ATI PN FUNDAMENTALS LATEST TEST
BANK REAL EXAM 2025\\2026
At the end of the shift, the nurse realizes that she forgot to document a dressing change that she
performed for a patient. Which action should the nurse take? - correct answer<<<<<<<Rationale: If the
nurse fails to make an important entry while charting, she should make a late entry as an addition to the
narrative notes. An occurrence report is not necessary in this case. If documentation is omitted, there is
no legal verification that the procedure was performed. It is illegal to add to a chart entry that was
previously documented. The nurse can only document care directly performed or observed. Therefore,
the nurse on the incoming shift would not record the wound change as performed.
. The charge nurse asks the nursing assistive personnel (NAP) to give a bed bath to a patient with end-
stage chronic obstructive pulmonary disease. How should the NAP proceed? - correct
answer<<<<<<<Rationale:A towel bath is a modification of the bed bath in which the NAP places a large
towel and a bath blanket into a plastic bag, saturates them with a commercially prepared mixture of
moisturizer, nonrinse cleaning agent, and water; warms in them in a microwave, and then uses them to
bathe the patient. A bag bath is a modification of the towel bath, in which the NAP uses 8 to 10
washcloths instead of a towel or blanket. Each part of the patient's body is bathed with a fresh cloth. A
bag bath is not given in a chair or in the tub.
5. Which pain management task can the nurse safely delegate to nursing assistive personnel?
Rationale:The nurse can delegate the task of asking about pain when nursing assistive personnel (NAP)
obtain vital signs. The NAP must be instructed to report findings to the nurse without delay. The nurse
should evaluate the effectiveness of pain medications and develop the plan of care. Administering over-
the-counter and prescription medications is the responsibility of the registered nurse or licensed
practical nurse. - correct answer<<<<<<<A) Asking about pain during vital signs
Which factor in the patient's past medical history dictates that the nurse exercise caution when
administering acetaminophen (Tylenol)? - correct answer<<<<<<<A) Hepatitis B
Rationale:Even in recommended doses, acetaminophen can cause severe hepatotoxicity in patients with
liver disease, such as hepatitis B. Patients who consume alcohol regularly should also use
acetaminophen cautiously. Those allergic to aspirin or other nonsteroidal anti- inflammatory drugs
(NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes gastrointestinal (GI) problems;
therefore, it can be used for those with a history of gastric irritation and bleeding.
, Which action should the nurse take before administering morphine 4.0 mg intravenously to a patient
complaining of incisional pain? - correct answer<<<<<<<Assess the patient's respiratory status.
Before administering an opioid analgesic, such as morphine, the nurse should assess the patient's
respiratory status because opioid analgesics can cause respiratory depression. It is not necessary to
clarify the order with the physician because morphine 4 mg IV is an appropriate dose. It is not necessary
to monitor the patient's heart rate. Downloaded by: spazzoutent | brandonjmecusker
Which action should the nurse take when preparing patient-controlled analgesia for a postoperative
patient? - correct answer<<<<<<<ask another nurse to double check the setup patient use
As a safeguard to reduce the risk for dosing errors, the nurse should request another nurse to double-
check the setup before patient use. The nurse should reassure the patient that the pump has a lockout
feature that prevents him from overdosing even if he continues to push the dose administration button.
The nurse should also instruct the patient to administer a dose before potentially painful activities, such
as walking. Patient-controlled analgesia is contraindicated for those who are cognitively impaired.
The nurse administers codeine sulfate 30 mg orally to a patient who underwent craniotomy 3 days ago
for a brain tumor. How soon after administration should the nurse reassess the patient's pain? - correct
answer<<<<<<<in 60 minutes
Rationale:Codeine administered by the oral route reaches peak concentration in 60 minutes; therefore,
the nurse should reassess the patient's pain 60 minutes after administration. The nurse should reassess
pain after 10 minutes when administering codeine by the intramuscular or subcutaneous routes. Drugs
administered by the intravenous (IV) route are effective almost immediately; however, codeine is not
recommended for IV administration.
Which nonsteroidal anti-inflammatory drug might be administered to inhibit platelet aggregation in a
patient at risk for thrombophlebitis? - correct answer<<<<<<<Aspirin (Ecotrin)
: Aspirin is a unique NSAID that inhibits platelet aggregation. Low-dose aspirin therapy is commonly
administered to decrease the risk of thrombophlebitis, myocardial infarction, and stroke. Ibuprofen,
celecoxib, and indomethacin are NSAIDs, but they do not inhibit platelet aggregation.
A client who is receiving epidural analgesia complains of nausea and loss of motor function in his legs.
The nurse obtains his blood pressure and notes a drop in his blood pressure from the previous reading.
Which complication is the patient most likely experiencing? - correct answer<<<<<<<C) Epidural
catheter migration
The patient is exhibiting signs of epidural catheter migration, which include nausea, a decrease in blood
pressure, and loss of motor function without an identifiable cause. Signs of infection at the catheter site
BANK REAL EXAM 2025\\2026
At the end of the shift, the nurse realizes that she forgot to document a dressing change that she
performed for a patient. Which action should the nurse take? - correct answer<<<<<<<Rationale: If the
nurse fails to make an important entry while charting, she should make a late entry as an addition to the
narrative notes. An occurrence report is not necessary in this case. If documentation is omitted, there is
no legal verification that the procedure was performed. It is illegal to add to a chart entry that was
previously documented. The nurse can only document care directly performed or observed. Therefore,
the nurse on the incoming shift would not record the wound change as performed.
. The charge nurse asks the nursing assistive personnel (NAP) to give a bed bath to a patient with end-
stage chronic obstructive pulmonary disease. How should the NAP proceed? - correct
answer<<<<<<<Rationale:A towel bath is a modification of the bed bath in which the NAP places a large
towel and a bath blanket into a plastic bag, saturates them with a commercially prepared mixture of
moisturizer, nonrinse cleaning agent, and water; warms in them in a microwave, and then uses them to
bathe the patient. A bag bath is a modification of the towel bath, in which the NAP uses 8 to 10
washcloths instead of a towel or blanket. Each part of the patient's body is bathed with a fresh cloth. A
bag bath is not given in a chair or in the tub.
5. Which pain management task can the nurse safely delegate to nursing assistive personnel?
Rationale:The nurse can delegate the task of asking about pain when nursing assistive personnel (NAP)
obtain vital signs. The NAP must be instructed to report findings to the nurse without delay. The nurse
should evaluate the effectiveness of pain medications and develop the plan of care. Administering over-
the-counter and prescription medications is the responsibility of the registered nurse or licensed
practical nurse. - correct answer<<<<<<<A) Asking about pain during vital signs
Which factor in the patient's past medical history dictates that the nurse exercise caution when
administering acetaminophen (Tylenol)? - correct answer<<<<<<<A) Hepatitis B
Rationale:Even in recommended doses, acetaminophen can cause severe hepatotoxicity in patients with
liver disease, such as hepatitis B. Patients who consume alcohol regularly should also use
acetaminophen cautiously. Those allergic to aspirin or other nonsteroidal anti- inflammatory drugs
(NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes gastrointestinal (GI) problems;
therefore, it can be used for those with a history of gastric irritation and bleeding.
, Which action should the nurse take before administering morphine 4.0 mg intravenously to a patient
complaining of incisional pain? - correct answer<<<<<<<Assess the patient's respiratory status.
Before administering an opioid analgesic, such as morphine, the nurse should assess the patient's
respiratory status because opioid analgesics can cause respiratory depression. It is not necessary to
clarify the order with the physician because morphine 4 mg IV is an appropriate dose. It is not necessary
to monitor the patient's heart rate. Downloaded by: spazzoutent | brandonjmecusker
Which action should the nurse take when preparing patient-controlled analgesia for a postoperative
patient? - correct answer<<<<<<<ask another nurse to double check the setup patient use
As a safeguard to reduce the risk for dosing errors, the nurse should request another nurse to double-
check the setup before patient use. The nurse should reassure the patient that the pump has a lockout
feature that prevents him from overdosing even if he continues to push the dose administration button.
The nurse should also instruct the patient to administer a dose before potentially painful activities, such
as walking. Patient-controlled analgesia is contraindicated for those who are cognitively impaired.
The nurse administers codeine sulfate 30 mg orally to a patient who underwent craniotomy 3 days ago
for a brain tumor. How soon after administration should the nurse reassess the patient's pain? - correct
answer<<<<<<<in 60 minutes
Rationale:Codeine administered by the oral route reaches peak concentration in 60 minutes; therefore,
the nurse should reassess the patient's pain 60 minutes after administration. The nurse should reassess
pain after 10 minutes when administering codeine by the intramuscular or subcutaneous routes. Drugs
administered by the intravenous (IV) route are effective almost immediately; however, codeine is not
recommended for IV administration.
Which nonsteroidal anti-inflammatory drug might be administered to inhibit platelet aggregation in a
patient at risk for thrombophlebitis? - correct answer<<<<<<<Aspirin (Ecotrin)
: Aspirin is a unique NSAID that inhibits platelet aggregation. Low-dose aspirin therapy is commonly
administered to decrease the risk of thrombophlebitis, myocardial infarction, and stroke. Ibuprofen,
celecoxib, and indomethacin are NSAIDs, but they do not inhibit platelet aggregation.
A client who is receiving epidural analgesia complains of nausea and loss of motor function in his legs.
The nurse obtains his blood pressure and notes a drop in his blood pressure from the previous reading.
Which complication is the patient most likely experiencing? - correct answer<<<<<<<C) Epidural
catheter migration
The patient is exhibiting signs of epidural catheter migration, which include nausea, a decrease in blood
pressure, and loss of motor function without an identifiable cause. Signs of infection at the catheter site
