ATI RN FUNDAMENTALS OF
NURSING LATEST REVIEW
2024/2025 WITH VERIFIED
ANSWERS & RATIONALES
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Yes.
A nurse on a med-surg unit has received change-of-shi@ report & will care for 4
clients. Which of the following client's needs may the nurse assign to an
assisEve personnel (AP)?
A. Feeding a client who was admiIed 24 hrs ago w/aspiraEon 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 inconEnence
D. Applying a sterile dressing to a pressure ulcer
C. Reapplying a condom catheter for a client who has urinary inconEnence
RaEonale: The applicaEon of a condom catheter is a noninvasive, rouEne
procedure that the nurse may delegate to the AP
A nurse is delegaEng the ambulaEon of a client who had knee arthroplasty 5
days ago to an AP. Which of the following informaEon 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 anEembolic stockings
C. The client uses a front-wheeled walker when ambulaEng
D. The client had pain medicaEon 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
B, C, D
,An RN is making assignments for client care to a LPN at the beginning of the
shi@. Which of the following assignments should the LPN quesEon?
A. AssisEng a client who is 24hr postop to use an incenEve spirometer
B. CollecEng a clean-catch urine specimen from a client who was admiIed on
the previous shi@
C. Providing nasopharyngeal sucEoning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D. Replacing the cartridge and tubing on a PCA pump
RaEonale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegaEon. Which of the
following elements should she idenEfy when presenEng the 5 rights of
delegaEon? Select all.
A. Right client
B. Right supervision/evaluaEon
C. Right direcEon/communicaEon
D. Right Eme
E. Right circumstances
B, C, E
A and D are rights of medicaEon administraEon
A nurse manager of a med-surg unit is assigning care responsibiliEes for the
oncoming shi@. A client is awaiEng 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
D. AP
B. RN
A client returning from surgery requires assessment and establishment of a
,plan of care. Rns are responsible for this, especially if the client is potenEally
unstable.
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 Eme. Which of the following torts is the AP commi]ng?
A. Assault
B. BaIery
C. False imprisonment
D. Invasion of privacy
A. Assault
By threatening the client, the AP is commi]ng assault.
An adult client who is competent tells the nurse that he is thinking about
leaving the hospital against medical advice. The nurse believes that this is not
in the client's best interest, so she administers a PRN sedaEve med that the
client has not requested along w/his usual meds. Which of the following tort
has the nurse commiIed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidenEality
B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client from leaving
the facility against medical advice. The client did not consent.
A client who will undergo neurosurgery the following week tells the nurse in
the surgeon's office that he will prepare his advance direcEves before he goes
to the hospital. Which of the following statements by the client indicates to the
nurse that he understands advance direcEves?
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 ke
C.
The client has the right to decide and specify which medical procedures he
wants when a life-threatening situaEon arrives
A client is about to undergo an elecEve surgical procedure. Which of the
following acEons are appropriate for the nurse who is providing preop care
regarding informed consent? Select all.
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 alternaEves to having the surgery
A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A nurse has noEced several occasions in the past week when another nurse on
the unit seemed drowsy & unable to focus on the issue at hand. Today, she
found the nurse asleep in a chair in the break room when she was not on
break. Which of the following acEons should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observaEons to the nurse manager on the unit
D. Conclude that h
C.
Any nurse who noEces behavior that could possibly jeopardize client care or
indicate a substance abuse problem has a duty to report the situaEon
immediately to the nurse manager
A nurse is preparing info for a change-of-shi@ report. Which of the following
info should the nurse include in the report?
A. The client's input & output for the shi@
B. The client's BP from the previous day
NURSING LATEST REVIEW
2024/2025 WITH VERIFIED
ANSWERS & RATIONALES
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Yes.
A nurse on a med-surg unit has received change-of-shi@ report & will care for 4
clients. Which of the following client's needs may the nurse assign to an
assisEve personnel (AP)?
A. Feeding a client who was admiIed 24 hrs ago w/aspiraEon 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 inconEnence
D. Applying a sterile dressing to a pressure ulcer
C. Reapplying a condom catheter for a client who has urinary inconEnence
RaEonale: The applicaEon of a condom catheter is a noninvasive, rouEne
procedure that the nurse may delegate to the AP
A nurse is delegaEng the ambulaEon of a client who had knee arthroplasty 5
days ago to an AP. Which of the following informaEon 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 anEembolic stockings
C. The client uses a front-wheeled walker when ambulaEng
D. The client had pain medicaEon 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
B, C, D
,An RN is making assignments for client care to a LPN at the beginning of the
shi@. Which of the following assignments should the LPN quesEon?
A. AssisEng a client who is 24hr postop to use an incenEve spirometer
B. CollecEng a clean-catch urine specimen from a client who was admiIed on
the previous shi@
C. Providing nasopharyngeal sucEoning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D. Replacing the cartridge and tubing on a PCA pump
RaEonale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegaEon. Which of the
following elements should she idenEfy when presenEng the 5 rights of
delegaEon? Select all.
A. Right client
B. Right supervision/evaluaEon
C. Right direcEon/communicaEon
D. Right Eme
E. Right circumstances
B, C, E
A and D are rights of medicaEon administraEon
A nurse manager of a med-surg unit is assigning care responsibiliEes for the
oncoming shi@. A client is awaiEng 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
D. AP
B. RN
A client returning from surgery requires assessment and establishment of a
,plan of care. Rns are responsible for this, especially if the client is potenEally
unstable.
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 Eme. Which of the following torts is the AP commi]ng?
A. Assault
B. BaIery
C. False imprisonment
D. Invasion of privacy
A. Assault
By threatening the client, the AP is commi]ng assault.
An adult client who is competent tells the nurse that he is thinking about
leaving the hospital against medical advice. The nurse believes that this is not
in the client's best interest, so she administers a PRN sedaEve med that the
client has not requested along w/his usual meds. Which of the following tort
has the nurse commiIed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidenEality
B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client from leaving
the facility against medical advice. The client did not consent.
A client who will undergo neurosurgery the following week tells the nurse in
the surgeon's office that he will prepare his advance direcEves before he goes
to the hospital. Which of the following statements by the client indicates to the
nurse that he understands advance direcEves?
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 ke
C.
The client has the right to decide and specify which medical procedures he
wants when a life-threatening situaEon arrives
A client is about to undergo an elecEve surgical procedure. Which of the
following acEons are appropriate for the nurse who is providing preop care
regarding informed consent? Select all.
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 alternaEves to having the surgery
A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A nurse has noEced several occasions in the past week when another nurse on
the unit seemed drowsy & unable to focus on the issue at hand. Today, she
found the nurse asleep in a chair in the break room when she was not on
break. Which of the following acEons should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observaEons to the nurse manager on the unit
D. Conclude that h
C.
Any nurse who noEces behavior that could possibly jeopardize client care or
indicate a substance abuse problem has a duty to report the situaEon
immediately to the nurse manager
A nurse is preparing info for a change-of-shi@ report. Which of the following
info should the nurse include in the report?
A. The client's input & output for the shi@
B. The client's BP from the previous day
