ATI RN Fundamentals Proctored Exam
QUESTIONS AND ANSWERS 2025
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔-
>>>>>>>>B, C, D
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 -
✔✔ANSWER✔✔->>>>>>>>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
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 - ✔✔ANSWER✔✔-
>>>>>>>>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
A nurse enters a client's room & finds him sitting in his chair. He states, "I fell in
the shower, but I got myself back up & into my chair." How should the nurse
document this in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back into his
chair
C. The nurse should not document this info because she did not witness the fall
D. The client fell in the shower & is now resting comfortably - ✔✔ANSWER✔✔-
>>>>>>>>B.
By writing what the client states, the info is subjective data
A nursing instructor is reviewing documentation w/a group of nursing
students. Which of the following legal guidelines should they follow when
documenting a client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
, E. Wait until the end of the shift to document - ✔✔ANSWER✔✔->>>>>>>>B, C
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 - ✔✔ANSWER✔✔-
>>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>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
QUESTIONS AND ANSWERS 2025
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔-
>>>>>>>>B, C, D
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 -
✔✔ANSWER✔✔->>>>>>>>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
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 - ✔✔ANSWER✔✔-
>>>>>>>>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
A nurse enters a client's room & finds him sitting in his chair. He states, "I fell in
the shower, but I got myself back up & into my chair." How should the nurse
document this in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back into his
chair
C. The nurse should not document this info because she did not witness the fall
D. The client fell in the shower & is now resting comfortably - ✔✔ANSWER✔✔-
>>>>>>>>B.
By writing what the client states, the info is subjective data
A nursing instructor is reviewing documentation w/a group of nursing
students. Which of the following legal guidelines should they follow when
documenting a client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
, E. Wait until the end of the shift to document - ✔✔ANSWER✔✔->>>>>>>>B, C
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 - ✔✔ANSWER✔✔-
>>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>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
