ATI RN FUNDAMENTALS
PROCTORED
EXAM LATEST MODIFIED WITH
QUESTIONS AND DETAILED
CORRECT ANSWERS
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a
quad cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer –
ANSWER C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the
nurse may delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an
AP. Which of the following information should the nurse share with the AP? Select All.
,A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic
stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - ANSWER B, C, D
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The
client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication
administration record, which of the following medications should the nurse administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO - ANSWER C.
IV morphine is the best because the onset is rapid and absorption to the blood is immediate,
which is adequate for a client with a 10 pain severity
A nurse is teaching a client about taking multiple oral meds at home to include time-release
capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I can open the capsule w/the beads in it & sprinkle them on my oatmeal."
B. "If I am having difficulty swallowing, I will add the liquid meds to a batch of
pudding."
C. "The pills w/the coating on them can be crushed."
D. "I will eat 2 crackers w/the pain pills." - ANSWER D.
this will prevent N&V from the narcotic
,A nurse is teaching a client how to administer medication through a
jejunostomy tube. Which of the following instructions should the
nurse include in the teaching?
A. "Flush the tube before & after each med."
B. "Administer your meds w/your enteral feeding."
C. "Administer tablets through the tube slowly."
D. "Mix all the crushed meds prior to dissolving in water." - ANSWER A
The client should flush the tube w/15-30 mL of water to prevent clogging of the tube
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed
nurses. Which of the following statements by a newly licensed nurse indicates an
understanding of the 1st-pass effecct?
A. "Some meds block normal receptor activity regulated by endogenous compounds or
receptor activity caused by other meds." B. "Some meds may have to be administered by a
nonenteral route to avoid inactivation as they travel through the liver."
C. "Some meds leave the body more slowly & therefore have a greater risk of
accumulation & toxicity."
D. "Some meds have a wide safety margin, so there is no need for routine serum
medication level monitoring." - ANSWER B.
first pass deals with the liver
A nurse is teaching an adult client how to administer ear drops.
Which of the following statements by the client indicates
understanding of the proper technique?
A. "I will straighten my ear canal by pulling my ear down & back."
B. "I will gently apply pressure w/my finger to the tragus of my ear after putting in the
drops."
C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the
drops in."
D. "After the drops are in, I will place a cotton ball all the way into my ear canal." -
ANSWER B.
, The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of
the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER D.
Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which
of the following elements should she identify when presenting the 5
rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - ANSWER B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift.
A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To
which staff member should the nurse assign to this client?
PROCTORED
EXAM LATEST MODIFIED WITH
QUESTIONS AND DETAILED
CORRECT ANSWERS
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a
quad cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer –
ANSWER C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the
nurse may delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an
AP. Which of the following information should the nurse share with the AP? Select All.
,A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic
stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - ANSWER B, C, D
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The
client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication
administration record, which of the following medications should the nurse administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO - ANSWER C.
IV morphine is the best because the onset is rapid and absorption to the blood is immediate,
which is adequate for a client with a 10 pain severity
A nurse is teaching a client about taking multiple oral meds at home to include time-release
capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I can open the capsule w/the beads in it & sprinkle them on my oatmeal."
B. "If I am having difficulty swallowing, I will add the liquid meds to a batch of
pudding."
C. "The pills w/the coating on them can be crushed."
D. "I will eat 2 crackers w/the pain pills." - ANSWER D.
this will prevent N&V from the narcotic
,A nurse is teaching a client how to administer medication through a
jejunostomy tube. Which of the following instructions should the
nurse include in the teaching?
A. "Flush the tube before & after each med."
B. "Administer your meds w/your enteral feeding."
C. "Administer tablets through the tube slowly."
D. "Mix all the crushed meds prior to dissolving in water." - ANSWER A
The client should flush the tube w/15-30 mL of water to prevent clogging of the tube
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed
nurses. Which of the following statements by a newly licensed nurse indicates an
understanding of the 1st-pass effecct?
A. "Some meds block normal receptor activity regulated by endogenous compounds or
receptor activity caused by other meds." B. "Some meds may have to be administered by a
nonenteral route to avoid inactivation as they travel through the liver."
C. "Some meds leave the body more slowly & therefore have a greater risk of
accumulation & toxicity."
D. "Some meds have a wide safety margin, so there is no need for routine serum
medication level monitoring." - ANSWER B.
first pass deals with the liver
A nurse is teaching an adult client how to administer ear drops.
Which of the following statements by the client indicates
understanding of the proper technique?
A. "I will straighten my ear canal by pulling my ear down & back."
B. "I will gently apply pressure w/my finger to the tragus of my ear after putting in the
drops."
C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the
drops in."
D. "After the drops are in, I will place a cotton ball all the way into my ear canal." -
ANSWER B.
, The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of
the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER D.
Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which
of the following elements should she identify when presenting the 5
rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - ANSWER B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift.
A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To
which staff member should the nurse assign to this client?
