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ATI Fundamentals Nursing – Delegation to LPN for Tracheostomy Care in Pneumonia Patient – ATI Practice Question with Answer and Rationale

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This document contains an ATI-style nursing practice question focusing on delegation responsibilities between an RN and an LPN in the care of a client with pneumonia who has a tracheostomy. It includes the correct answer and a detailed rationale explaining safe delegation principles and scope of practice in nursing care. The material helps nursing students understand clinical decision-making, delegation rules, and patient safety considerations often tested on ATI Fundamentals and NCLEX-style exams.

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ATI FUNDAMENTALS
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ATI FUNDAMENTALS

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ATI FUNDAMENTALS PRACTICE A, A2, B, & FINAL, ATI FUNDAMENTALS REVIEW
COMPOSED OF WELL VERIFIED EXAMS LATEST UPDATE 2026/2027
378QUESTIONS & ANSWERS) BEST EXAMS SOLUTIONS UPDATED 2023 GRADED
A+ BEST EXAMS FOR NURSING

A nurse manager is developing a facility policy about the use of a fax machine to communicate
information from a client's electronic medical record (EMR). What should the nurse include in
the policy? - CORRECT ANSWERS Use a coversheet when sending a fax from the health care unit


A nurse is caring for a client who is 2 days post operative following an above the knee
amputation. The client states he is experiencing a dull, burning pain in the leg that was
amputated. What should the nurse do to treat the patient neuropathic pain? - CORRECT
ANSWERS Administer a beta-blocking medication to the client.



A nurse is assessing a client who has fibromyalgia. What treatment modality prescription should
the nurse expect for the clients mixed pain? - CORRECT ANSWERS Pregabalin PO twice daily


A nurse is planning a menu for a client who practices Seventh-Day Adventism. What food
selection should the nurse take? - CORRECT ANSWERS Scrambled-eggs


A nurse is providing teaching to a client who has chronic-fatigue syndrome, what should the
nurse say? - CORRECT ANSWERS Take NSAIDs for body aches and pains.


A nurse is using therapeutic communication to attempt de-escalation with a client who is yelling
at staff members. What statement should the nurse make? - CORRECT ANSWERS Tell me what is
causing your anger at this moment.


A home health nurse manager is assisting in the implementation of an electronic medical record
(EMR) system for client care. What actions should the nurse manager take the promote
interoperability. - CORRECT ANSWERS Recommend a single coding system for each department
to use.


A nurse is planning care for a client who has breast cancer and is scheduled for chemotherapy.
The client reports experiencing chemotherapy-induced nausea and vomiting (CINV) during her
previous round of treatment. What intervention should the nurse include in the patient's plan

,of care? - CORRECT ANSWERS Administer ondansetron to the client prior to chemotherapy
administration.


A nurse is teaching a client about strategies to prevent constipation. What instructions should
the nurse include? - CORRECT ANSWERS "Perform moderate exercises daily"
"Add more whole grains to you diet"
"Increase your fluid intake"


A nurse is documenting an assessment in a client's electronic health record who an assistive
personnel (AP) asks to enter the morning blood glucose for the client. What actions should the
nurse take? - CORRECT ANSWERS Request that the AP use another computer to enter the data.


A nurse is performing a focused assessment on a client who has chronic pain die to
fibromyalgia. What should the nurse ask to assess the quality of the client's pain? - CORRECT
ANSWERS Can you describe what your pain feels like?



A nurse is preparing to leave the room of a client who is on isolation precautions. What action
should the nurse take when removing a tied surgical mask? - CORRECT ANSWERS Remove the
mask by securely holding the ties and moving it away from the face.


A nurse is assessing for acute pain in a client who is postoperative. The client has dementia and
is nonverbal. What finding should the nurse identify as a need for administration of a PRN pain
medication? - CORRECT ANSWERS Rapid breathing.


A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. What
action should the nurse take? - CORRECT ANSWERS Have the patient lie supine


A nurse is preparing a client for an elective vaginal hysterectomy when the client states, "My
doctor said there are more conservative ways to treat my problem. I realize now that I don't
want this surgery, but I already singed that consent form" What response should the nurse
make? - CORRECT ANSWERS You have the right to refuse this and any other procedure, even
after you have signed the consent form.

,A nurse in a mental health facility is preparing an educational program for a group of staff
nurses about the proper use of restraints. What information should the nurse plan to include? -
CORRECT ANSWERS An adult client may be in a mechanical restraint for up to 4 hours.



A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In what
order should the nurse take action? - CORRECT ANSWERS 1.Assist the client to an upright
position
2.Aspirate 5mL of gastric content
3.Test the pH of gastric aspirate
4.Measure gastric residual volume
5. Flush the NG tube with 30 mL of water.


A nurse is planning a community health program about substance use disorders. What
information should the nurse include when discussing the guidelines for safe limits of alcohol
consumption? - CORRECT ANSWERS A healthy woman of any age should consume no more than
7 drinks in a week.


A nurse in a mental health facility is caring for a client who is exhibiting violent behavior and has
been placed in seclusion. What actions should the nurse take? - CORRECT ANSWERS Document
the client's status every 15 min.


A nurse is preparing to administer acetaminophen 120 mg PO to a toddler. Available is
acetaminophen drops 80 mg/0.8 mL. How many mL should the nurse administer? - CORRECT
ANSWERS 1.2 mL



A nurse is caring for an adolescent client who is in critical condition following a motor vehicle
crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son
is dying instead of the driver. What action should the nurse take to provide emotional support
to the parent? - CORRECT ANSWERS Inform the parent that anger is a natural response when
dealing with loss.


A nurse is preparing to document care in a client's medical record. In adherence with the Joint
Commission National Patient Safety Goals regarding communication errors, what entries should
the nurse make? - CORRECT ANSWERS "Client medicated with morphine 5 mg IM for pain"

, A nurse is preparing to administer a medication via intermittent IV bolus to a client who is
receiving a continuous infusion via an infusion pump. The client's IV fluid solution is
incompatible with the bolus, What action should the nurse take first? - CORRECT ANSWERS Stop
the continuous IV infusion.


A nurse on the medical-surgical unit is caring for a group of clients. The nurse should identify
that what type of pain is classified as neuropathic? - CORRECT ANSWERS Spinal nerve pain,
postherpetic neuralgia pain,
phantom limb pain.


A nurse on a pediatric unit is admitting an infant who has pertussis, what isolation precautions
should the nurse initiate? - CORRECT ANSWERS Droplet


A nurse is preparing to collect a stool specimen from a client who has had diarrhea for 3 days,
with fever and abdominal cramping. When reviewing the client's recent medication
administration record, the nurse should recognize that treatment with what medication
increases the clients risk of developing a Clostridium difficile infection? - CORRECT ANSWERS
Ciproflaxin.


A nurse is teaching an older adult client about accessing electronic resources for health care
information on the internet. What statement should the nurse include in the teaching? -
CORRECT ANSWERS "Websites ending in '.gov' are reliable sites for obtaining health information
from government agencies.


A nurse is caring for a client who has Clostridium difficile infection and is incontinent of stool
following long-term antibiotic therapy. What action should the nurse make? - CORRECT ANSWERS
Wear a gown when providing care for the client.


A charge nurse is teaching a group of newly licensed nurses how to prevent errors during
administration of blood transfusions. What actions should the nurse include? - CORRECT
ANSWERS Use a new blood administration tubing set for each blood bag infused

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ATI FUNDAMENTALS
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ATI FUNDAMENTALS

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Uploaded on
March 17, 2026
Number of pages
44
Written in
2025/2026
Type
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Questions & answers

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