ATI RN Fundamentals Proctored Exam
An adolescent who has diabetes mellitus is 2 days postop
following an appendectomy. The client is tolerating a regular diet.
He has ambulated successfully around the unit w/assistance. He
requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale
...
An adolescent who has diabetes mellitus is 2 days postop
following an appendectomy. The client is tolerating a regular diet.
He has ambulated successfully around the unit w/assistance. He
requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale
of 1-10 after receiving the med. His incision is approximated &
free of redness, w/scant serous drainage on the dressing. Which
of the following risk factors for poor wound healing does this client
have? Select all.
A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care - CORRECT ANSWER B, C
A nurse is assessing a client who is 5 days post op following abd.
surgery. The surgeon suspects an incisional wound infection &
has prescribed antibiotic therapy for the nurse to initiate after
collecting wound & blood specimens for culture & sensitivity.
Which of the following assessment findings should the nurse
expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - CORRECT ANSWER A, B, C
A nursing instructor is reviewing the wound healing process w/a
group of nursing students. They should be able to identify which
,of the following alterations as a wound or injury that heals by
secondary intention? Select all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area - CORRECT ANSWER A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling
sensation & pain in his surgical incision. The nurse checks the
client's surgical wound & finds the wound separated w/viscera
protruding. Which of the following interventions is appropriate?
Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed
tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea -
CORRECT ANSWER A, D
A nurse is caring for an older adult client who is at risk for
developing pressure ulcers. Which of the following interventions
should the nurse use to help maintain the integrity of the client's
skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
D. Have the client sit on a gel cushion when in a chair
,E. Reposition the client at least Q 3 hr while in bed - CORRECT
ANSWER A, D
not E because it should be at least every 2 hours
102 - CORRECT ANSWER
Can an RN delegate to the LPN to provide tracheostomy care to a
client with pneumonia? - CORRECT 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
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 - CORRECT
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 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 - CORRECT
ANSWER B, C, D
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 -
CORRECT ANSWER D. Replacing the cartridge and tubing on
a PCA pump
Rationale: The RN is responsible for the PCA pump
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 - CORRECT ANSWER B, C, E
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller carolynkarimi0009. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
