ATI RN FUNDAMENTALS PROCTORED EXAM ASSESSMENT [NGN] 2023 QUESTIONS WITH ANSWERS

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ATI RN FUNDAMENTALS PROCTORED EXAM ASSESSMENT [NGN] 2023 QUESTIONS WITH ANSWERS 1. Can an RN delegate to the LPN to provide tracheosto- my care to a client with pneumonia? 2. A nurse on a med-surg u... nit 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 3. 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 ambu- lating 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 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 Yes. C. Reapplying a condom catheter for a client who has urinary incon- tinence Rationale: The ap- plication of a condom catheter is a noninvasive, routine procedure that the nurse may delegate to the AP B, C, D D. Replacing the cartridge and tub- ing on a PCA pump Rationale: The RN 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 5. A nurse is preparing an in-service program about del- egation. 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 6. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign to this client? A. Charge nurse B. RN C. LPN D. AP 7. A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? A. Assault B. Battery is responsible for the PCA pump B, C, E A and D are rights of medication ad- ministration B. RN A client return- ing from surgery requires assess- ment and es- tablishment of a plan of care. RNs are responsible for this, especially if the client is poten- tially unstable. A. Assault By threatening the client, the AP is committing as- sault. C. False imprisonment D. Invasion of privacy 8. An adult client who is competent tells the nurse that he is thinking about leaving the hospital against med- ical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN seda- tive med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed? A. Assault B. False imprisonment C. Negligence D. Breach of confidentiality 9. A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives? B. False imprison- ment The nurse gave the med as a chemical re- straint to keep the client from leaving the facili- ty against medical advice. The client did not consent. C. The client has the right to de- cide and spec- ify which med- ical procedures he wants when a A. "I'd rather have my brother make decisions for me, life-threatening sit- but I know it has to be my wife." B. "I know they won't go ahead w/the surgery unless 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 pro- cedure. Which of the following actions are appropri- ate for the nurse who is providing preop care regard- ing informed consent? Select all. A. Make sure the surgeon obtained the client's con- sent uation arrives A, B The rest of the choices are the surgeon's respon- sibility, not the nurse [Show More]

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