ATI RN FUNDAMENTALS QUESTIONS
WITH CORRECT ANSWERS
Can an RN delegate to the LPN to provide tracheostomy care to
a client with pneumonia? - correct
... [Show More] answer-Yes.
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 - correct
answer-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 - correct
answer-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 - correct
answer-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
D. Right time
E. Right circumstances - correct answer-B, C, E
A and D are rights of medication administration
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 - correct answer-B. RN
A client returning from surgery requires assessment and
establishment of a plan of care. RNs are responsible for this,
especially if the client is potentially unstable.
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
C. False imprisonment
D. Invasion of privacy - correct answer-A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is
thinking about leaving the hospital against medical advice. The
nurse believes that this is not in the client's best interest, so she
administers a PRN sedative 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 - correct answer-B. False
imprisonment
The nurse gave the med as a chemical restraint to keep the
client from leaving the facility against medical advice. The client
did not consent.
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?
A. "I'd rather have my brother make decisions for me, 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." - correct answer-C.
The client has the right to decide and specify which medical
procedures he wants when a life-threatening situation arrives
A client is about to undergo an elective surgical procedure.
Which of the following actions are appropriate for the nurse who
is providing preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
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 -
correct answer-A, B
The rest of the choices are the surgeon [Show Less]