ATI RN Fundamentals Proctored Exam
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1. Can an RN delegate to the LPN to provide tra- Yes.
cheostomy care to a client with pneumonia?
2. A nurse on a med-surg unit has received C. Reapplying a con-
change-of-shift report & will care for 4 clients. dom catheter for a
Which of the following client's needs may the nurse client who has uri-
assign to an assistive personnel (AP)? nary incontinence
A. Feeding a client who was admitted 24 hrs ago Rationale: The ap-
w/aspiration pneumonia plication of a con-
dom catheter is a
B. Reinforcing teaching w/a client who is learning noninvasive, routine
to walk using a quad cane procedure that the
nurse may delegate
C. Reapplying a condom catheter for a client who to the AP
has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
3. A nurse is delegating the ambulation of a client who B, C, D
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 am-
bulating
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
4. An RN is making assignments for client care to D. Replacing the car-
a LPN at the beginning of the shift. Which of the tridge and tubing on
following assignments should the LPN question? a PCA pump
A. Assisting a client who is 24hr postop to use an Rationale: The RN is
incentive spirometer
, ATI RN Fundamentals Proctored Exam
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B. Collecting a clean-catch urine specimen from a responsible for the
client who was admitted on the previous shift PCA pump
C. Providing nasopharyngeal suctioning for a client
who has pneumonia
D. Replacing the cartridge and tubing on a PCA
pump
5. A nurse is preparing an in-service program about B, C, E
delegation. Which of the following elements should
she identify when presenting the 5 rights of delega- A and D are rights of
tion? Select all. medication adminis-
tration
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
6. A nurse manager of a med-surg unit is assign- B. RN
ing care responsibilities for the oncoming shift. A
client is awaiting transfer back to the unit from A client returning
the PACU following thoracic surgery. To which staff from surgery re-
member should the nurse assign to this client? quires assessment
and establishment of
A. Charge nurse a plan of care. RNs
B. RN are responsible for
C. LPN this, especially if the
D. AP client is potentially
unstable.
7. A nurse observes an AP reprimanding a client for A. Assault
not using the urinal properly. The AP tells him she
will put a diaper on him if he does not use the urinal By threatening the
more carefully next time. Which of the following client, the AP is com-
torts is the AP committing? mitting assault.
A. Assault
B. Battery
, ATI RN Fundamentals Proctored Exam
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C. False imprisonment
D. Invasion of privacy
8. An adult client who is competent tells the nurse that B. False imprison-
he is thinking about leaving the hospital against ment
medical advice. The nurse believes that this is not
in the client's best interest, so she administers a The nurse gave the
PRN sedative med that the client has not requested med as a chemical
along w/his usual meds. Which of the following tort restraint to keep the
has the nurse committed? client from leaving
the facility against
A. Assault medical advice. The
B. False imprisonment client did not con-
C. Negligence sent.
D. Breach of confidentiality
9. A client who will undergo neurosurgery the follow- C.
ing week tells the nurse in the surgeon's office that The client has the
he will prepare his advance directives before he right to decide
goes to the hospital. Which of the following state- and specify which
ments by the client indicates to the nurse that he medical procedures
understands advance directives? he wants when a
life-threatening situ-
A. "I'd rather have my brother make decisions for ation arrives
me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery un-
less 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."
10. A client is about to undergo an elective surgical A, B
procedure. Which of the following actions are ap- The rest of the choic-
propriate for the nurse who is providing preop care es are the surgeon's
regarding informed consent? Select all. responsibility, not the
nurse
A. Make sure the surgeon obtained the client's con-
sent
, ATI RN Fundamentals Proctored Exam
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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
11. A nurse has noticed several occasions in the past C.
week when another nurse on the unit seemed Any nurse who no-
drowsy & unable to focus on the issue at hand. tices behavior that
Today, she found the nurse asleep in a chair in the could possibly jeop-
break room when she was not on break. Which of ardize client care or
the following actions should the nurse take? indicate a substance
abuse problem has
A. Remind the nurse that safe client care is a prior- a duty to report the
ity on the unit situation immediate-
B. Ask others on the team whether they have ob- ly to the nurse man-
served the same behavior ager
C. Report observations to the nurse manager on
the unit
D. Conclude that her coworker's fatigue is not her
problem to solve
12. A nurse is preparing info for a change-of-shift re- C. A bone scan that
port. Which of the following info should the nurse is scheduled for to-
include in the report? day
A. The client's input & output for the shift This is important
B. The client's BP from the previous day because the nurse
C. A bone scan that is scheduled for today might have to modi-
D. The med routine from the med administration fy the client's care to
record accommodate them
leaving the unit
13. A nurse enters a client's room & finds him sitting in B.
his chair. He states, "I fell in the shower, but I got By writing what the
myself back up & into my chair." How should the client states, the info
nurse document this in the client's chart? is subjective data
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