ATI FUNDAMENTALS PROCTORED EXAM
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1. Can an RN delegate to the LPN to provide tra- Yes.
cheostomy care to a client with pneumonia?
2. A nurse on a med-surg unit has received C. Reapplying a condom
change-of-shift report & will care for 4 clients. Which catheter for a client who has
of the following client's needs may the nurse assign urinary incontinence
to an assistive personnel (AP)?
Rationale: The application of a
A. Feeding a client who was admitted 24 hrs ago condom catheter is a nonin-
w/aspiration pneumonia vasive, routine procedure that
the nurse may delegate to the
B. Reinforcing teaching w/a client who is learning to AP
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
3. A nurse is delegating the ambulation of a client who B, C, D
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 am-
bulating
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
, ATI FUNDAMENTALS PROCTORED EXAM
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4. An RN is making assignments for client care to a LPN D. Replacing the cartridge
at the beginning of the shift. Which of the following and tubing on a PCA pump
assignments should the LPN question?
Rationale: The RN is responsi-
A. Assisting a client who is 24hr postop to use an ble for the PCA pump
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
5. A nurse is preparing an in-service program about B, C, E
delegation. Which of the following elements should
she identify when presenting the 5 rights of delega- A and D are rights of medica-
tion? Select all. tion administration
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 B. RN
care responsibilities for the oncoming shift. A client
is awaiting transfer back to the unit from the PACU A client returning from
following thoracic surgery. To which staff member surgery requires assessment
should the nurse assign to this client? and establishment of a plan
of care. RNs are responsible
A. Charge nurse for this, especially if the client
B. RN is potentially unstable.
, ATI FUNDAMENTALS PROCTORED EXAM
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C. LPN
D. AP
7. A nurse observes an AP reprimanding a client for A. Assault
not using the urinal properly. The AP tells him she
will put a diaper on him if he does not use the urinal By threatening the client, the
more carefully next time. Which of the following AP is committing assault.
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 B. False imprisonment
he is thinking about leaving the hospital against
medical advice. The nurse believes that this is not The nurse gave the med as a
in the client's best interest, so she administers a chemical restraint to keep the
PRN sedative med that the client has not requested client from leaving the facili-
along w/his usual meds. Which of the following tort ty against medical advice. The
has the nurse committed? client did not consent.
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
9. A client who will undergo neurosurgery the follow- C.
ing week tells the nurse in the surgeon's office that The client has the right to
he will prepare his advance directives before he decide and specify which
goes to the hospital. Which of the following state- medical procedures he wants
ments by the client indicates to the nurse that he when a life-threatening situa-
understands advance directives? tion arrives
, ATI FUNDAMENTALS PROCTORED EXAM
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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 A, B
procedure. Which of the following actions are ap- The rest of the choices are the
propriate for the nurse who is providing preop care surgeon's responsibility, not
regarding informed consent? Select all. the nurse
A. Make sure the surgeon obtained the client's con-
sent
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 C.
week when another nurse on the unit seemed Any nurse who notices behav-
drowsy & unable to focus on the issue at hand. ior that could possibly jeop-
Today, she found the nurse asleep in a chair in the ardize client care or indicate
break room when she was not on break. Which of a substance abuse problem
the following actions should the nurse take? has a duty to report the situa-
A. Remind the nurse that safe client care is a priority
Study online at https://quizlet.com/_h8pxtg
1. Can an RN delegate to the LPN to provide tra- Yes.
cheostomy care to a client with pneumonia?
2. A nurse on a med-surg unit has received C. Reapplying a condom
change-of-shift report & will care for 4 clients. Which catheter for a client who has
of the following client's needs may the nurse assign urinary incontinence
to an assistive personnel (AP)?
Rationale: The application of a
A. Feeding a client who was admitted 24 hrs ago condom catheter is a nonin-
w/aspiration pneumonia vasive, routine procedure that
the nurse may delegate to the
B. Reinforcing teaching w/a client who is learning to AP
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
3. A nurse is delegating the ambulation of a client who B, C, D
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 am-
bulating
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
, ATI FUNDAMENTALS PROCTORED EXAM
Study online at https://quizlet.com/_h8pxtg
4. An RN is making assignments for client care to a LPN D. Replacing the cartridge
at the beginning of the shift. Which of the following and tubing on a PCA pump
assignments should the LPN question?
Rationale: The RN is responsi-
A. Assisting a client who is 24hr postop to use an ble for the PCA pump
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
5. A nurse is preparing an in-service program about B, C, E
delegation. Which of the following elements should
she identify when presenting the 5 rights of delega- A and D are rights of medica-
tion? Select all. tion administration
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 B. RN
care responsibilities for the oncoming shift. A client
is awaiting transfer back to the unit from the PACU A client returning from
following thoracic surgery. To which staff member surgery requires assessment
should the nurse assign to this client? and establishment of a plan
of care. RNs are responsible
A. Charge nurse for this, especially if the client
B. RN is potentially unstable.
, ATI FUNDAMENTALS PROCTORED EXAM
Study online at https://quizlet.com/_h8pxtg
C. LPN
D. AP
7. A nurse observes an AP reprimanding a client for A. Assault
not using the urinal properly. The AP tells him she
will put a diaper on him if he does not use the urinal By threatening the client, the
more carefully next time. Which of the following AP is committing assault.
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 B. False imprisonment
he is thinking about leaving the hospital against
medical advice. The nurse believes that this is not The nurse gave the med as a
in the client's best interest, so she administers a chemical restraint to keep the
PRN sedative med that the client has not requested client from leaving the facili-
along w/his usual meds. Which of the following tort ty against medical advice. The
has the nurse committed? client did not consent.
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
9. A client who will undergo neurosurgery the follow- C.
ing week tells the nurse in the surgeon's office that The client has the right to
he will prepare his advance directives before he decide and specify which
goes to the hospital. Which of the following state- medical procedures he wants
ments by the client indicates to the nurse that he when a life-threatening situa-
understands advance directives? tion arrives
, ATI FUNDAMENTALS PROCTORED EXAM
Study online at https://quizlet.com/_h8pxtg
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 A, B
procedure. Which of the following actions are ap- The rest of the choices are the
propriate for the nurse who is providing preop care surgeon's responsibility, not
regarding informed consent? Select all. the nurse
A. Make sure the surgeon obtained the client's con-
sent
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 C.
week when another nurse on the unit seemed Any nurse who notices behav-
drowsy & unable to focus on the issue at hand. ior that could possibly jeop-
Today, she found the nurse asleep in a chair in the ardize client care or indicate
break room when she was not on break. Which of a substance abuse problem
the following actions should the nurse take? has a duty to report the situa-
A. Remind the nurse that safe client care is a priority
