ATI PN FUNDAMENTALS LATEST TEST BANK REAL LATEST
EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/
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.
Quiz . 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.
, Quiz 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
Quiz 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.
Quiz 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
EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/
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.
Quiz . 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.
, Quiz 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
Quiz 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.
Quiz 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
