ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
A novice nurse notices the medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. The novice nurse speaks to the nurse manager about her observations and describes her concerns. The novice nurse has assumed the role of:
Correct Answer: C
Rationale: Correct Answer: C - Change agent Rationale: 1. A change agent is someone who identifies issues or concerns and takes action to implement positive changes. 2. In this scenario, the novice nurse recognized a potential problem with medication administration and spoke to the nurse manager to address it. 3. By seeking to improve medication safety practices, the novice nurse is actively working towards positive change within the healthcare setting. 4. The other choices are incorrect: - A "loner" implies someone who prefers to work alone, which is not relevant to the situation. - "Rutter" and "native" are not recognized terms in this context and do not apply to the nurse's actions.
Question 2 of 5
As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?
Correct Answer: D
Rationale: The correct answer is D because as a patient approaches death, the focus of palliative care shifts towards providing comfort and symptom management to improve their quality of life. Identifying and addressing the patient's comfort needs becomes crucial in ensuring a peaceful and dignified end-of-life experience. A: While discussing spiritual needs can be important, the primary focus shifts towards physical comfort in the final stages of life. B: Educating the patient about physical changes is important, but it may not be the priority as the focus shifts towards comfort care. C: Advance care planning is essential but may have already been addressed before the patient reaches the impending death stage.
Question 3 of 5
When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
Correct Answer: A
Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.
Question 4 of 5
The length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is based on the:
Correct Answer: B
Rationale: The correct answer is B because the length of the NCLEX-RN exam is based on the location of testing. This is because different testing centers may have varying procedures, schedules, and regulations that can affect the overall length of the exam. The length is standardized by location to ensure fairness and consistency for all candidates. Incorrect Answers: A: The last four numbers of the candidate's social security number have no relevance to the length of the exam. C: The candidate's educational preparation may impact their readiness for the exam but does not determine the length of the exam. D: The performance of the candidate is assessed during the exam and does not determine the initial length of the exam.
Question 5 of 5
Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance. Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits. This pictorial representation is:
Correct Answer: B
Rationale: The correct answer is B: control chart. A control chart is used to display data over time and indicate variations within set limits, making it ideal for monitoring compliance with a standard like "All patients will be assessed by an RN within 2 hours of admission." The control chart allows for easy identification of trends, shifts, or patterns that may indicate a need for corrective action to maintain the 97% compliance goal. A: Pareto chart is used to identify the most significant factors contributing to a problem, not to monitor compliance over time. C: Deployment chart is not a standard tool in quality control or process monitoring. D: A top-down flowchart is used to depict the sequence of steps in a process, not to monitor compliance with a standard over time.
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