ATI RN FUNDAMENTALS PROCTORED EXAM
1. A nurse on a medical-surgical unit has received change-of-shift report and
will care for four clients. Which of the following clients’ needs may the
nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration
pneumonia
B. Reinforcing teaching with 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
2. 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 that apply.
A. The roommate is up independently
B. The client ambulates with slippers on over antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
ANSWER: B, C, D
3. A registered nurse is making assignments for client care to a licensed
practical nurse (LPN) at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24 hr post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client admitted
yesterday
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
ANSWER: D
,4. A nurse is preparing an in-service program about delegation. Which of
the following elements should she identify when presenting the five rights
of delegation? Select all that apply.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
ANSWER: B, C, E
5. 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 this client?
A. Charge nurse
B. Registered nurse (RN)
C. Licensed practical nurse (LPN)
D. Assistive personnel (AP)
ANSWER: B
6. 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
ANSWER: A
7. An adult client who is competent tells the nurse that he is thinking about
leaving the hospital against medical advice. The nurse believes this is not
in the client’s best interest, so she administers a PRN sedative medication
that the client has not requested along with his usual medications. Which
of the following torts has the nurse committed?
A. Assault
B. False imprisonment
, C. Negligence
D. Breach of confidentiality
ANSWER: B
8. A client who will undergo neurosurgery next week tells the nurse he will
prepare his advance directives before going to the hospital. Which of the
following statements indicates understanding?
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 with 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.”
ANSWER: C
9. A client is about to undergo an elective surgical procedure. Which of the
following actions are appropriate for the nurse providing preoperative
care regarding informed consent? Select all that apply.
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 the surgery
ANSWER: A, B
10.A nurse is preparing an in-service program for newly licensed nurses
about preventing liability for professional negligence. Which of the
following should the nurse include?
A. Document all care delivered to clients
B. Withhold a medication if the nurse believes it is unsafe
C. Monitor for and report changes in client condition
D. Provide proper education to clients about procedures and medications
ANSWER: A, B, C, D
1. A nurse on a medical-surgical unit has received change-of-shift report and
will care for four clients. Which of the following clients’ needs may the
nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration
pneumonia
B. Reinforcing teaching with 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
2. 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 that apply.
A. The roommate is up independently
B. The client ambulates with slippers on over antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
ANSWER: B, C, D
3. A registered nurse is making assignments for client care to a licensed
practical nurse (LPN) at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24 hr post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client admitted
yesterday
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
ANSWER: D
,4. A nurse is preparing an in-service program about delegation. Which of
the following elements should she identify when presenting the five rights
of delegation? Select all that apply.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
ANSWER: B, C, E
5. 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 this client?
A. Charge nurse
B. Registered nurse (RN)
C. Licensed practical nurse (LPN)
D. Assistive personnel (AP)
ANSWER: B
6. 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
ANSWER: A
7. An adult client who is competent tells the nurse that he is thinking about
leaving the hospital against medical advice. The nurse believes this is not
in the client’s best interest, so she administers a PRN sedative medication
that the client has not requested along with his usual medications. Which
of the following torts has the nurse committed?
A. Assault
B. False imprisonment
, C. Negligence
D. Breach of confidentiality
ANSWER: B
8. A client who will undergo neurosurgery next week tells the nurse he will
prepare his advance directives before going to the hospital. Which of the
following statements indicates understanding?
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 with 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.”
ANSWER: C
9. A client is about to undergo an elective surgical procedure. Which of the
following actions are appropriate for the nurse providing preoperative
care regarding informed consent? Select all that apply.
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 the surgery
ANSWER: A, B
10.A nurse is preparing an in-service program for newly licensed nurses
about preventing liability for professional negligence. Which of the
following should the nurse include?
A. Document all care delivered to clients
B. Withhold a medication if the nurse believes it is unsafe
C. Monitor for and report changes in client condition
D. Provide proper education to clients about procedures and medications
ANSWER: A, B, C, D
