ATI FUNDAMENTALS PROCTORED EXAM
The skin barrier covering a client's intestinal 𝑓istula keeps 𝑓alling o𝑓𝑓 when she stands
up to ambulate. The nurse has reapplied it twice during the shi 𝑓t, but it remains intact
only when the client is supine in bed. The nurse telephoned the physical therapist about
the di𝑓𝑓iculties containing the drainage 𝑓rom the 𝑓istula, so the therapist didn't
ambulate the client today. The client sat in a chair during lunch w/an absorbent pad
over the 𝑓istula. The client ate all the 𝑓ood on her tray. The wound care nurse
con𝑓irmed that she will see the client later today. The client states she 𝑓eels 𝑓rustrated
at not having physical therapy, but the nurse thinks the client welcomed having a day to
rest. Which o𝑓 the 𝑓ollowing in𝑓ormation should the nurse include in the change-o𝑓-
shi𝑓t report? Select all that apply.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the client stands.
C.The client seemed to welcome having a "day o𝑓𝑓" 𝑓rom physical therapy
D. The wound care nurse will see the client later today
E.The client ate all the 𝑓ood on her lunch tray
A, B, D
A nurse is receiving a provider's prescription by telephone 𝑓or morphine 𝑓or a client
who is reporting moderate to severe pain. Which o𝑓 the 𝑓ollowing nursing actions are
appropriate? Select all that apply.
A. Repeat the details o𝑓 the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C.Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E.Tell the charge nurse that the provider has prescribed morphine by telephone A, B, C
A nurse is caring 𝑓or an older adult client who lives alone & is to be discharged in 3 days.
He states that it is di𝑓𝑓icult to prepare adequate nutritious meals at home 𝑓or just 1
person. To which o𝑓 the 𝑓ollowing members o𝑓 the health care team should the
nurse re𝑓er him?
A. Registered dietitian
B. Occupational therapist
C.Physical therapist
D. Social worker
D. social worker
, Rational: A social worker can make arrangements 𝑓or a meal delivery service to
provide
nutritious meals daily, or recommend a congregate meal site near the client's home
lO
M
o
A
R
c
P
S
D
|
6
4
5
7
2
2
2
A goal 𝑓or a client who has di𝑓𝑓iculty w/sel𝑓-𝑓eeding due to rheumatoid arthritis is to
use
adaptive devices. The nurse caring 𝑓or the client should initiate a re 𝑓erral w/which o 𝑓
the
𝑓ollowing members o𝑓 the inter-pro𝑓essional care team?
A. Social worker
B. Certi𝑓ied nursing assistant
C. Registered dietitian
D. Occupational therapist E. Registered dietitian
D. Occupational therapist
Rational: An occupational therapist can assist clients who have physical challenges to
use adaptive devices & strategies to help w/sel𝑓-care activities
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? 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 a 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
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.
The skin barrier covering a client's intestinal 𝑓istula keeps 𝑓alling o𝑓𝑓 when she stands
up to ambulate. The nurse has reapplied it twice during the shi 𝑓t, but it remains intact
only when the client is supine in bed. The nurse telephoned the physical therapist about
the di𝑓𝑓iculties containing the drainage 𝑓rom the 𝑓istula, so the therapist didn't
ambulate the client today. The client sat in a chair during lunch w/an absorbent pad
over the 𝑓istula. The client ate all the 𝑓ood on her tray. The wound care nurse
con𝑓irmed that she will see the client later today. The client states she 𝑓eels 𝑓rustrated
at not having physical therapy, but the nurse thinks the client welcomed having a day to
rest. Which o𝑓 the 𝑓ollowing in𝑓ormation should the nurse include in the change-o𝑓-
shi𝑓t report? Select all that apply.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the client stands.
C.The client seemed to welcome having a "day o𝑓𝑓" 𝑓rom physical therapy
D. The wound care nurse will see the client later today
E.The client ate all the 𝑓ood on her lunch tray
A, B, D
A nurse is receiving a provider's prescription by telephone 𝑓or morphine 𝑓or a client
who is reporting moderate to severe pain. Which o𝑓 the 𝑓ollowing nursing actions are
appropriate? Select all that apply.
A. Repeat the details o𝑓 the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C.Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E.Tell the charge nurse that the provider has prescribed morphine by telephone A, B, C
A nurse is caring 𝑓or an older adult client who lives alone & is to be discharged in 3 days.
He states that it is di𝑓𝑓icult to prepare adequate nutritious meals at home 𝑓or just 1
person. To which o𝑓 the 𝑓ollowing members o𝑓 the health care team should the
nurse re𝑓er him?
A. Registered dietitian
B. Occupational therapist
C.Physical therapist
D. Social worker
D. social worker
, Rational: A social worker can make arrangements 𝑓or a meal delivery service to
provide
nutritious meals daily, or recommend a congregate meal site near the client's home
lO
M
o
A
R
c
P
S
D
|
6
4
5
7
2
2
2
A goal 𝑓or a client who has di𝑓𝑓iculty w/sel𝑓-𝑓eeding due to rheumatoid arthritis is to
use
adaptive devices. The nurse caring 𝑓or the client should initiate a re 𝑓erral w/which o 𝑓
the
𝑓ollowing members o𝑓 the inter-pro𝑓essional care team?
A. Social worker
B. Certi𝑓ied nursing assistant
C. Registered dietitian
D. Occupational therapist E. Registered dietitian
D. Occupational therapist
Rational: An occupational therapist can assist clients who have physical challenges to
use adaptive devices & strategies to help w/sel𝑓-care activities
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? 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 a 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
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.
