ATI RN Fundamentals Proctored Focus
Questions and Answers Rated A
Yes. ✔✔Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the nurse
may delegate to the AP ✔✔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 an 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 a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
B, C, D ✔✔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 antiembolic 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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump ✔✔An RN is making assignments for client
care to a LPN at the beginning of the shift. Which of the following assignments should the LPN
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
B, C, E
A and D are rights of medication administration ✔✔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
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
B. RN
A client returning from surgery requires assessment and establishment of a plan of care. RNs are
responsible for this, especially if the client is potentially unstable. ✔✔A nurse manager of a med-
surg unit is assigning care responsibilities for 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
A. Assault
, By threatening the client, the AP is committing assault. ✔✔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 time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
B. False imprisonment
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. ✔✔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 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
C.
Questions and Answers Rated A
Yes. ✔✔Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the nurse
may delegate to the AP ✔✔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 an 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 a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
B, C, D ✔✔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 antiembolic 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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump ✔✔An RN is making assignments for client
care to a LPN at the beginning of the shift. Which of the following assignments should the LPN
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
B, C, E
A and D are rights of medication administration ✔✔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
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
B. RN
A client returning from surgery requires assessment and establishment of a plan of care. RNs are
responsible for this, especially if the client is potentially unstable. ✔✔A nurse manager of a med-
surg unit is assigning care responsibilities for 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
A. Assault
, By threatening the client, the AP is committing assault. ✔✔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 time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
B. False imprisonment
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. ✔✔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 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
C.
