ATI RN Fundamentals Proctored Exam with precise detailed answers.

ATI RN Fundamentals Proctored Exam
| | | | |




with precise detailed answers
| | |




Can |an |RN |delegate |to |the |LPN |to |provide |tracheostomy |care |to |a |client |with |pneumonia? |- | |
correct |answers |Yes.



A |nurse |on |a |med-surg |unit |has |received |change-of-shift |report |& |will |care |for |4 |clients. |Which
|of |the |following |client's |needs |may |the |nurse |assign |to |an |assistive |personnel |(AP)? |




A. |Feeding |a |client |who |was |admitted |24 |hrs |ago |w/aspiration |pneumonia |



B. |Reinforcing |teaching |w/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 |answers |C. |Reapplying |a |condom |
catheter |for |a |client |who |has |urinary |incontinence |



Rationale: |The |application |of |a |condom |catheter |is |a |noninvasive, |routine |procedure |that |the |
nurse |may |delegate |to |the |AP



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. |



A. |The |roommate |is |up |independently. |

B. |The |client |ambulates |w/his |slippers |on |over |his |antiembolic |stockings

,C. |The |client |uses |a |front-wheeled |walker |when |ambulating

D. |The |client |had |pain |medication |30 |min |ago

E. |The |client |is |allergic |to |codeine

F. |The |client |ate |50% |of |his |breakfast |this |morning |- | |correct |answers |B, |C, |D



An |RN |is |making |assignments |for |client |care |to |a |LPN |at |the |beginning |of |the |shift. |Which |of |
the |following |assignments |should |the |LPN |question?



A. |Assisting |a |client |who |is |24hr |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 |answers |D. |Replacing |the |
cartridge |and |tubing |on |a |PCA |pump



Rationale: |The |RN |is |responsible |for |the |PCA |pump



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. |




A. |Right |client

B. |Right |supervision/evaluation

C. |Right |direction/communication

D. |Right |time

E. |Right |circumstances |- | |correct |answers |B, |C, |E



A |and |D |are |rights |of |medication |administration

,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 |answers |B. |RN



A |client |returning |from |surgery |requires |assessment |and |establishment |of |a |plan |of |care. |RNs |
are |responsible |for |this, |especially |if |the |client |is |potentially |unstable.



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

C. |False |imprisonment |

D. |Invasion |of |privacy |- | |correct |answers |A. |Assault |



By |threatening |the |client, |the |AP |is |committing |assault.



An |adult |client |who |is |competent |tells |the |nurse |that |he |is |thinking |about |leaving |the |hospital |
against |medical |advice. |The |nurse |believes |that |this |is |not |in |the |client's |best |interest, |so |she |
administers |a |PRN |sedative |med |that |the |client |has |not |requested |along |w/his |usual |meds. |
Which |of |the |following |tort |has |the |nurse |committed? |

, A. |Assault

B. |False |imprisonment

C. |Negligence

D. |Breach |of |confidentiality |- | |correct |answers |B. |False |imprisonment |



The |nurse |gave |the |med |as |a |chemical |restraint |to |keep |the |client |from |leaving |the |facility |
against |medical |advice. |The |client |did |not |consent.



A |client |who |will |undergo |neurosurgery |the |following |week |tells |the |nurse |in |the |surgeon's |
office |that |he |will |prepare |his |advance |directives |before |he |goes |to |the |hospital. |Which |of |the |
following |statements |by |the |client |indicates |to |the |nurse |that |he |understands |advance |
directives? |



A. |"I'd |rather |have |my |brother |make |decisions |for |me, |but |I |know |it |has |to |be |my |wife." |

B. |"I |know |they |won't |go |ahead |w/the |surgery |unless |I |prepare |these |forms."

C. |"I |plan |to |write |that |I |don't |want |them |to |keep |me |on |a |breathing |machine." |

D. |"I |will |get |my |regular |doctor |to |approve |my |plan |before |I |hand |it |in |at |the |hospital." |- | |
correct |answers |C. |

The |client |has |the |right |to |decide |and |specify |which |medical |procedures |he |wants |when |a |life-
threatening |situation |arrives



A |client |is |about |to |undergo |an |elective |surgical |procedure. |Which |of |the |following |actions |are
|appropriate |for |the |nurse |who |is |providing |preop |care |regarding |informed |consent? |Select |all.
|




A. |Make |sure |the |surgeon |obtained |the |client's |consent

B. |Witness |the |client's |signature |on |the |consent |form

C. |Explain |the |risks |and |benefits |of |the |procedure

D. |Describe |the |consequences |of |choosing |not |to |have |the |surgery