B B B B B B B B
BANK 3 VERSIONS WITH ACTUAL EXAM QUESTIONS WITH DETAILED VERI-
B B B B B B B B B
FIED ANSWERS ALREADY GRADED A+
B B B B
StudyBonlineBatBhttps://quizlet.com/_fmz73h
1. Can an RN delegate to the LPN to provide tracheostomy care to a client with p
B B B B B B B B B B B B B B B
neumonia?: Yes. B
2. A nurse on a med-surg unit has received change-of-
B B B B B B B B
shift report & will care for 4 clients. Which of the following client's needs may t
B B B B B B B B B B B B B B B
he nurse assign to an assistive personnel (AP)?
B B B B B B B
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B B B B B B B B B B
B. Reinforcing teaching w/a client who is learning to walk using a quad caneB B B B B B B B B B B B
C. Reapplying a condom catheter for a client who has urinary incontinence
B B B B B B B B B B
D. Applying a sterile dressing to a pressure ulcer: C. Reapplying a condom c
B B B B B B B B B B B B
atheter for a client who has urinary incontinence
B B B B B B B
Rationale: The application of a condom catheter is a noninvasive, routine procedure tha
B B B B B B B B B B B B
t the nurse may delegate to the AP
B B B B B B B
3. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
B B B B B B B B B B B B B B
days ago to an AP. Which of the following information should the nurse share
B B B B B B B B B B B B B B
with the AP? Select All.
B B B B
A. The roommate is up independently.
B B B B
B. The client ambulates w/his slippers on over his antiembolic stockings
B B B B B B B B B
C. The client uses a front-wheeled walker when ambulating
B B B B B B B
D. The client had pain medication 30 min ago
B B B B B B B
E. The client is allergic to codeine
B B B B B
F. The client ate 50% of his breakfast this morning: B, C, D
B B B B B B B B B B B
4. An RN is making assignments for client care to a LPN at the beginning of t
B B B B B B B B B B B B B B B
he shift. Which of the following assignments should the LPN question?
B B B B B B B B B B
A. Assisting a client who is 24hr postop to use an incentive spirometer
B B B B B B B B B B B
B. Collecting a clean- B B
catch urine specimen from a client who was admitted on the previous shift
B B B B B B B B B B B B
C. Providing nasopharyngeal suctioning for a client who has pneumonia
B B B B B B B B
D. Replacing the cartridge and tubing on a PCA pump: D. Replacing the cartridge a
B B B B B B B B B B B B B
nd tubing on a PCA pump
B B B B B
1B/B34
, ATI RN FUNDAMENTALS PROCTORED EXAM 2024-2025 ACTUAL EXAM TES
B B B B B B B B
BANK 3 VERSIONS WITH ACTUAL EXAM QUESTIONS WITH DETAILED VERI-
B B B B B B B B B
FIED ANSWERS ALREADY GRADED A+
B B B B
StudyBonlineBatBhttps://quizlet.com/_fmz73h
Rationale: The RN is responsible for the PCA pump
B B B B B B B B
5. A nurse is preparing an in-
B B B B B
service program about delegation. Which of the following elements should
B B B B B B B B B B
she identify when presenting the 5 rights of delegation? Select all.
B B B B B B B B B B
A. Right client B
B. Right supervision/evaluation B
C. Right direction/communication B
D. Right time B
E. Right circumstances: B, C, E B B B B
A and D are rights of medication administration
B B B B B B B
6. A nurse manager of a med-
B B B B B
surg unit is assigning care responsibilities for the oncoming shift. A client is a
B B B B B B B B B B B B B
waiting transfer back to the unit from the PACU following thoracic surgery. To w
B B B B B B B B B B B B B
hich staff member should the nurse assign to this client?
B B B B B B B B B
A. Charge nurse B
B. RN
C. LPN
D. AP: B. RN B B
A client returning from surgery requires assessment and establishment of a plan of car
B B B B B B B B B B B B B
e. RNs are responsible for this, especially if the client is potentially unstable.
B B B B B B B B B B B B
7. A nurse observes an AP reprimanding a client for not using the urinal p
B B B B B B B B B B B B B
roperly. The AP tells him she will put a diaper on him if he does not use th
B B B B B B B B B B B B B B B B B
e urinal more carefully next time. Which of the following torts is the AP co
B B B B B B B B B B B B B B
mmitting?
A. Assault
B. Battery
C. False imprisonment B
D. Invasion of privacy: A. Assault B B B B
By threatening the client, the AP is committing assault.
B B B B B B B B
2B/B34
, ATI RN FUNDAMENTALS PROCTORED EXAM 2024-2025 ACTUAL EXAM TES
B B B B B B B B
BANK 3 VERSIONS WITH ACTUAL EXAM QUESTIONS WITH DETAILED VERI-
B B B B B B B B B
FIED ANSWERS ALREADY GRADED A+
B B B B
StudyBonlineBatBhttps://quizlet.com/_fmz73h
8. An adult client who is competent tells the nurse that he is thinking about le
B B B B B B B B B B B B B B
aving the hospital against medical advice. The nurse believes that this is not in
B B B B B B B B B B B B B B
the client's best interest, so she administers a PRN sedative med that the clie
B B B B B B B B B B B B B
nt has not requested along w/his usual meds. Which of the following tort has t
B B B B B B B B B B B B B B
he nurse committed?
B B
A. Assault
B. False imprisonment B
C. Negligence
D. Breach of confidentiality: B. False imprisonment B B B B B
The nurse gave the med as a chemical restraint to keep the client from leaving the facili
B B B B B B B B B B B B B B B B
ty against medical advice. The client did not consent.
B B B B B B B B
9. A client who will undergo neurosurgery the following week tells the nurse i
B B B B B B B B B B B B
n the surgeon's office that he will prepare his advance directives before he go
B B B B B B B B B B B B B
es to the hospital. Which of the following statements by the client indicates to t
B B B B B B B B B B B B B B
he nurse that he understands advance directives?
B B B B B B
A. "I'd rather have my brother make decisions for me, but I know it has to be
B B B B B B B B B B B B B B B B
my wife." B
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
B B B B B B B B B B B B
C. "I plan to write that I don't want them to keep me on a breathing machine."
B B B B B B B B B B B B B B B
D. "I will get my regular doctor to approve my plan before I hand it in at the h
B B B B B B B B B B B B B B B B B
ospital.": C. B
The client has the right to decide and specify which medical procedures he wants whe
B B B B B B B B B B B B B B
n a life-threatening situation arrives
B B B B
10. A client is about to undergo an elective surgical procedure. Which of the f
B B B B B B B B B B B B B
ollowing actions are appropriate for the nurse who is providing preop care r
B B B B B B B B B B B B
egarding informed consent? Select all. B B B B
A. Make sure the surgeon obtained the client's consent
B B B B B B B
B. Witness the client's signature on the consent form B B B B B B B
C. Explain the risks and benefits of the procedure B B B B B B B
D. Describe the consequences of choosing not to have the surgery
B B B B B B B B B
E. Tell the client about alternatives to having the surgery: A, B Th
B B B B B B B B B B B
e rest of the choices are the surgeon's responsibility, not the nurse
B B B B B B B B B B B
3B/B34
, ATI RN FUNDAMENTALS PROCTORED EXAM 2024-2025 ACTUAL EXAM TES
B B B B B B B B
BANK 3 VERSIONS WITH ACTUAL EXAM QUESTIONS WITH DETAILED VERI-
B B B B B B B B B
FIED ANSWERS ALREADY GRADED A+
B B B B
StudyBonlineBatBhttps://quizlet.com/_fmz73h
11. A nurse has noticed several occasions in the past week when another nur
B B B B B B B B B B B B
se on the unit seemed drowsy & unable to focus on the issue at hand. Today,
B B B B B B B B B B B B B B B B
she found the nurse asleep in a chair in the break room when she was not on b
B B B B B B B B B B B B B B B B B
reak. Which of the following actions should the nurse take?
B B B B B B B B B
A. Remind the nurse that safe client care is a priority on the unit
B B B B B B B B B B B B
B. Ask others on the team whether they have observed the same behavior
B B B B B B B B B B B
C. Report observations to the nurse manager on the unit
B B B B B B B B
D. Conclude that her coworker's fatigue is not her problem to solve: C.B B B B B B B B B B B
Any nurse who notices behavior that could possibly jeopardize client care or indicate a
B B B B B B B B B B B B B B
substance abuse problem has a duty to report the situation immediately to the nurse
B B B B B B B B B B B B B B
manager
12. A nurse is preparing info for a change-of-shift report. Which of the follow-
B B B B B B B B B B B B
ing info should the nurse include in the report?
B B B B B B B B B
A. The client's input & output for the shift
B B B B B B B
B. The client's BP from the previous day
B B B B B B
C. A bone scan that is scheduled for today
B B B B B B B
D. The med routine from the med administration record: C. A bone scan that is s
B B B B B B B B B B B B B B
cheduled for today B B
This is important because the nurse might have to modify the client's care to accommo
B B B B B B B B B B B B B B
date them leaving the unit
B B B B
13. A nurse enters a client's room & finds him sitting in his chair. He states, "I f
B B B B B B B B B B B B B B B B
ell in the shower, but I got myself back up & into my chair." How should the nu
B B B B B B B B B B B B B B B B B
rse document this in the client's chart?
B B B B B B
A. The client fell in the shower. B B B B B
B. The client states he fell in the shower & was able to get himself back into h
B B B B B B B B B B B B B B B B
is chair B
C. The nurse should not document this info because she did not witness the f
B B B B B B B B B B B B B
all
D. The client fell in the shower & is now resting comfortably: B.
B B B B B B B B B B B B
By writing what the client states, the info is subjective data
B B B B B B B B B B
14. A nursing instructor is reviewing documentation w/a group of nursing
B B B B B B B B B B
students. Which of the following legal guidelines should they follow when
B B B B B B B B B B B
documenting a client's record? Select all. B B B B B
4B/B34