ATI NUR250 Spring 2 Midpoint Assessment
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Free ATI NUR250 Spring 2 Midpoint Assessment Questions
A nurse manager at a public health clinic is working to expand diversity of the clinic's nursing staff. The manager knows that which of the following factors is a barrier to creating a diverse workforce?
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Distrust of the health care system
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Decrease in diverse populations
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Nurses of color are 8% of the national workforce
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Male nurses are less than 10% of the national workforce
Explanation
Correct Answer: A) Distrust of the health care system
Distrust of the healthcare system is a significant barrier to workforce diversity because it discourages individuals from underrepresented communities from pursuing careers in healthcare. Historical mistreatment, systemic inequities, and lack of cultural representation within healthcare institutions contribute to this distrust, reducing the pipeline of diverse candidates entering the nursing profession. Addressing this barrier requires intentional outreach, mentorship programs, and culturally inclusive educational environments to build trust and encourage diverse individuals to enter and remain in the healthcare workforce.
A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?
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A client who is postoperative and is reporting nausea
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A client who reports they have fallen while ambulating
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A client who reports their IV pump is beeping
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A client who is requesting a bedpan
Explanation
Correct Answer: B) A client who reports they have fallen while ambulating
A fall is an immediate safety emergency that requires the nurse's urgent response. The fallen client may have sustained injuries such as fractures, head trauma, or internal bleeding that require rapid assessment. Using the principles of prioritization — safety always comes first — a client who has fallen poses the greatest risk of serious harm and must be assessed immediately before attending to nausea, equipment alarms, or elimination needs.
A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (I-SBSR-R) on a client. Which of the following information should be included in the situation component?
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Provider notified of client's back pain
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Request prescription for opioid medication for pain relief
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Client is grimacing due to pain
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Client admitted with ruptured disc at L5
Explanation
Correct Answer: C) Client is grimacing due to pain
The situation component of the I-SBSR-R handoff communication format describes what is currently happening with the client — the present clinical status and immediate concern. A client grimacing due to pain is an observable, current finding that reflects the client's present condition. The admission diagnosis belongs in the background, notifying the provider belongs in the assessment/recommendation, and requesting a prescription belongs in the recommendation component.
A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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0.3 mL
Explanation
Using the standard drug calculation formula:
Desired dose ÷ Available concentration = Volume to administer
50 mg ÷ 200 mg/mL = 0.25 mL → rounded to the nearest tenth = 0.3 mL
The leading zero before the decimal point (0.3) is required as a safety standard in medication administration to prevent misreading the dose. Never write ".3" without the leading zero as it could be misread as "3," resulting in a tenfold dosing error.
A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the clients' situation?
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Safety
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Esteem
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Physiological
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Self-actualization
Explanation
Correct Answer: A) Safety
According to Maslow's hierarchy of needs, safety needs — which include shelter, security, and protection from environmental hazards — are the second tier, just above basic physiological needs. A couple who has just lost their home in a fire has lost their primary source of shelter and physical security. Since their immediate physiological needs (air, food, water) are presumably intact, the priority need identified in this situation is safety, as they no longer have a secure environment or stable housing.
A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?
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4 oz diet soda
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1 tsp sugar
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Graham crackers
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4 oz skim milk
Explanation
Correct Answer Is:
D) 4 oz skim milk
A blood glucose of 48 mg/dL confirms hypoglycemia, which requires immediate treatment using the "Rule of 15" — administering 15 grams of fast-acting carbohydrates and rechecking blood glucose in 15 minutes. Four ounces (120 mL) of skim milk provides approximately 15 grams of carbohydrates in a readily absorbable form. Diet soda contains no sugar and is ineffective for treating hypoglycemia. One teaspoon of sugar provides insufficient carbohydrates, and graham crackers contain fat and protein which slow glucose absorption, making them less ideal for rapid correction of hypoglycemia.
A nurse is teaching a class about reducing the risk of medication errors. Which of the following information should the nurse include?
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Prepare medications for multiple clients at the same time
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Wait to document medications given to clients until the end of a shift
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Provide the nurse administering medications with an identifying vest
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Remove medications from automatic dispensing systems before they are reviewed by pharmacists
Explanation
Correct Answer: C) Provide the nurse administering medications with an identifying vest
Providing nurses who are administering medications with an identifying vest is an evidence-based safety strategy designed to reduce interruptions and distractions during medication administration — one of the leading causes of medication errors. The vest signals to other staff and visitors that the nurse is performing a high-risk task requiring full concentration and should not be interrupted. Preparing medications for multiple clients simultaneously, delaying documentation, and bypassing pharmacist review all increase the risk of medication errors.
A nurse is caring for a client who has type 2 diabetes mellitus and reports blurred vision, numbness in feet, and has had a wound on the right leg for the last 2 months. The clinic nurse notes that the client's Hemoglobin A1C is 8.1%. Which of the following should the nurse include in the client's plan of care?
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"The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that you'll have to start taking insulin."
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"The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that your blood sugar level has had too many highs and lows."
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"The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that you have been exercising too much."
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"The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that your blood sugar level has been too high."
Explanation
Correct Answer: D) "The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that your blood sugar level has been too high."
An HbA1C of 8.1% exceeds the recommended target of less than 7%, indicating that the client's average blood glucose has been persistently elevated over the past 2–3 months. Chronic hyperglycemia damages blood vessels and nerves over time, leading to the classic complications of poorly controlled diabetes — diabetic retinopathy (blurred vision), peripheral neuropathy (numbness in feet), and impaired wound healing (non-healing leg wound). Clearly and accurately explaining this connection empowers the client to understand the direct consequences of uncontrolled blood sugar and motivates better self-management.
A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
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Notify the provider
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Document the client's condition in the electronic medical record
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Check the client's vital signs
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Fill out an incident report
Explanation
Correct Answer: C) Check the client's vital signs
Following a medication error, the nurse's immediate priority is to assess the client's current condition by checking vital signs. This allows the nurse to determine whether the client is experiencing any adverse effects from the wrong medication and establish a baseline for ongoing monitoring. Client safety always comes first — the nurse must assess before notifying the provider, as the provider will need current clinical data to determine next steps. Documentation and incident reporting follow after the client has been assessed and stabilized.
A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?
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"I will continue to check his blood sugar two times every day."
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"I will encourage her to drink half a cup of water or sugar-free fluids every 30 minutes."
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"I will notify the doctor if her temperature is not controlled with acetaminophen."
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"I will report a change in her breathing or any signs of confusion."
Explanation
Correct Answer: A) "I will continue to check his blood sugar two times every day."
During illness, blood glucose levels in a child with type 1 diabetes can fluctuate rapidly and unpredictably due to the physiological stress response, which raises blood sugar, and reduced oral intake, which can lower it. Checking blood sugar only twice daily is insufficient during a sick day — the standard recommendation is to check blood glucose every 2 to 4 hours during illness. This statement indicates the mother requires further education on sick day management rules for diabetic children.
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