ATI RN Fundamentals Proctored Exam
TEST QUESTIONS AND ANSWERS
(2023/2024) (VERIFIED ANSWERS)WITH
NGN
A nursing instructor is reviewing the wound healing
process w/a group of nursing students. They should be
able to identify which of the following alterations as a
wound or injury that heals by secondary intention? Select
all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area - CORRECT ANSWER A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling
sensation & pain in his surgical incision. The nurse checks
,the client's surgical wound & finds the wound separated
w/viscera protruding. Which of the following interventions
is appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the
exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea -
CORRECT ANSWER A, D
Can an RN delegate to the LPN to provide tracheostomy
care to a client with pneumonia? - CORRECT ANSWER
Yes.
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 -
CORRECT ANSWER 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
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 -
CORRECT ANSWER B, C, D
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 -
CORRECT ANSWER D. Replacing the cartridge and
tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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
TEST QUESTIONS AND ANSWERS
(2023/2024) (VERIFIED ANSWERS)WITH
NGN
A nursing instructor is reviewing the wound healing
process w/a group of nursing students. They should be
able to identify which of the following alterations as a
wound or injury that heals by secondary intention? Select
all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area - CORRECT ANSWER A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling
sensation & pain in his surgical incision. The nurse checks
,the client's surgical wound & finds the wound separated
w/viscera protruding. Which of the following interventions
is appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the
exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea -
CORRECT ANSWER A, D
Can an RN delegate to the LPN to provide tracheostomy
care to a client with pneumonia? - CORRECT ANSWER
Yes.
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 -
CORRECT ANSWER 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
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 -
CORRECT ANSWER B, C, D
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 -
CORRECT ANSWER D. Replacing the cartridge and
tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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
