ATI RN FundamentalsProctoredFocus
i i i i
1. Can an RN delegate to the LPN to provide tracheostomy care to a
i i i i i i i i i i i i
iclient with pneumonia?
i i
2. A nurse on a med-surg unit has received change-of-shift report &
i i i i i i i i i i
iwill care for 4 clients. Which of the following client's needs may
i i i i i i i i i i i
ithe nurse assign to an assistive personnel (AP)?
i i i i i i i
A. Feeding a client who was admitted 24 hrs ago w/aspiration
i i i i i i i i i
ipneumonia
B. Reinforcing teaching w/a client who is learning to walk using a i i i i i i i i i i
iquad cane i
C. Reapplying a condom catheter for a client who has urinary i i i i i i i i i
iincontinence
D. Applying a sterile dressing to a pressure ulcer i i i i i i i
Rationale: The application of a condom catheter is a noninvasive,
i i i i i i i i i
routine procedure that the nurse may delegate to the AP
i i i i i i i i i i
3. A nurse is delegating the ambulation of a client who had knee
i i i i i i i i i i i
iarthroplasty 5 days ago to an AP. Which of the following i i i i i i i i i i
iinformation should the nurse share with the AP? Select All. i i i i i i i i i
A. The roommate is up independently.
i i i i
B. The client ambulates w/his slippers on over his antiembolic
i i i i i i i i
stockings
i
C. The client uses a front-wheeled walker when ambulating
i i i i i i i
D. The client had pain medication 30 min ago
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E. The client is allergic to codeine
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F. The client ate 50% of his breakfast this morning
i i i i i i i i
,4. An RN is making assignments for client care to a LPN at the beginning
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of the shift. Which of the following assignments should theLPN
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question?
i
A. Assisting a client who is 24hr postop to use an incentive spirometer
i i i i i i i i i i i
B. Collecting a clean-catch urine specimen from a client who was i i i i i i i i i
admitted on the previous shift
i i i i i
C. Providing nasopharyngeal suctioning for a client who has pneumonia
i i i i i i i i
D. Replacing the cartridge and tubing on a PCA pump i i i i i i i i
5. A nurse is preparing an in-service program about delegation. Whichof
i i i i i i i i i i
the following elements should she identify when presenting the 5
i i i i i i i i i i
rights of delegation? Select all.
i i i i i
A. Right client i
B. Right supervision/evaluation i
C. Rightdirection/communication i
D. Right time i
E. Right circumstances i
6. A nurse manager of a med-surg unit is assigning care responsibilities
i i i i i i i i i i
for the oncoming shift. A client is awaiting transfer back to the unit from
i i i i i i i i i i i i i i
the PACU following thoracic surgery. To which staff member should the
i i i i i i i i i i i
nurse assign to this client?
i i i i i
A. Charge nurse i
B. RN
C. LPN
D. AP
,7. A nurse observes an AP reprimanding a client for not using the
i i i i i i i i i i i
urinal properly. The AP tells him she will put a diaper on him if he
i i i i i i i i i i i i i i i
does not use the urinal more carefully next time. Which of the
i i i i i i i i i i i i
following torts is the AP committing?
i i i i i i
A. Assault
B. Battery
C. False imprisonment i
D. Invasion of privacy i i
8. An adult client who is competent tells the nurse that he is thinking
i i i i i i i i i i i i
about leaving the hospital against medical advice. The nurse believes
i i i i i i i i i i
that this is not in the client's best interest, so she administers a PRN
i i i i i i i i i i i i i i
sedative med that the client has not requested along w/his usual
i i i i i i i i i i i
meds. Which of the following tort has the nurse committed?
i i i i i i i i i i
A. Assault
B. False imprisonment i
C. Negligence
D. Breach of confidentiality i i
9. A client who will undergo neurosurgery the following week tells the
i i i i i i i i i i
nurse in the surgeon's office that he will prepare his advance directives
i i i i i i i i i i i i
before he goes to the hospital. Which of the following statements by
i i i i i i i i i i i i
the client indicates to the nurse that he understands advance
i i i i i i i i i i
directives?
i
A. "I'd rather have my brother make decisions for me, but I know it hasto
i i i i i i i i i i i i i i
be my wife."
i i i
B. "I know they won't go ahead w/the surgery unless I prepare these
i i i i i i i i i i i
forms."
i
C. "I plan to write that I don't want them to keep me on a breathing
i i i i i i i i i i i i i i
machine."
i
D. "I will get my regular doctor to approve my plan before I hand it in atthe
i i i i i i i i i i i i i i i i
hospital."
i
, 10. A client is about to undergo an elective surgical procedure. Which of
i i i i i i i i i i i
the following actions are appropriate for the nurse who is providing
i i i i i i i i i i i
preop care regarding informed consent? Select all.
i i i i i i i
A. Make sure the surgeon obtained the client's consent
i i i i i i i
B. Witness the client's signature on the consent form i i i i i i i
C. Explain the risks and benefits of the procedure i i i i i i i
D. Describe the consequences of choosing not to have the surgery i i i i i i i i i
E. Tell the client about alternatives to having the surgery
i i i i i i i i
11. A nurse has noticed several occasions in the past week when
i i i i i i i i i i
another nurse on the unit seemed drowsy & unable to focus on the
i i i i i i i i i i i i i
issue at hand. Today, she found the nurse asleep in a chair in the break
i i i i i i i i i i i i i i i
room when she was not on break. Which of the following actions should
i i i i i i i i i i i i i
the nurse take?
i i i
A. Remind the nurse that safe client care is a priority on the unit
i i i i i i i i i i i i
B. Ask others on the team whether they have observed the same
i i i i i i i i i i
behavior
i
C. Report observations to the nurse manager on the unit i i i i i i i i
D. Conclude that her coworker's fatigue is not her problem to solve i i i i i i i i i i
12. A nurse is preparing info for a change-of-shift report. Which of the
i i i i i i i i i i i
following info should the nurse include in the report?
i i i i i i i i i
A. The client's input & output for the shift
i i i i i i i
B. The client's BP from the previous day
i i i i i i
C. A bone scan that is scheduled for today
i i i i i i i
D. The med routine from the med administration record
i i i i i i i
13. A nurse enters a client's room & finds him sitting in his chair. He
i i i i i i i i i i i i i
states, "I fell in the shower, but I got myself back up & into my chair."
i i i i i i i i i i i i i i i i
How should the nurse document this in the client's chart?
i i i i i i i i i i
A. The client fell in the shower.
i i i i i
B. The client states he fell in the shower & was able to get himself back
i i i i i i i i i i i i i i
i i i i
1. Can an RN delegate to the LPN to provide tracheostomy care to a
i i i i i i i i i i i i
iclient with pneumonia?
i i
2. A nurse on a med-surg unit has received change-of-shift report &
i i i i i i i i i i
iwill care for 4 clients. Which of the following client's needs may
i i i i i i i i i i i
ithe nurse assign to an assistive personnel (AP)?
i i i i i i i
A. Feeding a client who was admitted 24 hrs ago w/aspiration
i i i i i i i i i
ipneumonia
B. Reinforcing teaching w/a client who is learning to walk using a i i i i i i i i i i
iquad cane i
C. Reapplying a condom catheter for a client who has urinary i i i i i i i i i
iincontinence
D. Applying a sterile dressing to a pressure ulcer i i i i i i i
Rationale: The application of a condom catheter is a noninvasive,
i i i i i i i i i
routine procedure that the nurse may delegate to the AP
i i i i i i i i i i
3. A nurse is delegating the ambulation of a client who had knee
i i i i i i i i i i i
iarthroplasty 5 days ago to an AP. Which of the following i i i i i i i i i i
iinformation should the nurse share with the AP? Select All. i i i i i i i i i
A. The roommate is up independently.
i i i i
B. The client ambulates w/his slippers on over his antiembolic
i i i i i i i i
stockings
i
C. The client uses a front-wheeled walker when ambulating
i i i i i i i
D. The client had pain medication 30 min ago
i i i i i i i
E. The client is allergic to codeine
i i i i i
F. The client ate 50% of his breakfast this morning
i i i i i i i i
,4. An RN is making assignments for client care to a LPN at the beginning
i i i i i i i i i i i i i
of the shift. Which of the following assignments should theLPN
i i i i i i i i i i i
question?
i
A. Assisting a client who is 24hr postop to use an incentive spirometer
i i i i i i i i i i i
B. Collecting a clean-catch urine specimen from a client who was i i i i i i i i i
admitted on the previous shift
i i i i i
C. Providing nasopharyngeal suctioning for a client who has pneumonia
i i i i i i i i
D. Replacing the cartridge and tubing on a PCA pump i i i i i i i i
5. A nurse is preparing an in-service program about delegation. Whichof
i i i i i i i i i i
the following elements should she identify when presenting the 5
i i i i i i i i i i
rights of delegation? Select all.
i i i i i
A. Right client i
B. Right supervision/evaluation i
C. Rightdirection/communication i
D. Right time i
E. Right circumstances i
6. A nurse manager of a med-surg unit is assigning care responsibilities
i i i i i i i i i i
for the oncoming shift. A client is awaiting transfer back to the unit from
i i i i i i i i i i i i i i
the PACU following thoracic surgery. To which staff member should the
i i i i i i i i i i i
nurse assign to this client?
i i i i i
A. Charge nurse i
B. RN
C. LPN
D. AP
,7. A nurse observes an AP reprimanding a client for not using the
i i i i i i i i i i i
urinal properly. The AP tells him she will put a diaper on him if he
i i i i i i i i i i i i i i i
does not use the urinal more carefully next time. Which of the
i i i i i i i i i i i i
following torts is the AP committing?
i i i i i i
A. Assault
B. Battery
C. False imprisonment i
D. Invasion of privacy i i
8. An adult client who is competent tells the nurse that he is thinking
i i i i i i i i i i i i
about leaving the hospital against medical advice. The nurse believes
i i i i i i i i i i
that this is not in the client's best interest, so she administers a PRN
i i i i i i i i i i i i i i
sedative med that the client has not requested along w/his usual
i i i i i i i i i i i
meds. Which of the following tort has the nurse committed?
i i i i i i i i i i
A. Assault
B. False imprisonment i
C. Negligence
D. Breach of confidentiality i i
9. A client who will undergo neurosurgery the following week tells the
i i i i i i i i i i
nurse in the surgeon's office that he will prepare his advance directives
i i i i i i i i i i i i
before he goes to the hospital. Which of the following statements by
i i i i i i i i i i i i
the client indicates to the nurse that he understands advance
i i i i i i i i i i
directives?
i
A. "I'd rather have my brother make decisions for me, but I know it hasto
i i i i i i i i i i i i i i
be my wife."
i i i
B. "I know they won't go ahead w/the surgery unless I prepare these
i i i i i i i i i i i
forms."
i
C. "I plan to write that I don't want them to keep me on a breathing
i i i i i i i i i i i i i i
machine."
i
D. "I will get my regular doctor to approve my plan before I hand it in atthe
i i i i i i i i i i i i i i i i
hospital."
i
, 10. A client is about to undergo an elective surgical procedure. Which of
i i i i i i i i i i i
the following actions are appropriate for the nurse who is providing
i i i i i i i i i i i
preop care regarding informed consent? Select all.
i i i i i i i
A. Make sure the surgeon obtained the client's consent
i i i i i i i
B. Witness the client's signature on the consent form i i i i i i i
C. Explain the risks and benefits of the procedure i i i i i i i
D. Describe the consequences of choosing not to have the surgery i i i i i i i i i
E. Tell the client about alternatives to having the surgery
i i i i i i i i
11. A nurse has noticed several occasions in the past week when
i i i i i i i i i i
another nurse on the unit seemed drowsy & unable to focus on the
i i i i i i i i i i i i i
issue at hand. Today, she found the nurse asleep in a chair in the break
i i i i i i i i i i i i i i i
room when she was not on break. Which of the following actions should
i i i i i i i i i i i i i
the nurse take?
i i i
A. Remind the nurse that safe client care is a priority on the unit
i i i i i i i i i i i i
B. Ask others on the team whether they have observed the same
i i i i i i i i i i
behavior
i
C. Report observations to the nurse manager on the unit i i i i i i i i
D. Conclude that her coworker's fatigue is not her problem to solve i i i i i i i i i i
12. A nurse is preparing info for a change-of-shift report. Which of the
i i i i i i i i i i i
following info should the nurse include in the report?
i i i i i i i i i
A. The client's input & output for the shift
i i i i i i i
B. The client's BP from the previous day
i i i i i i
C. A bone scan that is scheduled for today
i i i i i i i
D. The med routine from the med administration record
i i i i i i i
13. A nurse enters a client's room & finds him sitting in his chair. He
i i i i i i i i i i i i i
states, "I fell in the shower, but I got myself back up & into my chair."
i i i i i i i i i i i i i i i i
How should the nurse document this in the client's chart?
i i i i i i i i i i
A. The client fell in the shower.
i i i i i
B. The client states he fell in the shower & was able to get himself back
i i i i i i i i i i i i i i
