ATI RN Funamentals Proctore Exam Questions & Answers

Can an RN elegate to the LPN to provie tracheostomy care to a client pneumonia? - Answer-Yes. A nurse on a me-surg unit has receive change-of-shift report & will care for 4 clients. Which of the following client's nees may the nurse assign to an assistive personnel (AP)? A. Feeing a client who was amitte 24 hrs. ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a qua cane C. Reapplying a conom catheter for a client who has urinary incontinence . Applying a sterile ressing to a pressure ulcer - Answer-C. Reapplying a conom catheter for a client who has urinary incontinence Rationale: The application of a conom catheter is a noninvasive, routine proceure that the nurse may elegate to the AP A nurse is elegating the ambulation of a client who ha knee arthroplasty 5 ays ago to an AP. Which of the following information shoul the nurse share the AP? Select All. A. The roommate is up inepenently. B. The client ambulates w/his slippers on over his antiembolic stockings C. The client uses a front-wheele walker when ambulating . The client ha pain meication 30 min ago E. The client is allergic to coeine F. The client ate 50% of his breakfast this morning – Answer-B, C, An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the following assignments shoul 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 amitte on the previous shift C. Proviing nasopharyngeal suctioning for a client who has pneumonia ATI RN Funamentals Proctore Exam Questions & Answers . Replacing the cartrige an tubing on a PCA pump - Answer-. Replacing the cartrige an tubing on a PCA pump Rationale: The RN is responsible for the PCA pump A nurse is preparing an in-service program about elegation. Which of the following elements shoul she ientify when presenting the 5 rights of elegation? Select all. A. Right client B. Right supervision/evaluation C. Right irection/communication . Right time E. Right circumstances - Answer-B, C, E A nurse manager of a me-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 shoul the nurse assign to this client? A. Charge nurse B. RN C. LPN . AP - Answer-B. RN A client returning from surgery requires assessment an establishment of a plan of care. RNs are responsible for this, especially if the client is potentially unstable. A nurse observes an AP reprimaning a client for not using the urinal properly. The AP tells him she will put a iaper on him if he oes not use the urinal more carefully next time. Which of the following torts is the AP committing? A. Assault B. Battery C. False imprisonment . Invasion of privacy - Answer-A. Assault Rationale: By threatening the client, the AP is committing assault. ATI RN Funamentals Proctore Exam Questions & Answers An ault client who is competent tells the nurse that he is thinking about leaving the hospital against meical avice. The nurse believes that this is not in the client's best interest, so she aministers a PRN seative me that the client has not requeste along w/his usual mes. Which of the following tort has the nurse committe? A. Assault B. False imprisonment C. Negligence . Breach of confientiality - Answer-B. False imprisonment Rationale: The nurse gave the me as a chemical restraint to keep the client from leaving the facility against meical avice. The client i not consent. A client who will unergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his avance irectives before he goes to the hospital. Which of the following statements by the client inicates to the nurse that he unerstans avance irectives? A. "I' rather have my brother make ecisions for me, but I know it has to be my wife." B. "I know they won't go ahea w/the surgery unless I prepare these forms." C. "I plan to write that I on't want them to keep me on a breathing machine." . "I will get my regular octor to approve my plan before I han it in at the hospital." - Answer-C. Rationale: The client has the right to ecie an specify which meical proceures he wants when a life-threatening situation arrives A client is about to unergo an elective surgical proceure. Which of the following actions are appropriate for the nurse who is proviing people care regaring informe consent? Select all. A. Make sure the surgeon obtaine the client's consent B. Witness the client's signature on the consent form C. Explain the risks an benefits of the proceure . escribe the consequences of choosing not to have the surgery E. Tell the client about alternatives to having the surgery – Answer-A, B ATI RN Funamentals Proctore Exam Questions & Answers Rationale: The rest of the choices are the surgeon's responsibility, not the nurse A nurse has notice several occasions in the past week when another nurse on the unit seeme rowsy & unable to focus on the issue at han. Toay, she foun the nurse asleep in a chair in the break room when she was not on break. Which of the following actions shoul the nurse take? A. Remin the nurse that safe client care is a priority on the unit B. Ask others on the team whether they have observe the same behavior C. Report observations to the nurse manager on the unit . Conclue that her coworker's fatigue is not her problem to solve - Answer-C. Rationale: Any nurse who notices behavior that coul possibly jeoparize client care or inicate a substance abuse problem has a uty to report the situation immeiately to the nurse manager A nurse is preparing info for a change-of-shift report. Which of the following info shoul the nurse inclue in the report? A. The client's input & output for the shift B. The client's BP from the previous ay C. A bone scan that is scheule for toay . The me routine from the me aministration recor - Answer-C. A bone scan that is scheule for toay Rationale: This is important because the nurse might have to moify the client's care to accommoate them leaving the unit A nurse enters a client's room & fins him sitting in his chair. He states, "I fell in the shower, but I got myself back up & into my chair." How shoul the nurse ocument this in the client's chart? A. The client fell in the shower. B. The client states he fell in the shower & was able to get himself back into his chair C. The nurse shoul not ocument this info because she i not witness the fall . The client fell in the shower & is now resting comfortably - Answer-B. ATI RN Funamentals Proctore Exam Questions & Answers Rationale: By writing what the client states, the info is subjective ata A nursing instructor is reviewing ocumentation w/a group of nursing stuents. Which of the following legal guielines shoul they follow when ocumenting a client's recor? Select all. A. Cover errors w/correction flui, & write in the correct info B. Put the ate & time on all entries C. ocument objective ata, leaving out opinions . Use as many abbreviations as possible E. Wait until the en of the shift to ocument - Answer-B, C A nurse is receiving a provier's prescription by telephone for morphine for a client who is reporting moerate to severe pain. Which of the following nursing actions are appropriate? Select all. A. Repeat the etails of the prescription back to the provier B. Have another nurse listen to the telephone prescription C. Obtain the prescriber's signature on the prescription in 24hrs . ecline the verbal prescription because it is not an emergency situation E. Tell the charge nurse that the provier has prescribe morphine by telephone - Answer-A, B, C A nurse is caring for an oler ault client who lives alone & is to be ischarge in 3 ays. He states that it is ifficult to prepare aequate nutritious meals at home for just 1 person. To which of the following members of the health care team shoul the nurse refer him? A. Registere ietitian B. Occupational therapist C. Physical therapist . Social worker - Answer-. Social worker Rationale: A social worker can make arrangements for a meal elivery service to provie nutritious meals aily, or recommen a congregate meal site near the client's home