ATI Fundamentals Proctored Exam review
Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
Yes.
Rationale
In nursing delegation refers to the transfer of nurse's responsibilities that
are required to be performed to another nursing staff while retaining the
accountability for the outcome because accountability cannot be
delegated. A registered nurse distributes some of her responsibilities to a
licenced practical nurse in order to ease to care for the patient.
A LPN is distributed some of the responsibilities in order to monitor
basic health of the patient such as vital signs and the overall body
condition, changing dressing or inserting catheters when
necessary,taking the history of the patient and maintaining documents.
LPN can also assist with tests and procedures and provide personal care
that include helping the patient with bathing and toileting.
Tracheostomy refers to an incision made in the trachea in order to
remove any obstruction to breathing. Tracheostomy may be carried out
to patient in order to get rid of excess fluid that builds up in the airways
and result to difficulties in coughing to a patient due to prolonged pain ,
muscle weakness or paralysis. Difficulties in coughing may be also due to
lung infection such as pneumonia that causes lungs to become clogged
with fluid. A LPN is therefore required in order to be monitoring the
condition of the patient and also the health of the patient.
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
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
Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
Yes.
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
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 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
B, C, D
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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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, C, E
Rationale: A and D are rights of medication administration
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
B. RN
Rationale: 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 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
Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
Yes.
Rationale
In nursing delegation refers to the transfer of nurse's responsibilities that
are required to be performed to another nursing staff while retaining the
accountability for the outcome because accountability cannot be
delegated. A registered nurse distributes some of her responsibilities to a
licenced practical nurse in order to ease to care for the patient.
A LPN is distributed some of the responsibilities in order to monitor
basic health of the patient such as vital signs and the overall body
condition, changing dressing or inserting catheters when
necessary,taking the history of the patient and maintaining documents.
LPN can also assist with tests and procedures and provide personal care
that include helping the patient with bathing and toileting.
Tracheostomy refers to an incision made in the trachea in order to
remove any obstruction to breathing. Tracheostomy may be carried out
to patient in order to get rid of excess fluid that builds up in the airways
and result to difficulties in coughing to a patient due to prolonged pain ,
muscle weakness or paralysis. Difficulties in coughing may be also due to
lung infection such as pneumonia that causes lungs to become clogged
with fluid. A LPN is therefore required in order to be monitoring the
condition of the patient and also the health of the patient.
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
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
Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
Yes.
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
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 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
B, C, D
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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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, C, E
Rationale: A and D are rights of medication administration
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
B. RN
Rationale: 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 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
