ATI FUNDAMENTALS CONTENT MASTERY SERIES
QUESTIONS - EXAM 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 - Answers-B
Ensuring that health care providers comply with regulations
State licensing boards are responsible for ensuring that health care providers and
agencies comply with state regulations.
A. Review committees responsible
C. The Joint Commission
D. The U.S. Food and Drug Administration
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 - Answers-A, B, C
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, 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.
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
,E. Oncology centers - Answers-A, B, D
Restorative health care involves intermediate follow-up care for restoring health and
promoting self-care. Home health care, rehabilitation facilities, and skilled nursing
facilities are types of restorative health care.
C, E
Diagnostic centers
Secondary health care includes the diagnosis and treatment of acute injury or illness.
Diagnostic centers are a type of secondary health care.
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 - Answers-D. Occupational therapist
The nurse should identify that an occupational therapist can assist clients who have
physical challenges to use adaptive devices and strategies to help with self-care
activities. A certified nursing assistant can help the client with feeding but does not
typically procure adaptive devices for the client.
A. A social worker can coordinate community services to help the client, but not
specifically with self-feeding devices.
B. A certified nursing assistant can help the client with feeding but does not typically
procure adaptive devices for the client.
C. A registered dietitian can help with educating the client about meeting nutritional
needs but cannot help with the client's physical limitations.
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." - Answers-A, B, D
The nurse should initiate a referral for a social worker to provide information and
assistance in coordinating hospice care for a client, care for community resources
available for clients, and to assist the client in obtaining medical equipment for use after
discharge
,C The nurse should initiate a referral for spiritual support staff if a client requests
specific religious sacraments or prayers.
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.
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 - Answers-B, E
PPO, Long-term care insurance, EPO are all privately funded
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 -
Answers-A. Obesity screenings at office visits is an example of primary health care.
Primary health care emphasizes health promotion and disease control, is often
delivered during office visits, and includes screenings.
B. REHAB - Restorative Care
C. SPECIALIZED - Tertiary Care
D. ACUTE - Secondary Care
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 - Answers-A, C, D
, The provider, pharmacist, and RN 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.
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.
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?
Select all that apply.
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist
E. Physical therapist - Answers-C, D
The nurse should identify that a speech-language pathologist and an occupational
therapist can initiate specific therapy for clients who have difficulty with feeding due to
swallowing difficulties.
A. A social worker can coordinate community services to help the client, but not
specifically with dysphagia.
B. A certified nursing assistant can help the client with feeding but cannot assess and
treat dysphagia.
E. A physical therapist can assist clients who have motor challenges to improve abilities
with self-care and work but cannot assess and treat dysphagia.
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 - Answers-A, B, C, E
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.