ATI PN FUNDAMENTALS LATEST TEST
BANK REAL EXAM QUESTIONS AND
ANSWERS 2025-2026.
At |the |end |of |the |shift, |the |nurse |realizes |that |she |forgot |to |document |a |dressing |change |that |
she |performed |for |a |patient. |Which |action |should |the |nurse |take? |- |ANS |-Rationale: |If |the |
nurse |fails |to |make |an |important |entry |while |charting, |she |should |make |a |late |entry |as |an |
addition |to |the |narrative |notes. |An |occurrence |report |is |not |necessary |in |this |case. |If |
documentation |is |omitted, |there |is |no |legal |verification |that |the |procedure |was |performed. |It |
is |illegal |to |add |to |a |chart |entry |that |was |previously |documented. |The |nurse |can |only |
document |care |directly |performed |or |observed. |Therefore, |the |nurse |on |the |incoming |shift |
would |not |record |the |wound |change |as |performed.
. |The |charge |nurse |asks |the |nursing |assistive |personnel |(NAP) |to |give |a |bed |bath |to |a |patient |
with |end-stage |chronic |obstructive |pulmonary |disease. |How |should |the |NAP |proceed? |- |ANS |-
Rationale:A |towel |bath |is |a |modification |of |the |bed |bath |in |which |the |NAP |places |a |large |
towel |and |a |bath |blanket |into |a |plastic |bag, |saturates |them |with |a |commercially |prepared |
mixture |of |moisturizer, |nonrinse |cleaning |agent, |and |water; |warms |in |them |in |a |microwave, |
and |then |uses |them |to |bathe |the |patient. |A |bag |bath |is |a |modification |of |the |towel |bath, |in |
which |the |NAP |uses |8 |to |10 |washcloths |instead |of |a |towel |or |blanket. |Each |part |of |the |
patient's |body |is |bathed |with |a |fresh |cloth. |A |bag |bath |is |not |given |in |a |chair |or |in |the |tub.
5. |Which |pain |management |task |can |the |nurse |safely |delegate |to |nursing |assistive |personnel? |
Rationale:The |nurse |can |delegate |the |task |of |asking |about |pain |when |nursing |assistive |
personnel |(NAP) |obtain |vital |signs. |The |NAP |must |be |instructed |to |report |findings |to |the |nurse
|without |delay. |The |nurse |should |evaluate |the |effectiveness |of |pain |medications |and |develop |
the |plan |of |care. |Administering |over-the-counter |and |prescription |medications |is |the |
, responsibility |of |the |registered |nurse |or |licensed |practical |nurse. |- |ANS |-A) |Asking |about |pain |
during |vital |signs
Which |factor |in |the |patient's |past |medical |history |dictates |that |the |nurse |exercise |caution |
when |administering |acetaminophen |(Tylenol)? |- |ANS |-A) |Hepatitis |B |
Rationale:Even |in |recommended |doses, |acetaminophen |can |cause |severe |hepatotoxicity |in |
patients |with |liver |disease, |such |as |hepatitis |B. |Patients |who |consume |alcohol |regularly |should
|also |use |acetaminophen |cautiously. |Those |allergic |to |aspirin |or |other |nonsteroidal |anti- |
inflammatory |drugs |(NSAIDs) |can |use |acetaminophen |safely. |Acetaminophen |rarely |causes |
gastrointestinal |(GI) |problems; |therefore, |it |can |be |used |for |those |with |a |history |of |gastric |
irritation |and |bleeding.
Which |action |should |the |nurse |take |before |administering |morphine |4.0 |mg |intravenously |to |a |
patient |complaining |of |incisional |pain? |- |ANS |-Assess |the |patient's |respiratory |status.
|Before |administering |an |opioid |analgesic, |such |as |morphine, |the |nurse |should |assess |the |
patient's |respiratory |status |because |opioid |analgesics |can |cause |respiratory |depression. |It |is |
not |necessary |to |clarify |the |order |with |the |physician |because |morphine |4 |mg |IV |is |an |
appropriate |dose. |It |is |not |necessary |to |monitor |the |patient's |heart |rate. |Downloaded |by: |
spazzoutent || |brandonjmecusker
Which |action |should |the |nurse |take |when |preparing |patient-controlled |analgesia |for |a |
postoperative |patient? |- |ANS |-ask |another |nurse |to |double |check |the |setup |patient |use |
|As |a |safeguard |to |reduce |the |risk |for |dosing |errors, |the |nurse |should |request |another |nurse |
to |double-check |the |setup |before |patient |use. |The |nurse |should |reassure |the |patient |that |the |
pump |has |a |lockout |feature |that |prevents |him |from |overdosing |even |if |he |continues |to |push |
the |dose |administration |button. |The |nurse |should |also |instruct |the |patient |to |administer |a |
dose |before |potentially |painful |activities, |such |as |walking. |Patient-controlled |analgesia |is |
contraindicated |for |those |who |are |cognitively |impaired.
The |nurse |administers |codeine |sulfate |30 |mg |orally |to |a |patient |who |underwent |craniotomy |3 |
days |ago |for |a |brain |tumor. |How |soon |after |administration |should |the |nurse |reassess |the |
patient's |pain? |- |ANS |-in |60 |minutes |
BANK REAL EXAM QUESTIONS AND
ANSWERS 2025-2026.
At |the |end |of |the |shift, |the |nurse |realizes |that |she |forgot |to |document |a |dressing |change |that |
she |performed |for |a |patient. |Which |action |should |the |nurse |take? |- |ANS |-Rationale: |If |the |
nurse |fails |to |make |an |important |entry |while |charting, |she |should |make |a |late |entry |as |an |
addition |to |the |narrative |notes. |An |occurrence |report |is |not |necessary |in |this |case. |If |
documentation |is |omitted, |there |is |no |legal |verification |that |the |procedure |was |performed. |It |
is |illegal |to |add |to |a |chart |entry |that |was |previously |documented. |The |nurse |can |only |
document |care |directly |performed |or |observed. |Therefore, |the |nurse |on |the |incoming |shift |
would |not |record |the |wound |change |as |performed.
. |The |charge |nurse |asks |the |nursing |assistive |personnel |(NAP) |to |give |a |bed |bath |to |a |patient |
with |end-stage |chronic |obstructive |pulmonary |disease. |How |should |the |NAP |proceed? |- |ANS |-
Rationale:A |towel |bath |is |a |modification |of |the |bed |bath |in |which |the |NAP |places |a |large |
towel |and |a |bath |blanket |into |a |plastic |bag, |saturates |them |with |a |commercially |prepared |
mixture |of |moisturizer, |nonrinse |cleaning |agent, |and |water; |warms |in |them |in |a |microwave, |
and |then |uses |them |to |bathe |the |patient. |A |bag |bath |is |a |modification |of |the |towel |bath, |in |
which |the |NAP |uses |8 |to |10 |washcloths |instead |of |a |towel |or |blanket. |Each |part |of |the |
patient's |body |is |bathed |with |a |fresh |cloth. |A |bag |bath |is |not |given |in |a |chair |or |in |the |tub.
5. |Which |pain |management |task |can |the |nurse |safely |delegate |to |nursing |assistive |personnel? |
Rationale:The |nurse |can |delegate |the |task |of |asking |about |pain |when |nursing |assistive |
personnel |(NAP) |obtain |vital |signs. |The |NAP |must |be |instructed |to |report |findings |to |the |nurse
|without |delay. |The |nurse |should |evaluate |the |effectiveness |of |pain |medications |and |develop |
the |plan |of |care. |Administering |over-the-counter |and |prescription |medications |is |the |
, responsibility |of |the |registered |nurse |or |licensed |practical |nurse. |- |ANS |-A) |Asking |about |pain |
during |vital |signs
Which |factor |in |the |patient's |past |medical |history |dictates |that |the |nurse |exercise |caution |
when |administering |acetaminophen |(Tylenol)? |- |ANS |-A) |Hepatitis |B |
Rationale:Even |in |recommended |doses, |acetaminophen |can |cause |severe |hepatotoxicity |in |
patients |with |liver |disease, |such |as |hepatitis |B. |Patients |who |consume |alcohol |regularly |should
|also |use |acetaminophen |cautiously. |Those |allergic |to |aspirin |or |other |nonsteroidal |anti- |
inflammatory |drugs |(NSAIDs) |can |use |acetaminophen |safely. |Acetaminophen |rarely |causes |
gastrointestinal |(GI) |problems; |therefore, |it |can |be |used |for |those |with |a |history |of |gastric |
irritation |and |bleeding.
Which |action |should |the |nurse |take |before |administering |morphine |4.0 |mg |intravenously |to |a |
patient |complaining |of |incisional |pain? |- |ANS |-Assess |the |patient's |respiratory |status.
|Before |administering |an |opioid |analgesic, |such |as |morphine, |the |nurse |should |assess |the |
patient's |respiratory |status |because |opioid |analgesics |can |cause |respiratory |depression. |It |is |
not |necessary |to |clarify |the |order |with |the |physician |because |morphine |4 |mg |IV |is |an |
appropriate |dose. |It |is |not |necessary |to |monitor |the |patient's |heart |rate. |Downloaded |by: |
spazzoutent || |brandonjmecusker
Which |action |should |the |nurse |take |when |preparing |patient-controlled |analgesia |for |a |
postoperative |patient? |- |ANS |-ask |another |nurse |to |double |check |the |setup |patient |use |
|As |a |safeguard |to |reduce |the |risk |for |dosing |errors, |the |nurse |should |request |another |nurse |
to |double-check |the |setup |before |patient |use. |The |nurse |should |reassure |the |patient |that |the |
pump |has |a |lockout |feature |that |prevents |him |from |overdosing |even |if |he |continues |to |push |
the |dose |administration |button. |The |nurse |should |also |instruct |the |patient |to |administer |a |
dose |before |potentially |painful |activities, |such |as |walking. |Patient-controlled |analgesia |is |
contraindicated |for |those |who |are |cognitively |impaired.
The |nurse |administers |codeine |sulfate |30 |mg |orally |to |a |patient |who |underwent |craniotomy |3 |
days |ago |for |a |brain |tumor. |How |soon |after |administration |should |the |nurse |reassess |the |
patient's |pain? |- |ANS |-in |60 |minutes |
