ATI RN Fundamentals Proctored EXAM LATEST 2024 ACTUAL 150
QUESTIONS WITH DETAILED ANSWERS AND RATIONALES | A+
GRADE ASSURED
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via NG tube.
Which of the following is an appropriate nursing action prior to administering the tube feeding?
Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents. - ANS-A, B, C
Rationale-D-the formula should be room
temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return the residual
content to the client's stomach
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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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
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
administration
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