ATI FUNDAMENTALS PROCTORED EXAM

1.Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Yes. 2.A nurse on a med-surg unit has received change-of-shif report & will care for 4 clients. Which of the following client's ...

1.Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Yes. 2.A nurse on a med-surg unit has received change-of-shif report & will care for 4 clients. Which of the following client's needs may the nurse assign to a assistve personnel (AP)? A. Feeding a client who was admited 24 hrs ago w/aspiraton 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 incontnence D. Applying a sterile dressing to a pressure ulcer C. Reapplying a condom catheter for a client who has urinary incontnence Ratonale: The applicaton of a condom catheter is a noninvasive, routne procedure that the nurse may delegate to the AP 3.A nurse is delegatng the ambulaton of a client who had knee arthroplasty 5 days ago to an AP. Which of the following informaton 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 antembolic stockings C. The client uses a front-wheeled walker when ambulatng D. The client had pain medicaton 30 min ago E. The client is allergic to codeine F. The client ate 50% of his breakfast this morning B, C, D lOMoARcPSD|6457222 4.An RN is making assignments for client care to a LPN at the beginning of the shif. Which of the following assignments should the LPN queston? A. Assistng a client who is 24hr postop to use an incentve spirometer B. Collectng a clean-catch urine specimen from a client who was admited on the previous shif C. Providing nasopharyngeal suctoning for a client who has pneumonia D. Replacing the cartridge and tubing on a PCA pump D. Replacing the cartridge and tubing on a PCA pump Ratonale: The RN is responsible for the PCA pump5.A nurse is preparing an in-service program about delegaton. Which of the following elements should she identfy when presentng the 5 rights of delegaton? Select all. A. Right client B. Right supervision/evaluaton C. Right directon/communicaton D. Right tme E. Right circumstances B, C, E Ratonal: A and D are rights of medicaton administraton 6.A nurse manager of a med-surg unit is assigning care responsibilites for the oncoming shif. A client is awaitng 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 B. RN Ratonal: A client returning from surgery requires assessment and establishment of a plan of care. RNs are responsible for this, especially if the client is potentally unstable. lOMoARcPSD|6457222 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 tme. Which of the following torts is the AP commitng? A. Assault B. Batery C. False imprisonment D. Invasion of privacy A. Assault Ratonal: By threatening the client, the AP is commitng assault. 8.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 sedatve med that the client has not requested along w/his usual meds. Which of the following tort has the nurse commited?A. Assault B. False imprisonment C. Negligence D. Breach of confdentality B. False imprisonment Ratonal: 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. 9.A client who will undergo neurosurgery the following week tells the nurse in the surgeon's ofce that he will prepare his advance directves before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directves? 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." C. "I plan to write that I don't want them to keep me on a breathing machine." lOMoARcPSD|6457222 Ratonal: The client has the right to decide and specify which medical procedures he wants when a life-threatening situaton arrives 10.A client is about to undergo an electve surgical procedure. Which of the following actons are appropriate for the nurse who is providing pre-op 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 benefts of the procedure D. Describe the consequences of choosing not to have the surgery E. Tell the client about alternatves to having the surgery A, B Ratonal: The rest of the choices are the surgeon's responsibility, not the nurse 11.A nurse has notced 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 actons 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 observed the same behaviorC. Report observatons to the nurse manager on the unit D. Conclude that her coworker's fatgue is not her problem to solve C. Report observatons to the nurse manager on the unit Ratonal: Any nurse who notces behavior that could possibly jeopardize client care or indicate a substance abuse problem has a duty to report the situaton immediately to the nurse manager 12.A nurse is preparing info for a change-of-shif report. Which of the following info should the nurse include in the report? A. The client's input & output for the shif B. The client's BP from the previous day C. A bone scan that is scheduled for today D. The med routne from the med administraton record C. A bone scan that is scheduled for today lOMoARcPSD|6457222 Ratonal: This is important because the nurse might have to modify the client's care to accommodate them leaving the unit