fundamental
ATI RN Fundamentals Proctored Focus
1. Can an RN delegate to the LPN to provide tracheostomy care to aclient
with pneumonia?
2. 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 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 aquad
cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer
Rationale: 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 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 ant embolic
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
,4. An RN is making assignments for client care to a LPN at the beginning of the
shift. Which of the following assignments should theLPN 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
5. A nurse is preparing an in-service program about delegation. Whichof 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
6. A nurse manager of a med-surg unit is assigning care responsibilitiesfor 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
,7. A nurse observes an AP reprimanding a client for not using theurinal
properly. The AP tells him she will put a diaper on him if hedoes 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
8. An adult client who is competent tells the nurse that he is thinkingabout
leaving the hospital against medical advice. The nurse believesthat 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
9. A client who will undergo neurosurgery the following week tells thenurse 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 hasto be my
wife."
B. "I know they won't go ahead w/the surgery unless I prepare theseforms."
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 atthe
hospital."
, 10. A client is about to undergo an elective surgical procedure. Which of the
following actions are appropriate for the nurse who is providingpreop 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
11. A nurse has noticed 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 breakroom when she was not on break.
Which of the following actions 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 samebehavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
12. A nurse is preparing info for a change-of-shift report. Which of thefollowing
info should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
13. A nurse enters a client's room & finds him sitting in his chair. He states, "I
fell in the shower, but I got myself back up & into my chair."How should the
nurse document this in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back
ATI RN Fundamentals Proctored Focus
1. Can an RN delegate to the LPN to provide tracheostomy care to aclient
with pneumonia?
2. 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 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 aquad
cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer
Rationale: 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 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 ant embolic
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
,4. An RN is making assignments for client care to a LPN at the beginning of the
shift. Which of the following assignments should theLPN 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
5. A nurse is preparing an in-service program about delegation. Whichof 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
6. A nurse manager of a med-surg unit is assigning care responsibilitiesfor 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
,7. A nurse observes an AP reprimanding a client for not using theurinal
properly. The AP tells him she will put a diaper on him if hedoes 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
8. An adult client who is competent tells the nurse that he is thinkingabout
leaving the hospital against medical advice. The nurse believesthat 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
9. A client who will undergo neurosurgery the following week tells thenurse 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 hasto be my
wife."
B. "I know they won't go ahead w/the surgery unless I prepare theseforms."
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 atthe
hospital."
, 10. A client is about to undergo an elective surgical procedure. Which of the
following actions are appropriate for the nurse who is providingpreop 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
11. A nurse has noticed 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 breakroom when she was not on break.
Which of the following actions 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 samebehavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
12. A nurse is preparing info for a change-of-shift report. Which of thefollowing
info should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
13. A nurse enters a client's room & finds him sitting in his chair. He states, "I
fell in the shower, but I got myself back up & into my chair."How should the
nurse document this in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back
