RN FUNDAMENTALS ATI PROCTORED EXAM
(LATEST ) – NGN STYLE
Yes. - -Can an RN delegate to the LPN to provide tracheostomy
care
to a client with pneumonia?
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 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
B, C, D - -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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump - -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
B, C, E
A and D are rights of medication administration - -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
B. RN
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 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 following thoracic surgery. To which
staff member should the nurse assign to this client?
,A. Charge nurse
B. RN
C. LPN
D. AP
A. Assault
By threatening the client, the AP is committing assault. - -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
B. False imprisonment
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 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
C.
, The client has the right to decide and specify which medical procedures he
wants when a life-threatening situation arrives - -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."
A, B
The rest of the choices are the surgeon's responsibility, not the nurse -
-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
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 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
(LATEST ) – NGN STYLE
Yes. - -Can an RN delegate to the LPN to provide tracheostomy
care
to a client with pneumonia?
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 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
B, C, D - -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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump - -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
B, C, E
A and D are rights of medication administration - -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
B. RN
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 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 following thoracic surgery. To which
staff member should the nurse assign to this client?
,A. Charge nurse
B. RN
C. LPN
D. AP
A. Assault
By threatening the client, the AP is committing assault. - -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
B. False imprisonment
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 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
C.
, The client has the right to decide and specify which medical procedures he
wants when a life-threatening situation arrives - -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."
A, B
The rest of the choices are the surgeon's responsibility, not the nurse -
-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
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 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
