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

Document Content and Description Below

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 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 week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take? A. Remind the nurse that safe client care is a priority on the unit B. Ask others on the team whether they have ob- served the same behavior C. Report observations to the nurse manager on the unit D. Conclude that her coworker's fatigue is not her problem to solve C. Any nurse who notices behavior that could possibly jeopardize client care or indicate a substance abuse problem has a duty to report the situation immedi- ately to the nurse manager 12. A nurse is preparing info for a change-of-shift report. C. A bone scan Which of the following info should the nurse include in the report? A. The client's input & output for the shift B. The client's BP from the previous day C. A bone scan that is scheduled for today D. The med routine from the med administration record 13. A nurse enters a client's room & finds him sitting in his chair. He states, "I fell in the shower, but I got myself back up & into my chair." How should the nurse document this in the client's chart? that is scheduled for today This is important because the nurse might have to modify the client's care to accommo- date them leaving the unit B. By writing what the client states, A. The client fell in the shower. B. The client states he fell in the shower & was able to get himself back into his chair C. The nurse should not document this info because she did not witness the fall D. The client fell in the shower & is now resting com- fortably 14. A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following le- gal guidelines should they follow when documenting a client's record? Select all. A. Cover errors w/correction fluid, & write in the cor- rect info B. Put the date & time on all entries C. Document objective data, leaving out opinions D. Use as many abbreviations as possible E. Wait until the end of the shift to document 15. The skin barrier covering a client's intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it re- mains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn't ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all. A. The physical therapist didn't ambulate the client today [Show More]

Last updated: 7 months ago

Preview 1 out of 32 pages