ATI RN Fundamentals Proctored Exam 2024 | NGN Nursing Practice Questions & Fundamentals Review

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1. A nurse in an acute care facility C. Current medications
is preparing a discharge sum-
mary for a client who is trans- The nurse should include the client's medications in the dis-
ferring to a long-term care facil- charge summary to ensure client safety and continuity of care.
ity. Which of the following docu-
mentation should the nurse in-
clude?

A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports

2. A nurse is reviewing protocol B. Select a suction catheter that is half the size of the lumen.
in preparation for suctioning
secretions from a client who The nurse should select a suction catheter that is half the
has a new tracheostomy. Which size of the lumen to prevent hypoxemia and trauma to the
of the following actions should mucosa.
the nurse plan to take?

A. Use a resuscitation bag with
80% oxygen prior to the proce-
dure.
B. Select a suction catheter that
is half the size of the lumen.
C. Place the end of the suction
catheter in water-soluble lubri-
cant.
D. Adjust the wall suction appa-
ratus to a pressure of 170 mm
Hg.

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3. A nurse is caring for a client D. Apply an ankle-foot orthotic device to the client's feet.
who has decreased mobility.
Which of the following actions The nurse should use a device to maintain dorsiflexion, such
should the nurse take to de- as an ankle-foot orthotic device or a foot board placed per-
crease the client's risk of devel- pendicular to the mattress.
oping plantar flexion contrac-
tures?

A. Place a pillow under the
client's knees.
B. Position a trochanter roll un-
der each of the client's hips.
C. Advise the client to wear rub-
ber-soled slippers.
D. Apply an ankle-foot orthotic
device to the client's feet.

4. A nurse manager is oversee- B. A nurse asks a nurse from another unit to assist with
ing the care activities on a unit. documentation for a client.
For which of the following situa-
tions should the nurse manag- Only health care professionals directly caring for a client
er intervene due to a violation should have access to the client's medical information; there-
of HIPAA guidelines? fore, this is a violation of HIPAA guidelines.

A. A nurse who is caring for a
client reviews the client's med-
ical chart with a nursing stu-
dent who is working with the
nurse.
B. A nurse asks a nurse from
another unit to assist with doc-

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umentation for a client.
C. A nurse who is caring for
a client returns a call to the
person appointed in the health
care proxy to discuss the client's
care.
D. A nurse discusses a client's
status with the physical thera-
pist who is caring for the client.

5. A nurse is preparing to admin- A. Gently shake the container of medication prior to admin-
ister 0.5 mL of oral single-dose istration.
liquid medication to a client.
Which of the following actions The nurse should gently shake the liquid medication to en-
should the nurse take? sure that the medication is mixed.

A. Gently shake the container of
medication prior to administra-
tion.
B. Transfer the medication to a
medicine cup.
C. Place the client in a
semi-Fowler's position prior to
medication administration.
D. Verify the dosage by measur-
ing the liquid before adminis-
tering it.

6. A nurse on a medical unit is D. Compare prescriptions with medications the client received
preparing to discharge a client while at the facility.
to home. Which of the following
When performing medication reconciliation, the nurse

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actions should the nurse take should create a current, accurate list of every medication the
as part of the medication recon- client is or should be taking. Part of the process is comparing
ciliation process? the medications the client received at the facility with those
the provider has prescribed for the client to take after dis-
A. Seal unused medications charge.
from the facility in a plastic
bag.
B. Evaluate the client's ability to
self-administer medications.
C. Report an identified discrep-
ancy to The Joint Commission.
D. Compare prescriptions with
medications the client received
while at the facility.

7. A nurse is caring for a client A. "What could I have done to deserve this illness?"
who has terminal liver cancer.
Which of the following state- The client's terminal illness might prompt the client to review
ments should the nurse identify their life and question its meaning. A manifestation of the
as an indication that the client is client's spiritual distress is asking why this illness is happen-
experiencing spiritual distress? ing to them.

A. "What could I have done to
deserve this illness?"
B. "I blame medical science for
not curing me."
C. "Where is my daughter at a
time like this?"
D. "Will I ever begin to feel in
charge of my life again?"

8.

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