ATI Nurse Touch Becoming a Professional Nurse Assessment
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Free ATI Nurse Touch Becoming a Professional Nurse Assessment Questions
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?
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Obtains a client's signature for informed consent
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Measures the calf circumference of a client who reports unrelieved leg pain
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Administers a scheduled PO dose of levothyroxine (Synthroid) before breakfast
Explanation
Correct Answer: B. Measures the calf circumference of a client who reports unrelieved leg pain.
Autonomy in nursing refers to the nurse's ability to make independent clinical judgments within their scope of practice. Measuring calf circumference in response to a client reporting unrelieved leg pain reflects the nurse's independent clinical decision-making to assess for a potential complication such as deep vein thrombosis (DVT). Obtaining informed consent is a provider responsibility, and administering a scheduled medication is a routine dependent function following a physician's order — neither demonstrates autonomous nursing judgment.
A nurse is planning care for a client who is newly diagnosed with multiple sclerosis. Which of the following actions by the nurse demonstrates the value of caring?
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Building trust with the client and her family
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Demonstrating sympathy while providing client care
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Encouraging the client to develop dependent relationships
Explanation
Correct Answer: A. Building trust with the client and her family.
The core of caring in nursing is establishing a genuine, therapeutic relationship built on trust, respect, and partnership. For a client newly diagnosed with a chronic condition like multiple sclerosis, building trust with both the client and family supports emotional well-being and promotes engagement in care. Sympathy, while well-meaning, is less therapeutic than empathy, and encouraging dependency undermines the nursing goal of promoting client autonomy and self-management.
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?
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Completing the task and leaving the room
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Apologizing to the charge nurse and the client
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Noting the incident in the client's medical record
Explanation
Correct Answer: B. Apologizing to the charge nurse and the client.
Raising one's voice in front of a client is unprofessional and violates the standards of respectful workplace conduct and client-centered care. The most appropriate immediate action is to apologize to both the charge nurse and the client, acknowledging the inappropriate behavior and restoring a therapeutic environment. Leaving the room without addressing the outburst is avoidant, and documenting it in the medical record is not appropriate as it is a personnel matter, not a clinical one.
A nurse reports to the nurse manager that a coworker is engaging in unethical nursing practices. Which of the following aspects of professional behavior does the nurse's report of a coworker demonstrate?
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Perseverance
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Competency
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Integrity
Explanation
Explanation
Correct Answer: C) Integrity
Integrity in nursing means acting honestly and ethically, even when it is difficult — including reporting a colleague's unethical behavior to protect clients and uphold professional standards. Reporting misconduct demonstrates moral courage and a commitment to doing what is right, which is the core of professional integrity.
Option A, perseverance, refers to persistence in overcoming challenges and does not apply to the act of reporting unethical behavior. Option B, competency, refers to possessing the necessary knowledge and skills to practice safely and does not reflect the ethical decision-making demonstrated in this scenario.
A nurse recognizes a change in a colleague's behavior and suspects the nurse is practicing while chemically impaired. Which of the following actions should the nurse take?
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Notify the nurse manager.
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Ask the colleague if he is impaired.
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Contact risk management.
Explanation
Explanation
Correct Answer: A) Notify the nurse manager.
When a nurse suspects a colleague is chemically impaired, the immediate and appropriate action is to notify the nurse manager. This follows the chain of command, protects client safety, and initiates the proper institutional process for addressing impairment — which may include peer assistance programs and formal investigation.
Option B, directly asking the colleague if they are impaired, is inappropriate and outside the nurse's professional role — it could escalate the situation and does not follow proper reporting protocol. Option C, contacting risk management, may be part of the process but is not the first or most immediate action; the nurse manager should be notified first so they can coordinate the appropriate institutional response.
A nurse is preparing a workshop for the unit staff on the involvement of nurses in the political process. Which of the following should be emphasized in this workshop?
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Nurses as a group should use coercive power to direct policy development.
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Nurses should prevent the development of coalitions within the health care facility.
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Nurses should voice community health concerns to elected officials.
Explanation
Explanation
Correct Answer: C) Nurses should voice community health concerns to elected officials.
Nurses have a professional and ethical responsibility to advocate for their clients and communities, including through political engagement. Communicating community health needs to elected officials is a legitimate, constructive, and encouraged form of political involvement that can directly influence health policy and improve public health outcomes.
Option A is incorrect because coercive power is unethical and inappropriate in professional or political advocacy. Option B is incorrect because forming coalitions is actually a powerful and encouraged strategy for nurses to amplify their collective voice and influence health policy — discouraging coalitions undermines professional advocacy.
A nurse is attending an in-service about ethics in nursing practice. Which of the following is an example of a nurse upholding the ethical principle of fidelity?
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Asking whether a client has advance directives
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Finding a private location to report a client's laboratory results to the provider
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Returning to evaluate a client's response to pain medication
Explanation
Explanation
Correct Answer: C) Returning to evaluate a client's response to pain medication
Fidelity is the ethical principle of keeping promises and fulfilling commitments made to clients. When a nurse administers pain medication and tells the client they will return to check its effectiveness, returning to evaluate the response is an act of fidelity — the nurse is honoring their commitment to the client, building trust, and ensuring follow-through on care.
Option A, asking about advance directives, is related to the ethical principle of autonomy — respecting the client's right to make their own healthcare decisions. Option B, finding a private location to report lab results, reflects the ethical principle of confidentiality/nonmaleficence — protecting the client's private health information from unauthorized disclosure.
A nurse is caring for a client who is postoperative. Which of the following actions by the nurse demonstrates the professional characteristic of autonomy?
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Making a decision about when to administer PRN pain medication
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Reviewing the client's laboratory data prior to contacting the provider
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Verifying the completion of delegated vital signs
Explanation
Correct Answer: A. Making a decision about when to administer PRN pain medication.
Autonomy in nursing refers to the nurse's ability to make independent, evidence-based clinical decisions within their scope of practice. Deciding when to administer PRN (as needed) pain medication based on the client's assessment reflects independent nursing judgment. Reviewing lab data before calling the provider is preparatory and collaborative, and verifying delegated tasks is a supervisory function — neither demonstrates the same level of autonomous clinical decision-making.
A newly licensed nurse commits a medication error resulting in no harm to the client. Which of the following actions should the nurse take first?
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Notify the provider about the error.
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Contact risk management about the error.
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Document the error in the client's medical record.
Explanation
Explanation
Correct Answer: A) Notify the provider about the error.
Even when no harm occurs, notifying the provider first ensures the client receives any necessary monitoring or intervention and follows the proper chain of communication for client safety.
A nursing team leader is presenting an in-service program about the importance of caring. Which of the following ethical principles specifically addresses doing good?
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Morality
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Justice
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Beneficence
Explanation
Explanation
Correct Answer: C) Beneficence
Beneficence is the ethical principle that directly means "doing good." It obligates healthcare providers to act in the best interest of the client by promoting their well-being, preventing harm, and providing beneficial care. It is the foundational principle underlying the concept of caring in nursing.
Option A, morality, refers to a broader system of values and beliefs about right and wrong conduct and is not a specific ethical principle focused on doing good. Option B, justice, refers to fairness and equal treatment in the distribution of healthcare resources and does not specifically address the act of doing good for an individual client.
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