective b. Separates client goals by discipline c. Use assertive communication - ANSWERSUse assertive communication According to Patricia Benner, a novice nurse demonstrates which of the following behavior? a. Intuition b. Improved decision-making c. Inflexibility - ANSWERSInflexibility Which of the following is a component biculturalism? a. Following a single value system b. Evaluation of personal values c. Development of professional identity - ANSWERSEvaluation of personal values Which of the following is a characteristic associated with Kramer's honeymoon phase of reality? a. Complacency b. Excitement c. Fear - ANSWERSExcitement A nurse is engaged as a mentor for a new graduate nurse. Which of the following actions by the mentor is characteristic of the role of a coach? a. Provides support on personal issues b. Expands the protégé's network of contacts c. Shares ideas and provides feedback - ANSWERSShares ideas and provides feedback Which of the following will assist the new graduate nurse with the development of knowledge and skills necessary for the nursing role? a. Mentor b. Collaborator c. Preceptor - ANSWERSPreceptor Which of the following is an evidence-based documentation tool for effective communication between health care professionals? a. Core measures b. Charting by exception c. Clinical pathway - ANSWERSClinical Pathway According to Patricia Benner, which of the following is a characteristic of the advanced beginner nurse? (select all that apply) a. Anticipates outcomes based on experience b. Provides efficient and organized care c. Performs at an acceptable level d. Exhibits high level of proficiency e. Bases actions on principles and experience - ANSWERSPerforms at an acceptable level, Bases actions on principles and experience A mentor is assisting a new graduate nurse develop strategies to transition successfully from student to professional nurse. The mentor should intervene if the new nurse incorporates which of the following strategies? a. Evaluates growth by comparing progress with peers b. Actively participates in professional nursing association activities c. Utilizes resources available through the employing facility. - ANSWERSEvaluates growth by comparing progress with peers A nurse manager is discussing the role of the state nurse practice act with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. "Our state's nurse practice act identifies the topics covered on the NCLEX examination." b. "Our state's nurse practice act identifies our profession's scope of practice." c. "Our state's nurse practice act identifies actions that result in disciplinary action." - ANSWERS"Our state's nurse practice act identifies the topics covered on the NCLEX examination." Nurses in a hospital unit are discussing the principles of quality improvement in client care. Which of the following statements by a nurse indicates need for further teaching? a. Risk managers are responsible for completing an incident report when a sentinel event occurs b. Nurse managers use incident reports to improve client care c. The nurse should complete an incident report for a near miss - ANSWERSRisk managers are responsible for completing an incident report when a sentinel event occurs A nurse is talking to a client who expresses frustration regarding her scheduled care. Which of the following actions by the nurse promotes client autonomy? a. Telling the client to rest before performing morning procedure b. Asking the client to choose the order of care activities c. Setting up the client's bath supplies for later use - ANSWERSAsking the client to choose the order of care activities A nurse is caring for a client who is postoperative. Which of the following actions by the nurse demonstrates the professional characteristic of autonomy? a. Making a decision about when to administer PRN pain medication b. Reviewing the client's laboratory data prior to contacting the provider c. Verifying the completion of delegated vital signs - ANSWERSMaking a decision about when to administer PRN pain medication A nurse manager is meeting with staff nurses to discuss evidence-based practice. The nurse manager should inform the staff nurses that evidence-based practice a. Serves as a catalyst to improve the quality of care b. Is less reliable than intuition to quality of care c. Allows for a universal approach to quality care - ANSWERSServes as a catalyst to improve the quality of care A staff nurse volunteers to be a preceptor for nursing students during their clinical rotation. Which of the following professional values is the staff nurse demonstrating? a. Integrity b. Altruism c. Social Justice - ANSWERSAltruism A nurse is facing charges of professional negligence. Which of the following professional nursing organizations provides resources to demonstrate whether she met the standard of practice? a. National League for Nursing (NLN) b. American Nurses Association (ANA) c. American Nurses Foundation (ANF) - ANSWERSAmerican Nurses Association (ANA) A nurse is caring for a client who is from a culture different from her own. When listening to the client reminisce, the nurse is promoting which of the following? a. Accountability b. Stewardship c. Dignity - ANSWERSDignity A nurse working on a medical-surgical unit is discussing the roles of the interprofessional team with the charge nurse. Which of the following observations by the nurse indicates the essential skills of the interprofessional team? a. I can see that various health care professionals are able to share their thoughts regarding planning client care. b. I can see that various health care professionals are working independently when planning care for clients. c. I can see that various health care professionals are using personal experience to plan client care - ANSWERSI can see that various health care professionals are able to share their thoughts regarding planning client care. A nurse manager is reviewing the codes of ethics for nurses. Which of the following professional organizations provides specific guidance to licensed practical nurses? a. NAPNES b. AWHONN c. AACN - ANSWERSNAPNES A charge nurse is assisting a staff nurse to perform a new procedure. When the staff nurse is attempting the new procedure, he becomes frustrated and raises his voice at the charge nurse in front of the client. Which of the following actions by the staff nurse is appropriate? a. Completing the task and leaving the room b. Apologizing to the charge nurse and client c. Noting the incident in the client's medical record - ANSWERSApologizing to the charge nurse and client Following change of shift report, a nurse manager suspects that the oncoming nurse is under the influence of a chemical substance. Which of the following actions should the nurse manager take? a. Provide personal counseling to address the nurse's substance use. b. Arrange transportation for the staff nurse to go home c. Schedule a meeting with the nurse within 72 hrs. - ANSWERSArrange transportation for the staff nurse to go home A nurse is working with an interdisciplinary team to change departmental policy. Which of the following roles is the nurse demonstrating? a. Collaborator b. Provider of care c. Educator - ANSWERSCollaborator A newly licensed nurse confides in her mentor that she is feeling overwhelmed, and she is glad responsibility of her actions extend only to herself and her clients. Which of the following statements by the mentor is the most accurate response? a. As a nurse, responsibility for your actions also extends to your peers and society. b. I felt the same way as a new nurse, it is good we have a code of ethics to guide our practice. c. It is your responsibility to follow our professional guidelines to protect yourself and your client. - ANSWERSAs a nurse, responsibility for your actions also extends to your peers and society. A nurse is writing an article for his hospital's newspaper. Which of the following is an example of plagiarism? a. Applying quotation marks when using an author's statement word for word. b. Referencing an author whose work he is paraphrasing c. Reusing content from an article he previously wrote - ANSWERSReusing content from an article he previously wrote A nurse is advocating implementation of a healthy school lunch program at the local middle school. Which of the following actions should the nurse take first to influence health policy development at the local level. a. Promote dietary change for students at the parent teacher association meeting b. Campaign for a school board candidate who supports healthy school lunches c. Conduct height and weight screening of the students. - ANSWERSConduct height and weight screening of the students. A nurse is delegating client care to an assistive personnel (AP) and instructs the AP to provide morning care to a client who has left-sided weakness. Which of the following rights should the AP clarify with the nurse? a. The right person b. The right direction c. The right task - ANSWERSThe right direction A nurse is responsible for mentoring a newly licensed nurse. Which of the following actions by the nurse would be considered part of the role of mentor? a. Assigning the mentee client care tasks to complete on his own. b. Accompanying the mentee to a professional nursing organization meeting c. Independently performing a procedure that is unfamiliar to the mentee. - ANSWERSAccompanying the mentee to a professional nursing organization meeting A home health nurse is invited to dinner by a client's family on his day off. Which of the following actions by the nurse indicates understanding of his professional role? a. The nurse accepts the invitation but avoids future social interactions with the client. b. The nurse declines the invitation but explains that he will accept closer to discharge from home health. c. The nurse declines the invitation for dinner but offers to extend the length of each home visit. - ANSWERSThe nurse declines the invitation for dinner but offers to extend the length of each home visit. A newly licensed nurse asks his nurse mentor why he chose nursing as a career. The nurse mentor replies that he chose nursing because it is a profession, which is characterized by a. Reasonable work and reasonable compensation b. Responsibility ending with the shift c. Lifelong learning and autonomy - ANSWERSLifelong learning and autonomy 1. A nurse on a medical-surgical unit is caring for a group of clients. The nurse demonstrates respect when he makes which of the following statements? a. I will tell the provider to speak with your husband about your condition b. I hear people of your culture prefer kosher food. c. Do you want your family to be present during your session with the speech therapist - ANSWERSDo you want your family to be present during your session with the speech therapist A group of nurse managers is developing a hospital wide plan for orienting newly licensed nurses to the facility. Which of the following statements by a new member of the management team indicates a need for further education regarding orientation? a. I should provide a brief orientation to allow for independent work right away b. I will offer a residency program to ease transition to practice c. I should assign a mentor to the newly licensed nurse - ANSWERSI should provide a brief orientation to allow for independent work right away A nurse manager is discussing the concept of dishonesty with nurses on the unit. Which of the following statements by a nurse indicates a need for further teaching? a. Dishonesty is administering a medication at 1100 but charting that it was administered at 1000. b. Dishonesty is giving preferential treatment to one client over another. c. Dishonesty is withholding a diagnosis from a client at the family's request. - ANSWERSDishonesty is giving preferential treatment to one client over another. A newly licensed nurse is experiencing a reality shock. Which of the following statements indicates the nurse is in the recovery stage? a. I now have the time management skills I need to care for all my clients b. I am happy with my decision to choose nursing as a profession. c. I am less nervous than before in my ability to administer medication. - ANSWERSI am less nervous than before in my ability to administer medication. A nurse manager is discussing integrity with the nurses on the unit. Which of the following promotes professional integrity? a. Monthly staff social gatherings b. Rotating unit assignments c. Streamlined error reporting system - ANSWERSStreamlined error reporting system A nurse manager observes a staff nurse removing a used narcotic syringe from the sharp's disposal container. Which of the following actions should the nurse manager take first? a. Create a disciplinary contract with the staff nurse b. Confront the staff nurse c. Collect Information about the staff nurse's performance. - ANSWERSCollect Information about the staff nurse's performance. A nurse on a medical-surgical unit is caring for a group of clients. The nurse demonstrates autonomy when he performs which of the following actions? a. Obtains a client's signature for informed consent b. Measures the calf circumference of a client who reports unrelieved leg pain c. Administers a scheduled PO dose of levothyroxine (Synthroid) before breakfast - ANSWERSMeasures the calf circumference of a client who reports unrelieved leg pain A newly licensed nurse has been practicing in acute care for six months. Which of the following is the most essential for the nurse to achieve prior to assuming key nursing roles? a. Becoming a change agent b. Recognizing professional identity c. Performing competent client care - ANSWERSRecognizing professional identity A newly licensed nurse is being bullied by an experienced nurse. Which of the following actions should the newly licensed nurse take? a. Discuss the situation with the nurse manager b. Identify whether other nurses have experienced similar behaviors c. Request to speak to the experienced nurse in private - ANSWERSDiscuss the situation with the nurse manager A nurse manager just hired several newly licensed nurses. When explaining to the unit staff what to expect from these nurses, he should state that newly licensed nurses a. Provide efficient, organize care b. Grasp the clinical situation intuitively c. Apply general rules to all situations - ANSWERSApply general rules to all situations A nurse is reviewing the practice act in his state. Which of the following is a function of a nurse practice act? a. Identifies the requirements for licensure b. Provides certification for specialty practice c. Regulates nursing student practice - ANSWERSIdentifies the requirements for licensure A newly licensed nurse confides in his preceptor that nursing is more stressful than he expected and that he is feeling anxious about providing safe care. Which of the following statements by the preceptor is an appropriate response? a. Use your breaks as an opportunity to read over safety policies b. It is important for you to feel comfortable to ask questions when you need to c. Make the most time-consuming care your priority - ANSWERSIt is important for you to feel comfortable to ask questions when you need to After having worked on an inpatient hospital unit for a month, a newly licensed nurse tells the nurse manager that she is not sure she can do the job anymore due to stress and a feeling of incompetence. Which of the following statements by the nurse manager is an appropriate response? a. Feeling of incompetence can indicate that you were unprepared for the transition to the practice setting b. It sounds like you may be experiencing burnout. You may benefit by transferring to another unit. c. You may be experiencing reality shock. We can discuss ways to reduce stress. - ANSWERSYou may be experiencing reality shock. We can discuss ways to reduce stress. A nurse is caring for a client recently diagnosed with cancer. The client expresses fears about her future. Which of the following actions by the nurse demonstrates compassion? a. The nurse advises the client to tell her family about the diagnosis b. The nurse reassures the client that treatment options will lead to a positive outcome c. The nurse encourages the client to talk about her concerns - ANSWERSThe nurse encourages the client to talk about her concerns A staff nurse is compiling evidence on ventilator-associated pneumonia, which will be used to revise the hospital's policy and procedure for care of clients on ventilators. The nurse is acting in which of the following roles? a. Researcher b. Provider of care c. Client advocate - ANSWERSResearcher A nurse is assigned to care for a client who is receiving a continuous IV infusion of insulin. The nurse does not possess the skills to care for the client and request that the charge nurse change her assignment. Which of the following statements by the nurse demonstrates assertiveness? a. I don't feel confident managing the client on my own b. You need to assign clients to me according to my skill level c. I'll still care for this client if you think I should. - ANSWERSdon't feel confident managing the client on my own A newly licensed nurse is working on an acute care unit. Which of the following actions demonstrates the nurse's transition from novice to advanced beginner? a. Seeking assistance when performing a client procedure b. Contacting the provider after noting a clients abnormal laboratory results c. Recommending a revision to the fall prevention policy. - ANSWERSContacting the provider after noting a clients abnormal laboratory results A nurse manager is discussing the nurse practice act with staff. Which of the following should the nurse manager identify as the most important function of this act? a. Defines the power of the state board of nursing b. Defines nursing practice to protect the public c. Defines the requirement for licensure - ANSWERSDefines nursing practice to protect the public A nurse orienting a newly licensed nurse is discussing integrity and morals. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. I should provide fair and equal treatment to my clients b. I should consider an individual rights and beliefs c. I should withhold health information that will cause my client's stress - ANSWERSI should withhold health information that will cause my client's stress A charge nurse discovers a staff nurse is chemically dependent on opioid analgesics. Which of the following is the most serious outcome if the staff nurse continues to care for clients in a chemically dependent state? a. Compromised client trust b. Omissions in client care c. Loss of respect from peers - ANSWERSOmissions in client care A nurse manager is conducting a teaching session on professional behaviors in nursing. Which of the following is an example of assertive behavior? a. A nurse seeks opinions of her peers in the decision-making process b. A nurse feels her assignment is unfair but continues to work without complaint c. A nurse who experiences a conflict with a coworker expresses her concern with other nurses on the unit. - ANSWERSA nurse seeks opinions of her peers in the decision-making process A nurse is working in an intensive care unit. In which of the following examples is the nurse acting as a change agent? a. Suggesting ways to improve the visitor check-in policy b. Providing advice to a client who is newly diagnosed with lung cancer c. Precepting a newly licensed nurse about medication administration - ANSWERSSuggesting ways to improve the visitor check-in policy A nurse is pursuing a chemotherapy certification. Which of the following is an advantage of receiving certification? a. Providing formal instruction to peers about chemotherapy administration b. Maintaining knowledge of current practice in chemotherapy administration c. Gaining self-satisfaction in learning about chemotherapy administration - ANSWERSMaintaining knowledge of current practice in chemotherapy administration A staff nurse suggests that her mentee practice asking self-reflecting questions. Which of the following questions by the mentee to herself indicates a need for further teaching? a. How do my values about life affect my care of others b. How do I feel about caring for a client of a different culture c. How do I discuss end-of-life with a client's family - ANSWERSHow do I discuss end-of-life with a client's family A nurse manager is discussing a need for change in the plan of care for clients with a staff nurse. Which of the following statements identifies the staff nurse as a change agent?