ATI RN Fundamentals
Proctored Exam 2023
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
LATEST UPADATED VERSION
WHAT TO FIND IN THIS EXAM
❖ CASE STUDIES NGN STYLE QUESTIONS
❖ BUTTERFLY QUESTION WITH ANSWERS
❖ QUESTIONS WITH MULTI CHOICES AND ANSWERS
❖ VERIFIED ANSWERS WELL EXPLAINED
,Question:
Can a Registered Nurse (RN) delegate tracheostomy care to a Licensed Practical
Nurse (LPN) for a client with pneumonia?
Correct Answer:
Yes.
Explanation
LPNs are generally trained and competent in performing tracheostomy care,
including suctioning and cleaning, especially in stable patients. As long as the
client is stable and the LPN is properly trained, the RN may delegate this task.
Question:
A nurse on a medical-surgical unit has received a change-of-shift report and is
caring for four clients. Which of the following tasks can be safely delegated to an
assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with 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:
Reapplying a condom catheter is a noninvasive and routine procedure that the
nurse may delegate to the AP. The other options involve tasks that require clinical
judgment, assessment, teaching, or sterile techniques, which should be
performed by licensed nursing staff (RN or LPN).
,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 that apply.
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating.
D. The client had pain medication 30 minutes ago.
E. The client is allergic to codeine.
F. The client ate 50% of his breakfast this morning.
Correct Answers: B, C, D
Rationale: The AP should be informed about the client’s use of a front-wheeled
walker (C), how the client is dressed (B), and recent pain management (D) to
ensure safe and effective ambulation. A, E, and F are not directly relevant to the
AP's role in assisting with ambulation.
An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hours 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 tasks related to PCA pumps as these require
close monitoring and assessment, which should not be delegated to an LPN.
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 that apply.
, A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
Rationale: "Right supervision/evaluation," "Right direction/communication," and
"Right circumstances" are part of the 5 rights of delegation. A and D are rights of
medication administration, not delegation.
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
D. AP
Correct Answer: B. RN
Rationale: A client returning from surgery, particularly thoracic surgery, requires
assessment and establishment of a plan of care. RNs are responsible for these
tasks, especially for potentially unstable clients.
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 time. Which of the following torts is the AP committing?
A. Assault
B. Battery
Proctored Exam 2023
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
LATEST UPADATED VERSION
WHAT TO FIND IN THIS EXAM
❖ CASE STUDIES NGN STYLE QUESTIONS
❖ BUTTERFLY QUESTION WITH ANSWERS
❖ QUESTIONS WITH MULTI CHOICES AND ANSWERS
❖ VERIFIED ANSWERS WELL EXPLAINED
,Question:
Can a Registered Nurse (RN) delegate tracheostomy care to a Licensed Practical
Nurse (LPN) for a client with pneumonia?
Correct Answer:
Yes.
Explanation
LPNs are generally trained and competent in performing tracheostomy care,
including suctioning and cleaning, especially in stable patients. As long as the
client is stable and the LPN is properly trained, the RN may delegate this task.
Question:
A nurse on a medical-surgical unit has received a change-of-shift report and is
caring for four clients. Which of the following tasks can be safely delegated to an
assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with 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:
Reapplying a condom catheter is a noninvasive and routine procedure that the
nurse may delegate to the AP. The other options involve tasks that require clinical
judgment, assessment, teaching, or sterile techniques, which should be
performed by licensed nursing staff (RN or LPN).
,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 that apply.
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating.
D. The client had pain medication 30 minutes ago.
E. The client is allergic to codeine.
F. The client ate 50% of his breakfast this morning.
Correct Answers: B, C, D
Rationale: The AP should be informed about the client’s use of a front-wheeled
walker (C), how the client is dressed (B), and recent pain management (D) to
ensure safe and effective ambulation. A, E, and F are not directly relevant to the
AP's role in assisting with ambulation.
An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hours 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 tasks related to PCA pumps as these require
close monitoring and assessment, which should not be delegated to an LPN.
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 that apply.
, A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
Rationale: "Right supervision/evaluation," "Right direction/communication," and
"Right circumstances" are part of the 5 rights of delegation. A and D are rights of
medication administration, not delegation.
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
D. AP
Correct Answer: B. RN
Rationale: A client returning from surgery, particularly thoracic surgery, requires
assessment and establishment of a plan of care. RNs are responsible for these
tasks, especially for potentially unstable clients.
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 time. Which of the following torts is the AP committing?
A. Assault
B. Battery
