ATI RN FUNDAMENTALS PROCTORED
ACTUAL EXAM TEST BANK 3 VERSIONS
QUESTIONS AND DETAILED ANSWERS
VERIFIED
1. 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."
ANS: C.
The client has the right to decide and specify which medical procedures
he wants when a life-threatening situation arrives
2. 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
E. Tell the client about alternatives to having the surgery
ANS: A, B The rest of the choices are the surgeon's
responsibility, not the nurse
3. A nurse has noticed several occasions in the past week when another
nurse on the unit seemed drowsy & unable to focus on the issue at hand.
Today, she found the nurse asleep in a chair in the break room when she
was not on break. Which of the following actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
ANS: C.
Any nurse who notices behavior that could possibly jeopardize client care
or indicate a substance abuse problem has a duty to report the situation
immediately to the nurse manager
,4. A nurse is preparing info for a change-of-shift report. Which of the
following info should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
ANS: C. A bone scan that is scheduled for today
This is important because the nurse might have to modify the client's
care to accommodate them leaving the unit
5.Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia
ANS Yes.
6.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
ANS: 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
7.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
ANS: B, C, D
8.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
ACTUAL EXAM TEST BANK 3 VERSIONS
QUESTIONS AND DETAILED ANSWERS
VERIFIED
1. 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."
ANS: C.
The client has the right to decide and specify which medical procedures
he wants when a life-threatening situation arrives
2. 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
E. Tell the client about alternatives to having the surgery
ANS: A, B The rest of the choices are the surgeon's
responsibility, not the nurse
3. A nurse has noticed several occasions in the past week when another
nurse on the unit seemed drowsy & unable to focus on the issue at hand.
Today, she found the nurse asleep in a chair in the break room when she
was not on break. Which of the following actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
ANS: C.
Any nurse who notices behavior that could possibly jeopardize client care
or indicate a substance abuse problem has a duty to report the situation
immediately to the nurse manager
,4. A nurse is preparing info for a change-of-shift report. Which of the
following info should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
ANS: C. A bone scan that is scheduled for today
This is important because the nurse might have to modify the client's
care to accommodate them leaving the unit
5.Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia
ANS Yes.
6.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
ANS: 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
7.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
ANS: B, C, D
8.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
