ATI RN Fundamentals Proctored Exam
1. Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
ANS Yes.
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
ANS C. Reapplying a condom catheter for a client who has urinary
incontinence
,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
ANS B, C, D
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 shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
ANS D. Replacing the cartridge and tubing on a PCA pump
Rationale
The RN is responsible for the 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
ANS B, C, E
A and D are rights of medication administration
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
1. Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
ANS Yes.
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
ANS C. Reapplying a condom catheter for a client who has urinary
incontinence
,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
ANS B, C, D
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 shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
ANS D. Replacing the cartridge and tubing on a PCA pump
Rationale
The RN is responsible for the 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
ANS B, C, E
A and D are rights of medication administration
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
