ATI RN FUNDAMENTALS PROCTORED EXAM
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2024/LATEST UPDATE EXAM QUESTIONS &
tt tt tt tt tt
ANSWERS WITH RATIONALES |A+ GRADE
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Can an RN delegate to the LPN to provide tracheostomy care to a client with
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tt pneumonia?
- Answer-Yes.
tt
A nurse on a med-surg unit has received change-of-shift report & will care for 4
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clients.Which of the following client's needs may the nurse assign to an assistive
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tt personnel (AP)? tt
A. Feeding a client who was admitted 24 hrs. ago w/aspiration pneumoni
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B. Reinforcing teaching w/a client who is learning to walk using a quad cane tt tt tt tt tt tt tt tt tt tt tt tt
C. Reapplying a condom catheter for a client who has urinary incontinence tt tt tt tt tt tt tt tt tt tt
D. Applying a sterile dressing to a pressure ulcer tt tt tt tt tt tt tt
- Answer-
tt tt Reapplying a condom catheter for a client who has urinary incontinence tt tt tt tt tt tt tt tt tt tt
C.
Rationale: The application of a condom catheter is a noninvasive, routine procedure
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thatthe nurse may delegate to the AP
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A client returning from surgery requires assessment and establishment of a plan of
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tt care.RNs are responsible for this, especially if the client is potentially unstable.
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A nurse observes an AP reprimanding a client for not using the urinal properly. The
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APtells him she will put a diaper on him if he does not use the urinal more
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,tt carefully next time. Which of the following torts is the AP committing?
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A.
tt AssaultB. t
tt Battery
C. False
tt
tt imprisonmentD. t
tt Invasion of privacy tt tt
- Answer-A. Assault tt
Rationale: By threatening the client, the AP is committing assault.
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An adult client who is competent tells the nurse that he is thinking about leaving the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt hospital against medical advice. The nurse believes that this is not in the client's best
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt interest, so she administers a PRN sedative med that the client has not requested along
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w/his usual meds. Which of the following tort has the nurse committed?
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A. Assault
B. False
tt imprisonmentC. t
tt Negligence
D. Breach of confidentiality
tt tt tt
- Answer-B. False imprisonment tt tt
Rationale: The nurse gave the med as a chemical restraint to keep the client from
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tt leavingthe facility against medical advice. The client did not consent.
t tt tt tt tt tt tt tt tt tt
,An RN is making assignments for client care to a LPN at the beginning of the shift.
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Which of the following assignments should the LPN question?
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A. Assisting a client who is 24hr postop to use an incentive spirometer
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B. Collecting a clean-catch urine specimen from a client who was admitted on
tt tt tt tt tt tt tt tt tt tt tt
tt theprevious shift
t tt
C. Providing nasopharyngeal suctioning for a client who has pneumonia
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D. Replacing the cartridge and tubing on a PCA pump tt tt tt tt tt tt tt tt
- Answer-D. Replacing the cartridge and tubing on a PCA pump
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Rationale: The RN is responsible for the PCA pump tt tt tt tt tt tt tt tt
A client who will undergo neurosurgery the following week tells the nurse in the
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tt surgeon's office that he will prepare his advance directives before he goes to the
tt tt tt tt tt tt tt tt tt tt tt tt tt
tt hospital.Which of the following statements by the client indicates to the nurse that he
t tt tt tt tt tt tt tt tt tt tt tt tt tt
tt understandsadvance directives? t tt
A. "I'd rather have my brother make decisions for me, but I know it has to be my
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt wife."B. "I know they won't go ahead w/the surgery unless I prepare these forms."
t tt tt tt tt tt tt tt tt tt tt tt tt tt
C. "I plan to write that I don't want them to keep me on a breathing machine."
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
D. "I will get my regular doctor to approve my plan before I hand it in at the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt hospital." -Answer-C. tt t
Rationale: The client has the right to decide and specify which medical procedures
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, hewants when a life-threatening situation arrives
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A client is about to undergo an elective surgical procedure. Which of the following
tt tt tt tt tt tt tt tt tt tt tt tt tt
tt actions are appropriate for the nurse who is providing people care regarding
tt tt tt tt tt tt tt tt tt tt tt
informedconsent? Select all.
tt t tt tt
A. Make sure the surgeon obtained the client's
tt tt tt tt tt tt tt
consentB. Witness the client's signature on the
tt t tt tt tt tt tt tt
tt consent form C. Explain the risks and benefits of
tt tt tt tt tt tt tt tt
tt the procedure
tt
D. Describe the consequences of choosing not to have the
tt tt tt tt tt tt tt tt tt
tt surgeryE. Tell the client about alternatives to having the
t tt tt tt tt tt tt tt tt
tt surgery – Answer-A, B tt tt tt
Rationale: The rest of the choices are the surgeon's responsibility, not the nurse
tt tt tt tt tt tt tt tt tt tt tt tt
A nurse has noticed several occasions in the past week when another nurse on the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt nurse asleepin a chair in the break room when she was not on break. Which of the
tt t tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt following actions should the nurse take? tt tt tt tt tt
A. Remind the nurse that safe client care is a priority on the unit
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B. Ask others on the team whether they have observed the same
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behaviorC. Report observations to the nurse manager on the unit
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D. Conclude that her coworker's fatigue is not her problem to solve
tt tt tt tt tt tt tt tt tt tt tt
tt tt tt tt
2024/LATEST UPDATE EXAM QUESTIONS &
tt tt tt tt tt
ANSWERS WITH RATIONALES |A+ GRADE
tt tt tt tt tt
Can an RN delegate to the LPN to provide tracheostomy care to a client with
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt pneumonia?
- Answer-Yes.
tt
A nurse on a med-surg unit has received change-of-shift report & will care for 4
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
clients.Which of the following client's needs may the nurse assign to an assistive
tt t tt tt tt tt tt tt tt tt tt tt tt tt
tt personnel (AP)? tt
A. Feeding a client who was admitted 24 hrs. ago w/aspiration pneumoni
tt tt tt tt tt tt tt tt tt tt
B. Reinforcing teaching w/a client who is learning to walk using a quad cane tt tt tt tt tt tt tt tt tt tt tt tt
C. Reapplying a condom catheter for a client who has urinary incontinence tt tt tt tt tt tt tt tt tt tt
D. Applying a sterile dressing to a pressure ulcer tt tt tt tt tt tt tt
- Answer-
tt tt Reapplying a condom catheter for a client who has urinary incontinence tt tt tt tt tt tt tt tt tt tt
C.
Rationale: The application of a condom catheter is a noninvasive, routine procedure
tt tt tt tt tt tt tt tt tt tt tt
thatthe nurse may delegate to the AP
tt t tt tt tt tt tt tt
A client returning from surgery requires assessment and establishment of a plan of
tt tt tt tt tt tt tt tt tt tt tt tt
tt care.RNs are responsible for this, especially if the client is potentially unstable.
t tt tt tt tt tt tt tt tt tt tt tt
A nurse observes an AP reprimanding a client for not using the urinal properly. The
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
APtells him she will put a diaper on him if he does not use the urinal more
tt t tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
,tt carefully next time. Which of the following torts is the AP committing?
tt tt tt tt tt tt tt tt tt tt tt
A.
tt AssaultB. t
tt Battery
C. False
tt
tt imprisonmentD. t
tt Invasion of privacy tt tt
- Answer-A. Assault tt
Rationale: By threatening the client, the AP is committing assault.
tt tt tt tt tt tt tt tt tt
An adult client who is competent tells the nurse that he is thinking about leaving the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt hospital against medical advice. The nurse believes that this is not in the client's best
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt interest, so she administers a PRN sedative med that the client has not requested along
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
w/his usual meds. Which of the following tort has the nurse committed?
t tt tt tt tt tt tt tt tt tt tt tt
A. Assault
B. False
tt imprisonmentC. t
tt Negligence
D. Breach of confidentiality
tt tt tt
- Answer-B. False imprisonment tt tt
Rationale: The nurse gave the med as a chemical restraint to keep the client from
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt leavingthe facility against medical advice. The client did not consent.
t tt tt tt tt tt tt tt tt tt
,An RN is making assignments for client care to a LPN at the beginning of the shift.
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
Which of the following assignments should the LPN question?
t tt tt tt tt tt tt tt tt
A. Assisting a client who is 24hr postop to use an incentive spirometer
tt tt tt tt tt tt tt tt tt tt tt
B. Collecting a clean-catch urine specimen from a client who was admitted on
tt tt tt tt tt tt tt tt tt tt tt
tt theprevious shift
t tt
C. Providing nasopharyngeal suctioning for a client who has pneumonia
tt tt tt tt tt tt tt tt
D. Replacing the cartridge and tubing on a PCA pump tt tt tt tt tt tt tt tt
- Answer-D. Replacing the cartridge and tubing on a PCA pump
tt tt tt tt tt tt tt tt tt tt
Rationale: The RN is responsible for the PCA pump tt tt tt tt tt tt tt tt
A client who will undergo neurosurgery the following week tells the nurse in the
tt tt tt tt tt tt tt tt tt tt tt tt tt
tt surgeon's office that he will prepare his advance directives before he goes to the
tt tt tt tt tt tt tt tt tt tt tt tt tt
tt hospital.Which of the following statements by the client indicates to the nurse that he
t tt tt tt tt tt tt tt tt tt tt tt tt tt
tt understandsadvance directives? t tt
A. "I'd rather have my brother make decisions for me, but I know it has to be my
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt wife."B. "I know they won't go ahead w/the surgery unless I prepare these forms."
t tt tt tt tt tt tt tt tt tt tt tt tt tt
C. "I plan to write that I don't want them to keep me on a breathing machine."
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
D. "I will get my regular doctor to approve my plan before I hand it in at the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt hospital." -Answer-C. tt t
Rationale: The client has the right to decide and specify which medical procedures
tt tt tt tt tt tt tt tt tt tt tt tt
, hewants when a life-threatening situation arrives
tt t tt tt tt tt tt
A client is about to undergo an elective surgical procedure. Which of the following
tt tt tt tt tt tt tt tt tt tt tt tt tt
tt actions are appropriate for the nurse who is providing people care regarding
tt tt tt tt tt tt tt tt tt tt tt
informedconsent? Select all.
tt t tt tt
A. Make sure the surgeon obtained the client's
tt tt tt tt tt tt tt
consentB. Witness the client's signature on the
tt t tt tt tt tt tt tt
tt consent form C. Explain the risks and benefits of
tt tt tt tt tt tt tt tt
tt the procedure
tt
D. Describe the consequences of choosing not to have the
tt tt tt tt tt tt tt tt tt
tt surgeryE. Tell the client about alternatives to having the
t tt tt tt tt tt tt tt tt
tt surgery – Answer-A, B tt tt tt
Rationale: The rest of the choices are the surgeon's responsibility, not the nurse
tt tt tt tt tt tt tt tt tt tt tt tt
A nurse has noticed several occasions in the past week when another nurse on the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt nurse asleepin a chair in the break room when she was not on break. Which of the
tt t tt tt tt tt tt tt tt tt tt tt tt tt tt tt tt
tt following actions should the nurse take? tt tt tt tt tt
A. Remind the nurse that safe client care is a priority on the unit
tt tt tt tt tt tt tt tt tt tt tt tt
B. Ask others on the team whether they have observed the same
tt tt tt tt tt tt tt tt tt tt
behaviorC. Report observations to the nurse manager on the unit
tt t tt tt tt tt tt tt tt tt tt
D. Conclude that her coworker's fatigue is not her problem to solve
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