ATI RN FUNDAMENTALS PROCTORED EXAM
2024/LATEST UPDATE EXAM QUESTIONS & ANSWERS
WITH RATIONALES |A+ GRADE
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 pneumoni
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 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
- Answer-A. Assault
Rationale: 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
- Answer-B. False imprisonment
Rationale: 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.
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 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." -
Answer-C.
Rationale: 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 people 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 –
Answer-A, B
Rationale: The rest of the choices are the surgeon's responsibility, not the nurse
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.
Rationale: 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
2024/LATEST UPDATE EXAM QUESTIONS & ANSWERS
WITH RATIONALES |A+ GRADE
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 pneumoni
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 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
- Answer-A. Assault
Rationale: 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
- Answer-B. False imprisonment
Rationale: 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.
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 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." -
Answer-C.
Rationale: 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 people 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 –
Answer-A, B
Rationale: The rest of the choices are the surgeon's responsibility, not the nurse
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.
Rationale: 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
