ATI PN Fundamentals Test
Bank – Latest Questions
and Answers for Exam
Prep
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ATI PN Fundamentals Latest Test Bank
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ATI PN FUNDAMENTALS LATEST REAL
EXAM
QUESTION
At the end of the shift, the nurse realizes that she forgot to document a dressing change that she
performed for a patient. Which action should the nurse take?
Answer:
Rationale: If the nurse fails to make an important entry while charting, she should make a late entry as
an addition to the narrative notes. An occurrence report is not necessary in this case. If documentation
is omitted, there is no legal verification that the procedure was performed. It is illegal to add to a chart
entry that was previously documented. The nurse can only document care directly performed or
observed. Therefore, the nurse on the incoming shift would not record the wound change as performed.
QUESTION
. The charge nurse asks the nursing assistive personnel (NAP) to give a bed bath to a patient with end-
stage chronic obstructive pulmonary disease. How should the NAP proceed?
Answer:
Rationale:A towel bath is a modification of the bed bath in which the NAP places a large towel and a
bath blanket into a plastic bag, saturates them with a commercially prepared mixture of moisturizer,
nonrinse cleaning agent, and water; warms in them in a microwave, and then uses them to bathe the
patient. A bag bath is a modification of the towel bath, in which the NAP uses 8 to 10 washcloths instead
of a towel or blanket. Each part of the patient's body is bathed with a fresh cloth. A bag bath is not given
in a chair or in the tub.
QUESTION
5. Which pain management task can the nurse safely delegate to nursing assistive personnel?
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Rationale:The nurse can delegate the task of asking about pain when nursing assistive personnel (NAP)
obtain vital signs. The NAP must be instructed to report findings to the nurse without delay. The nurse
should evaluate the effectiveness of pain medications and develop the plan of care. Administering over-
the-counter and prescription medications is the responsibility of the registered nurse or licensed
practical nurse.
Answer:
A) Asking about pain during vital signs
QUESTION
Which factor in the patient's past medical history dictates that the nurse exercise caution when
administering acetaminophen (Tylenol)?
Answer:
A) Hepatitis B
Rationale:Even in recommended doses, acetaminophen can cause severe hepatotoxicity in patients with
liver disease, such as hepatitis B. Patients who consume alcohol regularly should also use
acetaminophen cautiously. Those allergic to aspirin or other nonsteroidal anti- inflammatory drugs
(NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes gastrointestinal (GI) problems;
therefore, it can be used for those with a history of gastric irritation and bleeding.
QUESTION
Which action should the nurse take before administering morphine 4.0 mg intravenously to a patient
complaining of incisional pain?
Answer:
Assess the patient's respiratory status.
Before administering an opioid analgesic, such as morphine, the nurse should assess the patient's
respiratory status because opioid analgesics can cause respiratory depression. It is not necessary to
clarify the order with the physician because morphine 4 mg IV is an appropriate dose. It is not necessary
to monitor the patient's heart rate. Downloaded by: spazzoutent | brandonjmecusker
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