ATI RN FUNDAMENTALS PROCTORED
2024 WITH NGN LATEST TEST BANK 60
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Save
A54nurse54in54an54acute54care54facility54is54preparing54a54discharge54summary54for54a54c
lient54who54is54transferring54to54a54long-
term54care54facility.54Which54of54the54following54documentation54should54the54nurse54incl
ude?
A.54Client54flow54sheet
B.54Acuity54ratings
C.54Current54medications
D.54Incident54reports54-54ans--✔✔C.54Current54medications
The54nurse54should54include54the54client's54medications54in54the54discharge54summary54
to54ensure54client54safety54and54continuity54of54care.
A54nurse54is54reviewing54protocol54in54preparation54for54suctioning54secretions54from54a5
4client54who54has54a54new54tracheostomy.54Which54of54the54following54actions54should54
the54nurse54plan54to54take?
A.54Use54a54resuscitation54bag54with5480%54oxygen54prior54to54the54procedure.
B.54Select54a54suction54catheter54that54is54half54the54size54of54the54lumen.
C.54Place54the54end54of54the54suction54catheter54in54water-soluble54lubricant.
D.54Adjust54the54wall54suction54apparatus54to54a54pressure54of5417054mm54Hg.54-54ans--
✔✔B.54Select54a54suction54catheter54that54is54half54the54size54of54the54lumen.
The54nurse54should54select54a54suction54catheter54that54is54half54the54size54of54the54lum
en54to54prevent54hypoxemia54and54trauma54to54the54mucosa.
,A54nurse54is54caring54for54a54client54who54has54decreased54mobility.54Which54of54the54fol
lowing54actions54should54the54nurse54take54to54decrease54the54client's54risk54of54develop
ing54plantar54flexion54contractures?
A.54Place54a54pillow54under54the54client's54knees.
B.54Position54a54trochanter54roll54under54each54of54the54client's54hips.
C.54Advise54the54client54to54wear54rubber-soled54slippers.
D.54Apply54an54ankle-foot54orthotic54device54to54the54client's54feet.54-54ans--
✔✔D.54Apply54an54ankle-foot54orthotic54device54to54the54client's54feet.
The54nurse54should54use54a54device54to54maintain54dorsiflexion,54such54as54an54ankle-
foot54orthotic54device54or54a54foot54board54placed54perpendicular54to54the54mattress.
A54nurse54manager54is54overseeing54the54care54activities54on54a54unit.54For54which54of54
the54following54situations54should54the54nurse54manager54intervene54due54to54a54violatio
n54of54HIPAA54guidelines?
A.54A54nurse54who54is54caring54for54a54client54reviews54the54client's54medical54chart54wit
h54a54nursing54student54who54is54working54with54the54nurse.
B.54A54nurse54asks54a54nurse54from54another54unit54to54assist54with54documentation54for
54a54client.
C.54A54nurse54who54is54caring54for54a54client54returns54a54call54to54the54person54appointe
d54in54the54health54care54proxy54to54discuss54the54client's54care.
D.54A54nurse54discusses54a54client's54status54with54the54physical54therapist54who54is54ca
ring54for54the54client.54-54ans--
✔✔B.54A54nurse54asks54a54nurse54from54another54unit54to54assist54with54documentation5
4for54a54client.
Only54health54care54professionals54directly54caring54for54a54client54should54have54access
54to54the54client's54medical54information;54therefore,54this54is54a54violation54of54HIPAA54g
uidelines.
A54nurse54is54preparing54to54administer540.554mL54of54oral54single-
dose54liquid54medication54to54a54client.54Which54of54the54following54actions54should54the
54nurse54take?
A.54Gently54shake54the54container54of54medication54prior54to54administration.
B.54Transfer54the54medication54to54a54medicine54cup.
C.54Place54the54client54in54a54semi-
Fowler's54position54prior54to54medication54administration.
D.54Verify54the54dosage54by54measuring54the54liquid54before54administering54it.54-54ans--
✔✔A.54Gently54shake54the54container54of54medication54prior54to54administration.
The54nurse54should54gently54shake54the54liquid54medication54to54ensure54that54the54med
ication54is54mixed.
, A54nurse54on54a54medical54unit54is54preparing54to54discharge54a54client54to54home.54Whi
ch54of54the54following54actions54should54the54nurse54take54as54part54of54the54medication5
4reconciliation54process?
A.54Seal54unused54medications54from54the54facility54in54a54plastic54bag.
B.54Evaluate54the54client's54ability54to54self-administer54medications.
C.54Report54an54identified54discrepancy54to54The54Joint54Commission.
D.54Compare54prescriptions54with54medications54the54client54received54while54at54the54fa
cility.54-54ans--
✔✔D.54Compare54prescriptions54with54medications54the54client54received54while54at54the
54facility.
When54performing54medication54reconciliation,54the54nurse54should54create54a54current,5
4accurate54list54of54every54medication54the54client54is54or54should54be54taking.54Part54of54
the54process54is54comparing54the54medications54the54client54received54at54the54facility54
with54those54the54provider54has54prescribed54for54the54client54to54take54after54discharge.
A54nurse54is54caring54for54a54client54who54has54terminal54liver54cancer.54Which54of54the54
following54statements54should54the54nurse54identify54as54an54indication54that54the54client
54is54experiencing54spiritual54distress?
A.54"What54could54I54have54done54to54deserve54this54illness?"
B.54"I54blame54medical54science54for54not54curing54me."
C.54"Where54is54my54daughter54at54a54time54like54this?"
D.54"Will54I54ever54begin54to54feel54in54charge54of54my54life54again?"54-54ans--
✔✔A.54"What54could54I54have54done54to54deserve54this54illness?"
The54client's54terminal54illness54might54prompt54the54client54to54review54their54life54and54
question54its54meaning.54A54manifestation54of54the54client's54spiritual54distress54is54askin
g54why54this54illness54is54happening54to54them.
A54nurse54is54caring54for54a54client54who54has54a54prescription54for54554units54of54regular
54insulin54and541054units54of54NPH54insulin54to54mix54together54and54administer54subcut
aneously.54Determine54the54correct54order54of54steps54for54this54procedure.54(Move54the
54steps54into54the54box54on54the54right,54placing54them54in54the54order54of54performance.
54Use54all54the54steps.)
A.54Inject54554units54of54air54into54the54bottle54of54regular54insulin.
B.54Withdraw54the54correct54does54of54NPH54insulin54from54the54bottle.
C.54Inject541054units54of54air54into54the54bottle54of54NPH54insulin.54
D.54Withdraw54the54correct54does54of54regular54insulin54from54the54bottle.54-54ans--
✔✔C.54Inject541054units54of54air54into54the54bottle54of54NPH54insulin.54
A.54Inject54554units54of54air54into54the54bottle54of54regular54insulin.
D.54Withdraw54the54correct54does54of54regular54insulin54from54the54bottle.
B.54Withdraw54the54correct54does54of54NPH54insulin54from54the54bottle.
2024 WITH NGN LATEST TEST BANK 60
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Save
A54nurse54in54an54acute54care54facility54is54preparing54a54discharge54summary54for54a54c
lient54who54is54transferring54to54a54long-
term54care54facility.54Which54of54the54following54documentation54should54the54nurse54incl
ude?
A.54Client54flow54sheet
B.54Acuity54ratings
C.54Current54medications
D.54Incident54reports54-54ans--✔✔C.54Current54medications
The54nurse54should54include54the54client's54medications54in54the54discharge54summary54
to54ensure54client54safety54and54continuity54of54care.
A54nurse54is54reviewing54protocol54in54preparation54for54suctioning54secretions54from54a5
4client54who54has54a54new54tracheostomy.54Which54of54the54following54actions54should54
the54nurse54plan54to54take?
A.54Use54a54resuscitation54bag54with5480%54oxygen54prior54to54the54procedure.
B.54Select54a54suction54catheter54that54is54half54the54size54of54the54lumen.
C.54Place54the54end54of54the54suction54catheter54in54water-soluble54lubricant.
D.54Adjust54the54wall54suction54apparatus54to54a54pressure54of5417054mm54Hg.54-54ans--
✔✔B.54Select54a54suction54catheter54that54is54half54the54size54of54the54lumen.
The54nurse54should54select54a54suction54catheter54that54is54half54the54size54of54the54lum
en54to54prevent54hypoxemia54and54trauma54to54the54mucosa.
,A54nurse54is54caring54for54a54client54who54has54decreased54mobility.54Which54of54the54fol
lowing54actions54should54the54nurse54take54to54decrease54the54client's54risk54of54develop
ing54plantar54flexion54contractures?
A.54Place54a54pillow54under54the54client's54knees.
B.54Position54a54trochanter54roll54under54each54of54the54client's54hips.
C.54Advise54the54client54to54wear54rubber-soled54slippers.
D.54Apply54an54ankle-foot54orthotic54device54to54the54client's54feet.54-54ans--
✔✔D.54Apply54an54ankle-foot54orthotic54device54to54the54client's54feet.
The54nurse54should54use54a54device54to54maintain54dorsiflexion,54such54as54an54ankle-
foot54orthotic54device54or54a54foot54board54placed54perpendicular54to54the54mattress.
A54nurse54manager54is54overseeing54the54care54activities54on54a54unit.54For54which54of54
the54following54situations54should54the54nurse54manager54intervene54due54to54a54violatio
n54of54HIPAA54guidelines?
A.54A54nurse54who54is54caring54for54a54client54reviews54the54client's54medical54chart54wit
h54a54nursing54student54who54is54working54with54the54nurse.
B.54A54nurse54asks54a54nurse54from54another54unit54to54assist54with54documentation54for
54a54client.
C.54A54nurse54who54is54caring54for54a54client54returns54a54call54to54the54person54appointe
d54in54the54health54care54proxy54to54discuss54the54client's54care.
D.54A54nurse54discusses54a54client's54status54with54the54physical54therapist54who54is54ca
ring54for54the54client.54-54ans--
✔✔B.54A54nurse54asks54a54nurse54from54another54unit54to54assist54with54documentation5
4for54a54client.
Only54health54care54professionals54directly54caring54for54a54client54should54have54access
54to54the54client's54medical54information;54therefore,54this54is54a54violation54of54HIPAA54g
uidelines.
A54nurse54is54preparing54to54administer540.554mL54of54oral54single-
dose54liquid54medication54to54a54client.54Which54of54the54following54actions54should54the
54nurse54take?
A.54Gently54shake54the54container54of54medication54prior54to54administration.
B.54Transfer54the54medication54to54a54medicine54cup.
C.54Place54the54client54in54a54semi-
Fowler's54position54prior54to54medication54administration.
D.54Verify54the54dosage54by54measuring54the54liquid54before54administering54it.54-54ans--
✔✔A.54Gently54shake54the54container54of54medication54prior54to54administration.
The54nurse54should54gently54shake54the54liquid54medication54to54ensure54that54the54med
ication54is54mixed.
, A54nurse54on54a54medical54unit54is54preparing54to54discharge54a54client54to54home.54Whi
ch54of54the54following54actions54should54the54nurse54take54as54part54of54the54medication5
4reconciliation54process?
A.54Seal54unused54medications54from54the54facility54in54a54plastic54bag.
B.54Evaluate54the54client's54ability54to54self-administer54medications.
C.54Report54an54identified54discrepancy54to54The54Joint54Commission.
D.54Compare54prescriptions54with54medications54the54client54received54while54at54the54fa
cility.54-54ans--
✔✔D.54Compare54prescriptions54with54medications54the54client54received54while54at54the
54facility.
When54performing54medication54reconciliation,54the54nurse54should54create54a54current,5
4accurate54list54of54every54medication54the54client54is54or54should54be54taking.54Part54of54
the54process54is54comparing54the54medications54the54client54received54at54the54facility54
with54those54the54provider54has54prescribed54for54the54client54to54take54after54discharge.
A54nurse54is54caring54for54a54client54who54has54terminal54liver54cancer.54Which54of54the54
following54statements54should54the54nurse54identify54as54an54indication54that54the54client
54is54experiencing54spiritual54distress?
A.54"What54could54I54have54done54to54deserve54this54illness?"
B.54"I54blame54medical54science54for54not54curing54me."
C.54"Where54is54my54daughter54at54a54time54like54this?"
D.54"Will54I54ever54begin54to54feel54in54charge54of54my54life54again?"54-54ans--
✔✔A.54"What54could54I54have54done54to54deserve54this54illness?"
The54client's54terminal54illness54might54prompt54the54client54to54review54their54life54and54
question54its54meaning.54A54manifestation54of54the54client's54spiritual54distress54is54askin
g54why54this54illness54is54happening54to54them.
A54nurse54is54caring54for54a54client54who54has54a54prescription54for54554units54of54regular
54insulin54and541054units54of54NPH54insulin54to54mix54together54and54administer54subcut
aneously.54Determine54the54correct54order54of54steps54for54this54procedure.54(Move54the
54steps54into54the54box54on54the54right,54placing54them54in54the54order54of54performance.
54Use54all54the54steps.)
A.54Inject54554units54of54air54into54the54bottle54of54regular54insulin.
B.54Withdraw54the54correct54does54of54NPH54insulin54from54the54bottle.
C.54Inject541054units54of54air54into54the54bottle54of54NPH54insulin.54
D.54Withdraw54the54correct54does54of54regular54insulin54from54the54bottle.54-54ans--
✔✔C.54Inject541054units54of54air54into54the54bottle54of54NPH54insulin.54
A.54Inject54554units54of54air54into54the54bottle54of54regular54insulin.
D.54Withdraw54the54correct54does54of54regular54insulin54from54the54bottle.
B.54Withdraw54the54correct54does54of54NPH54insulin54from54the54bottle.
