ATI RN Fundamentals Proctored Exam:
Comprehensive Study Guide with Practice
Questions s Answers
[Document subtitle]
, ATI RN Fundamentals Proctored Exam:
Comprehensive Study Guide with Practice
Questions s Answers
Question 1: Surgical Wound Dehiscence and Evisceration Management
A patient who had abdominal surgery 24 hours ago reports a pulling sensation and pain in
his surgical incision. The caregiver checks the patient’s surgical wound and finds the
wound separated with viscera protruding. Which of the following interventions is
appropriate?
Select all that apply.
A. Cover the area with saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abdomen
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the patient supine with his hips and knees bent
E. Offer the patient a warm beverage, such as herbal tea
Correct Answer: A, D
Rationale:
A: Covering the area with a sterile, saline-soaked dressing helps prevent the
exposed viscera from drying out and reduces the risk of infection.
D: Positioning the patient supine with hips and knees bent reduces strain on
the abdominal muscles and minimizes further evisceration.
B: An abdominal binder is not appropriate, as it may increase pressure and worsen
the evisceration.
C: Applying pressure to exposed tissues is not recommended as it can cause tissue
damage.
E: Offering a beverage is not relevant to managing evisceration.
Question 2: Delegation of Tasks to an LPN
An RN is making assignments for patient care to an LPN at the beginning of the shift. Which
of the following assignments should the LPN question?
1
,A. Assisting a patient who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a patient who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a patient who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Rationale:
D: The RN is responsible for managing the PCA pump, including replacing the
cartridge and tubing because it involves medication administration and patient-
controlled analgesia management.
A, B, and C are all within the LPN's scope of practice, as they involve basic
patient care and non-invasive procedures.
Question 3: Delegating to an AP (Assistive Personnel)
A caregiver on a med-surg unit has received a change-of-shift report and will care for four
patients. Which of the following patient’s needs may the caregiver assign to an assistive
personnel (AP)?
A. Feeding a patient who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a patient who is learning to walk using a quad cane
C. Reapplying a condom catheter for a patient who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale:
C: The application of a condom catheter is a noninvasive, routine procedure that
can be delegated to an AP.
A: Feeding a patient with aspiration pneumonia requires assessment
and monitoring, which are beyond an AP’s scope.
B: Reinforcing teaching is within the scope of an RN or LPN, not an AP.
D: Sterile dressing changes require nursing judgment and should be performed by
an RN or LPN.
2
, Question 4: Ambulation Delegation
A caregiver is delegating the ambulation of a patient who had knee arthroplasty 5 days ago
to an AP. Which of the following information should the caregiver share with the AP?
Select all that apply.
A. The roommate is up independently.
B. The patient ambulates with his slippers on over his antiembolic stockings.
C. The patient uses a front-wheeled walker when ambulating.
D. The patient had pain medication 30 minutes ago.
E. The patient is allergic to codeine.
F. The patient ate 50% of his breakfast this morning.
Correct Answer: B, C, D
Rationale:
B: Ensuring the patient wears slippers over antiembolic stockings promotes
safety and prevents slipping.
C: Informing the AP that the patient uses a front-wheeled walker is essential for
safe ambulation.
D: Since the patient had pain medication 30 minutes ago, he is likely
more comfortable for ambulation.
A, E, and F are not immediately relevant to the AP’s responsibilities in assisting
with ambulation.
Question 5: LPN Delegation - Tracheostomy Care
Can an RN delegate to the LPN to provide tracheostomy care to a patient with pneumonia?
A. Yes
B. No
Correct Answer: A (Yes)
Rationale:
LPNs are trained to perform tracheostomy care, which includes suctioning and
cleaning the tracheostomy site. However, the RN remains responsible for
assessing the patient’s condition and ensuring the procedure is done correctly.
3
Comprehensive Study Guide with Practice
Questions s Answers
[Document subtitle]
, ATI RN Fundamentals Proctored Exam:
Comprehensive Study Guide with Practice
Questions s Answers
Question 1: Surgical Wound Dehiscence and Evisceration Management
A patient who had abdominal surgery 24 hours ago reports a pulling sensation and pain in
his surgical incision. The caregiver checks the patient’s surgical wound and finds the
wound separated with viscera protruding. Which of the following interventions is
appropriate?
Select all that apply.
A. Cover the area with saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abdomen
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the patient supine with his hips and knees bent
E. Offer the patient a warm beverage, such as herbal tea
Correct Answer: A, D
Rationale:
A: Covering the area with a sterile, saline-soaked dressing helps prevent the
exposed viscera from drying out and reduces the risk of infection.
D: Positioning the patient supine with hips and knees bent reduces strain on
the abdominal muscles and minimizes further evisceration.
B: An abdominal binder is not appropriate, as it may increase pressure and worsen
the evisceration.
C: Applying pressure to exposed tissues is not recommended as it can cause tissue
damage.
E: Offering a beverage is not relevant to managing evisceration.
Question 2: Delegation of Tasks to an LPN
An RN is making assignments for patient care to an LPN at the beginning of the shift. Which
of the following assignments should the LPN question?
1
,A. Assisting a patient who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a patient who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a patient who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Rationale:
D: The RN is responsible for managing the PCA pump, including replacing the
cartridge and tubing because it involves medication administration and patient-
controlled analgesia management.
A, B, and C are all within the LPN's scope of practice, as they involve basic
patient care and non-invasive procedures.
Question 3: Delegating to an AP (Assistive Personnel)
A caregiver on a med-surg unit has received a change-of-shift report and will care for four
patients. Which of the following patient’s needs may the caregiver assign to an assistive
personnel (AP)?
A. Feeding a patient who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a patient who is learning to walk using a quad cane
C. Reapplying a condom catheter for a patient who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale:
C: The application of a condom catheter is a noninvasive, routine procedure that
can be delegated to an AP.
A: Feeding a patient with aspiration pneumonia requires assessment
and monitoring, which are beyond an AP’s scope.
B: Reinforcing teaching is within the scope of an RN or LPN, not an AP.
D: Sterile dressing changes require nursing judgment and should be performed by
an RN or LPN.
2
, Question 4: Ambulation Delegation
A caregiver is delegating the ambulation of a patient who had knee arthroplasty 5 days ago
to an AP. Which of the following information should the caregiver share with the AP?
Select all that apply.
A. The roommate is up independently.
B. The patient ambulates with his slippers on over his antiembolic stockings.
C. The patient uses a front-wheeled walker when ambulating.
D. The patient had pain medication 30 minutes ago.
E. The patient is allergic to codeine.
F. The patient ate 50% of his breakfast this morning.
Correct Answer: B, C, D
Rationale:
B: Ensuring the patient wears slippers over antiembolic stockings promotes
safety and prevents slipping.
C: Informing the AP that the patient uses a front-wheeled walker is essential for
safe ambulation.
D: Since the patient had pain medication 30 minutes ago, he is likely
more comfortable for ambulation.
A, E, and F are not immediately relevant to the AP’s responsibilities in assisting
with ambulation.
Question 5: LPN Delegation - Tracheostomy Care
Can an RN delegate to the LPN to provide tracheostomy care to a patient with pneumonia?
A. Yes
B. No
Correct Answer: A (Yes)
Rationale:
LPNs are trained to perform tracheostomy care, which includes suctioning and
cleaning the tracheostomy site. However, the RN remains responsible for
assessing the patient’s condition and ensuring the procedure is done correctly.
3
