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