ATI Fundamentals Proctored Practice
Exam Questions and Answers Guide
1. Can an RN delegate to the LPN to provide tracheostomy care to a client/patient with pneumonia?
ANS: Yes.
2. A nurse on a med-surg unit has received change-of-shift report & will care for 4 client/patients.
Which ofthe following client/patient's needs may the nurse assign to assistive personnel (AP)?
A. Feeding a client/patient who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client/patient who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client/patient who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
ANS : C. Reapplying a condom catheter for a client/patient who has urinary incontinence
The application of a condom catheter is a noninvasive, routine procedure that the nurse may
delegate to the AP
3. A nurse is delegating the ambulation of a client/patient 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/patient ambulates w/his slippers on over his antiembolic stockings
C. The client/patient uses a front-wheeled walker when ambulating
D. The client/patient had pain medication 30 min ago
E. The client/patient is allergic to codeine
F. The client/patient ate 50% of his breakfast this morning
ANS : B, C, D
4. An RN is making assignments for client/patient care to a LPN at the beginning of the shift.
Which of thefollowing assignments should the LPN question?
A. Assisting a client/patient who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client/patient who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client/patient who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
ANS : D. Replacing the cartridge and tubing on a PCA pump
The RN is responsible for the PCA pump
,5. 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/patient
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
ANS : B, C, E
A and D are rights of medication administration
6. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client/patient is awaiting transfer back to the unit from the PACU following thoracic surgery.
To whichstaff member should the nurse assign to this client/patient?
A. Charge nurse
B. RN
C. LPN
D. AP
ANS : B. RN
A client/patient returning from surgery requires assessment and establishment of a plan of care.
RNs areresponsible for this, especially if the client/patient is potentially unstable.
7. A nurse observes an AP reprimanding a client/patient for not using the urinal properly. The AP
tells himshe will put a diaper on him if he does not use the urinal more carefully next time. Which
of thefollowing torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
ANS : A. Assault
By threatening the client/patient, the AP is committing assault.
,
, 8. An adult client/patient who is competent tells the nurse that he is thinking about leaving the
hospitalagainst medical advice. The nurse believes that this is not in the client/patient's best
interest, so she administers a PRN sedative med that the client/patient 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
ANS : B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client/patient from leaving the
facilityagainst medical advice. The client/patient did not consent.
9. A client/patient who will undergo neurosurgery the following week tells the nurse in the surgeon's
officethat he will prepare his advance directives before he goes to the hospital. Which of the
followingstatements by the client/patient 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."
ANS : C
The client/patient has the right to decide and specify which medical procedures he wants
when a life-threatening situation arrives
10. A client/patient is about to undergo an elective surgical procedure. Which of the following
actions areappropriate for the nurse who is providing preop care regarding informed
consent? Select all.
A. Make sure the surgeon obtained the client/patient's consent
B. Witness the client/patient'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/patient about alternatives to having the surgery
ANS : A, B
The rest of the choices are the surgeon's responsibility, not the nurse
Exam Questions and Answers Guide
1. Can an RN delegate to the LPN to provide tracheostomy care to a client/patient with pneumonia?
ANS: Yes.
2. A nurse on a med-surg unit has received change-of-shift report & will care for 4 client/patients.
Which ofthe following client/patient's needs may the nurse assign to assistive personnel (AP)?
A. Feeding a client/patient who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client/patient who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client/patient who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
ANS : C. Reapplying a condom catheter for a client/patient who has urinary incontinence
The application of a condom catheter is a noninvasive, routine procedure that the nurse may
delegate to the AP
3. A nurse is delegating the ambulation of a client/patient 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/patient ambulates w/his slippers on over his antiembolic stockings
C. The client/patient uses a front-wheeled walker when ambulating
D. The client/patient had pain medication 30 min ago
E. The client/patient is allergic to codeine
F. The client/patient ate 50% of his breakfast this morning
ANS : B, C, D
4. An RN is making assignments for client/patient care to a LPN at the beginning of the shift.
Which of thefollowing assignments should the LPN question?
A. Assisting a client/patient who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client/patient who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client/patient who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
ANS : D. Replacing the cartridge and tubing on a PCA pump
The RN is responsible for the PCA pump
,5. 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/patient
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
ANS : B, C, E
A and D are rights of medication administration
6. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client/patient is awaiting transfer back to the unit from the PACU following thoracic surgery.
To whichstaff member should the nurse assign to this client/patient?
A. Charge nurse
B. RN
C. LPN
D. AP
ANS : B. RN
A client/patient returning from surgery requires assessment and establishment of a plan of care.
RNs areresponsible for this, especially if the client/patient is potentially unstable.
7. A nurse observes an AP reprimanding a client/patient for not using the urinal properly. The AP
tells himshe will put a diaper on him if he does not use the urinal more carefully next time. Which
of thefollowing torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
ANS : A. Assault
By threatening the client/patient, the AP is committing assault.
,
, 8. An adult client/patient who is competent tells the nurse that he is thinking about leaving the
hospitalagainst medical advice. The nurse believes that this is not in the client/patient's best
interest, so she administers a PRN sedative med that the client/patient 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
ANS : B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client/patient from leaving the
facilityagainst medical advice. The client/patient did not consent.
9. A client/patient who will undergo neurosurgery the following week tells the nurse in the surgeon's
officethat he will prepare his advance directives before he goes to the hospital. Which of the
followingstatements by the client/patient 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."
ANS : C
The client/patient has the right to decide and specify which medical procedures he wants
when a life-threatening situation arrives
10. A client/patient is about to undergo an elective surgical procedure. Which of the following
actions areappropriate for the nurse who is providing preop care regarding informed
consent? Select all.
A. Make sure the surgeon obtained the client/patient's consent
B. Witness the client/patient'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/patient about alternatives to having the surgery
ANS : A, B
The rest of the choices are the surgeon's responsibility, not the nurse
