ATI RN Fundamentals Proctored Focus
1. Can an RN delegate to the LPN to provide tracheostomy care
to a client with pneumonia?
2. 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
Rationale: The application of a condom catheter is a noninvasive,
routine procedure that the nurse may delegate to the AP
3. 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
,4. 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 shif
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
5. 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
6. 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?
A. Charge nurse
B. RN
C. LPN
D. AP
,7. A nurse observes an AP reprimanding a client for not using
the urinal properly. The AP tells him she will put a diaper on
him if he does not use the urinal more carefully next time.
Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
8. An adult client who is competent tells the nurse that he is
thinking about leaving the hospital against medical advice. The
nurse believes that this is not in the client's best interest, so she
administers a PRN sedative med that the client has not requested
along w/his usual meds. Which of the following tort has the nurse
committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
9. A client who will undergo neurosurgery the following week tells
the nurse in the surgeon's office that he will prepare his advance
directives before he goes to the hospital. Which of the following
statements by the client indicates to the nurse that he understands
advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has
to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these
forms."
C. "I plan to write that I don't want them to keep me on a breathing
machine."
D. "I will get my regular doctor to approve my plan before I hand it in at
the hospital."
, 10. A client is about to undergo an elective surgical procedure.
Which of the following actions are appropriate for the nurse who is
providing preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery
11. A nurse has noticed several occasions in the past week when
another nurse on the unit seemed drowsy & unable to focus on the
issue at hand. Today, she found the nurse asleep in a chair in the
break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit B.
Ask others on the team whether they have observed the same
behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
12. A nurse is preparing info for a change-of-shift report. Which of
the following info should the nurse include in the report?
A. The client's input & output for the shif
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
13. A nurse enters a client's room & finds him sitting in his chair.
He states, "I fell in the shower, but I got myself back up & into my
chair." How should the nurse document 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
1. Can an RN delegate to the LPN to provide tracheostomy care
to a client with pneumonia?
2. 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
Rationale: The application of a condom catheter is a noninvasive,
routine procedure that the nurse may delegate to the AP
3. 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
,4. 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 shif
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
5. 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
6. 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?
A. Charge nurse
B. RN
C. LPN
D. AP
,7. A nurse observes an AP reprimanding a client for not using
the urinal properly. The AP tells him she will put a diaper on
him if he does not use the urinal more carefully next time.
Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
8. An adult client who is competent tells the nurse that he is
thinking about leaving the hospital against medical advice. The
nurse believes that this is not in the client's best interest, so she
administers a PRN sedative med that the client has not requested
along w/his usual meds. Which of the following tort has the nurse
committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
9. A client who will undergo neurosurgery the following week tells
the nurse in the surgeon's office that he will prepare his advance
directives before he goes to the hospital. Which of the following
statements by the client indicates to the nurse that he understands
advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has
to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these
forms."
C. "I plan to write that I don't want them to keep me on a breathing
machine."
D. "I will get my regular doctor to approve my plan before I hand it in at
the hospital."
, 10. A client is about to undergo an elective surgical procedure.
Which of the following actions are appropriate for the nurse who is
providing preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery
11. A nurse has noticed several occasions in the past week when
another nurse on the unit seemed drowsy & unable to focus on the
issue at hand. Today, she found the nurse asleep in a chair in the
break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit B.
Ask others on the team whether they have observed the same
behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
12. A nurse is preparing info for a change-of-shift report. Which of
the following info should the nurse include in the report?
A. The client's input & output for the shif
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
13. A nurse enters a client's room & finds him sitting in his chair.
He states, "I fell in the shower, but I got myself back up & into my
chair." How should the nurse document 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
