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Nr 324 Exam review ATI RN Fundamentals Proctored Focused
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- University Of South Africa (Unisa)
Nr 324 Exam review ATI RN Fundamentals Proctored Focused
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ATI RN FundamentalsProctoredFocusi i i i
1. Can an RN delegate to the LPN to provide tracheostomy care to a
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iclient with pneumonia?
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2. A nurse on a med-surg unit has received change-of-shift report &
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iwill care for 4 clients. Which of the following client's needs may
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ithe nurse assign to an assistive personnel (AP)?
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A. Feeding a client who was admitted 24 hrs ago w/aspiration
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ipneumonia
B. Reinforcing teaching w/a client who is learning to walk using a i i i i i i i i i i
iquad cane i
C. Reapplying a condom catheter for a client who has urinary i i i i i i i i i
iincontinence
D. Applying a sterile dressing to a pressure ulcer i i i i i i i
Rationale: The application of a condom catheter is a noninvasive,
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routine procedure that the nurse may delegate to the AP
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3. A nurse is delegating the ambulation of a client who had knee
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iarthroplasty 5 days ago to an AP. Which of the following i i i i i i i i i i
iinformation should the nurse share with the AP? Select All. i i i i i i i i i
A. The roommate is up independently.
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B. The client ambulates w/his slippers on over his antiembolic
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stockings
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C. The client uses a front-wheeled walker when ambulating
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D. The client had pain medication 30 min ago
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E. The client is allergic to codeine
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F. The client ate 50% of his breakfast this morning
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,4. An RN is making assignments for client care to a LPN at the beginning
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of the shift. Which of the following assignments should theLPN
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question?
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A. Assisting a client who is 24hr postop to use an incentive spirometer
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B. Collecting a clean-catch urine specimen from a client who was i i i i i i i i i
admitted on the previous shift
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C. Providing nasopharyngeal suctioning for a client who has pneumonia
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D. Replacing the cartridge and tubing on a PCA pump i i i i i i i i
5. A nurse is preparing an in-service program about delegation. Whichof
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the following elements should she identify when presenting the 5
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rights of delegation? Select all.
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A. Right client i
B. Right supervision/evaluation i
C. Rightdirection/communication i
D. Right time i
E. Right circumstances i
6. A nurse manager of a med-surg unit is assigning care responsibilities
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for the oncoming shift. A client is awaiting transfer back to the unit from
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the PACU following thoracic surgery. To which staff member should the
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nurse assign to this client?
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A. Charge nurse i
B. RN
C. LPN
D. AP
,7. A nurse observes an AP reprimanding a client for not using the
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urinal properly. The AP tells him she will put a diaper on him if he
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does not use the urinal more carefully next time. Which of the
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following torts is the AP committing?
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A. Assault
B. Battery
C. False imprisonment i
D. Invasion of privacy i i
8. An adult client who is competent tells the nurse that he is thinking
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about leaving the hospital against medical advice. The nurse believes
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that this is not in the client's best interest, so she administers a PRN
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sedative med that the client has not requested along w/his usual
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meds. Which of the following tort has the nurse committed?
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A. Assault
B. False imprisonment i
C. Negligence
D. Breach of confidentiality i i
9. A client who will undergo neurosurgery the following week tells the
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nurse in the surgeon's office that he will prepare his advance directives
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before he goes to the hospital. Which of the following statements by
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the client indicates to the nurse that he understands advance
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directives?
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A. "I'd rather have my brother make decisions for me, but I know it hasto
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be my wife."
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B. "I know they won't go ahead w/the surgery unless I prepare these
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forms."
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C. "I plan to write that I don't want them to keep me on a breathing
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machine."
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D. "I will get my regular doctor to approve my plan before I hand it in atthe
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hospital."
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, 10. A client is about to undergo an elective surgical procedure. Which of
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the following actions are appropriate for the nurse who is providing
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preop care regarding informed consent? Select all.
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A. Make sure the surgeon obtained the client's consent
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B. Witness the client's signature on the consent form i i i i i i i
C. Explain the risks and benefits of the procedure i i i i i i i
D. Describe the consequences of choosing not to have the surgery i i i i i i i i i
E. Tell the client about alternatives to having the surgery
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11. A nurse has noticed several occasions in the past week when
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another nurse on the unit seemed drowsy & unable to focus on the
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issue at hand. Today, she found the nurse asleep in a chair in the break
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room when she was not on break. Which of the following actions should
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the nurse take?
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A. Remind the nurse that safe client care is a priority on the unit
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B. Ask others on the team whether they have observed the same
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behavior
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C. Report observations to the nurse manager on the unit i i i i i i i i
D. Conclude that her coworker's fatigue is not her problem to solve i i i i i i i i i i
12. A nurse is preparing info for a change-of-shift report. Which of the
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following info should the nurse include in the report?
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A. The client's input & output for the shift
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B. The client's BP from the previous day
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C. A bone scan that is scheduled for today
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D. The med routine from the med administration record
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13. A nurse enters a client's room & finds him sitting in his chair. He
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states, "I fell in the shower, but I got myself back up & into my chair."
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How should the nurse document this in the client's chart?
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A. The client fell in the shower.
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B. The client states he fell in the shower & was able to get himself back
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