ATI RN FUNDAMENTALS PROCTORED
2024 WITH NGN LATEST TEST BANK 60
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Aplnurseplinplanplacuteplcareplfacilityplisplpreparingplapldischargeplsummaryplforplaplclientplwhopli
spltransferringpltoplapllong-
termplcareplfacility.plWhichplofpltheplfollowingpldocumentationplshouldpltheplnurseplinclude?
A.plClientplflowplsheet
B.plAcuityplratings
C.plCurrentplmedications
D.plIncidentplreportspl-plANS--C.plCurrentplmedications
Theplnurseplshouldplincludepltheplclient'splmedicationsplinplthepldischargeplsummarypltoplensur
eplclientplsafetyplandplcontinuityplofplcare.
Aplnurseplisplreviewingplprotocolplinplpreparationplforplsuctioningplsecretionsplfromplaplclientplwh
oplhasplaplnewpltracheostomy.plWhichplofpltheplfollowingplactionsplshouldpltheplnurseplplanpltoplt
ake?
A.plUseplaplresuscitationplbagplwithpl80%ploxygenplpriorpltopltheplprocedure.
B.plSelectplaplsuctionplcatheterplthatplisplhalfpltheplsizeplofplthepllumen.
C.plPlacepltheplendplofpltheplsuctionplcatheterplinplwater-solublepllubricant.
D.plAdjustpltheplwallplsuctionplapparatuspltoplaplpressureplofpl170plmmplHg.pl-plANS--
B.plSelectplaplsuctionplcatheterplthatplisplhalfpltheplsizeplofplthepllumen.
Theplnurseplshouldplselectplaplsuctionplcatheterplthatplisplhalfpltheplsizeplofplthepllumenpltoplpreve
ntplhypoxemiaplandpltraumapltopltheplmucosa.
Aplnurseplisplcaringplforplaplclientplwhoplhaspldecreasedplmobility.plWhichplofpltheplfollowingplacti
onsplshouldpltheplnursepltakepltopldecreasepltheplclient'splriskplofpldevelopingplplantarplflexionplc
ontractures?
A.plPlaceplaplpillowplunderpltheplclient'splknees.
B.plPositionplapltrochanterplrollplunderpleachplofpltheplclient'splhips.
C.plAdvisepltheplclientpltoplwearplrubber-soledplslippers.
,D.plApplyplanplankle-footplorthoticpldevicepltopltheplclient'splfeet.pl-plANS--D.plApplyplanplankle-
footplorthoticpldevicepltopltheplclient'splfeet.
Theplnurseplshouldpluseplapldevicepltoplmaintainpldorsiflexion,plsuchplasplanplankle-
footplorthoticpldeviceplorplaplfootplboardplplacedplperpendicularpltopltheplmattress.
Aplnurseplmanagerplisploverseeingpltheplcareplactivitiesplonplaplunit.plForplwhichplofpltheplfollowin
gplsituationsplshouldpltheplnurseplmanagerplinterveneplduepltoplaplviolationplofplHIPAAplguidelin
es?
A.plAplnurseplwhoplisplcaringplforplaplclientplreviewspltheplclient'splmedicalplchartplwithplaplnursing
plstudentplwhoplisplworkingplwithpltheplnurse.
B.plAplnurseplasksplaplnurseplfromplanotherplunitpltoplassistplwithpldocumentationplforplaplclient.
C.plAplnurseplwhoplisplcaringplforplaplclientplreturnsplaplcallpltopltheplpersonplappointedplinpltheplhe
althplcareplproxypltopldiscusspltheplclient'splcare.
D.plAplnursepldiscussesplaplclient'splstatusplwithpltheplphysicalpltherapistplwhoplisplcaringplforplth
eplclient.pl-plANS--
B.plAplnurseplasksplaplnurseplfromplanotherplunitpltoplassistplwithpldocumentationplforplaplclient.
Onlyplhealthplcareplprofessionalspldirectlyplcaringplforplaplclientplshouldplhaveplaccesspltopltheplc
lient'splmedicalplinformation;pltherefore,plthisplisplaplviolationplofplHIPAAplguidelines.
Aplnurseplisplpreparingpltopladministerpl0.5plmLplofploralplsingle-
doseplliquidplmedicationpltoplaplclient.plWhichplofpltheplfollowingplactionsplshouldpltheplnurseplta
ke?
A.plGentlyplshakepltheplcontainerplofplmedicationplpriorpltopladministration.
B.plTransferpltheplmedicationpltoplaplmedicineplcup.
C.plPlacepltheplclientplinplaplsemi-Fowler'splpositionplpriorpltoplmedicationpladministration.
D.plVerifyplthepldosageplbyplmeasuringpltheplliquidplbeforepladministeringplit.pl-plANS--
A.plGentlyplshakepltheplcontainerplofplmedicationplpriorpltopladministration.
Theplnurseplshouldplgentlyplshakepltheplliquidplmedicationpltoplensureplthatpltheplmedicationplisp
lmixed.
Aplnurseplonplaplmedicalplunitplisplpreparingpltopldischargeplaplclientpltoplhome.plWhichplofpltheplfo
llowingplactionsplshouldpltheplnursepltakeplasplpartplofpltheplmedicationplreconciliationplprocess
?
A.plSealplunusedplmedicationsplfrompltheplfacilityplinplaplplasticplbag.
B.plEvaluatepltheplclient'splabilitypltoplself-administerplmedications.
C.plReportplanplidentifiedpldiscrepancypltoplTheplJointplCommission.
D.plCompareplprescriptionsplwithplmedicationspltheplclientplreceivedplwhileplatpltheplfacility.pl-
plANS--
D.plCompareplprescriptionsplwithplmedicationspltheplclientplreceivedplwhileplatpltheplfacility.
, Whenplperformingplmedicationplreconciliation,pltheplnurseplshouldplcreateplaplcurrent,placcura
tepllistplofpleveryplmedicationpltheplclientplisplorplshouldplbepltaking.plPartplofpltheplprocessplisplco
mparingpltheplmedicationspltheplclientplreceivedplatpltheplfacilityplwithplthosepltheplproviderplhas
plprescribedplforpltheplclientpltopltakeplafterpldischarge.
Aplnurseplisplcaringplforplaplclientplwhoplhasplterminalplliverplcancer.plWhichplofpltheplfollowingplst
atementsplshouldpltheplnurseplidentifyplasplanplindicationplthatpltheplclientplisplexperiencingplspir
itualpldistress?
A.pl"WhatplcouldplIplhavepldonepltopldeserveplthisplillness?"
B.pl"Iplblameplmedicalplscienceplforplnotplcuringplme."
C.pl"Whereplisplmypldaughterplatplapltimepllikeplthis?"
D.pl"WillplIpleverplbeginpltoplfeelplinplchargeplofplmypllifeplagain?"pl-plANS--
A.pl"WhatplcouldplIplhavepldonepltopldeserveplthisplillness?"
Theplclient'splterminalplillnessplmightplpromptpltheplclientpltoplreviewpltheirpllifeplandplquestionplit
splmeaning.plAplmanifestationplofpltheplclient'splspiritualpldistressplisplaskingplwhyplthisplillnesspli
splhappeningpltoplthem.
Aplnurseplisplcaringplforplaplclientplwhoplhasplaplprescriptionplforpl5plunitsplofplregularplinsulinpland
pl10plunitsplofplNPHplinsulinpltoplmixpltogetherplandpladministerplsubcutaneously.plDetermineplt
heplcorrectplorderplofplstepsplforplthisplprocedure.pl(Movepltheplstepsplintopltheplboxplonpltheplrigh
t,plplacingplthemplinpltheplorderplofplperformance.plUseplallpltheplsteps.)
A.plInjectpl5plunitsplofplairplintopltheplbottleplofplregularplinsulin.
B.plWithdrawpltheplcorrectpldoesplofplNPHplinsulinplfrompltheplbottle.
C.plInjectpl10plunitsplofplairplintopltheplbottleplofplNPHplinsulin.pl
D.plWithdrawpltheplcorrectpldoesplofplregularplinsulinplfrompltheplbottle.pl-plANS--
C.plInjectpl10plunitsplofplairplintopltheplbottleplofplNPHplinsulin.pl
A.plInjectpl5plunitsplofplairplintopltheplbottleplofplregularplinsulin.
D.plWithdrawpltheplcorrectpldoesplofplregularplinsulinplfrompltheplbottle.
B.plWithdrawpltheplcorrectpldoesplofplNPHplinsulinplfrompltheplbottle.
TheplnurseplshouldplfirstplinjectplairplintopltheplvialplofplNPHplinsulinplwithoutpltouchingpltheplneed
lepltopltheplsolution.plNext,pltheplnurseplshouldplinjectplairplintopltheplvialplofplregularplinsulinplandpl
withdrawpltheplcorrectplamountplofpltheplregularplinsulin.plFinally,pltheplnurseplshouldplinsertplth
eplneedleplintopltheplNPHplinsulinplvialplandplwithdrawpltheplcorrectplamountplofplNPHplinsulin.plT
heplnurseplshouldplfollowpltheseplstepspltoplpreventplcontaminatingpltheplregularplinsulinplwithpl
NPHplinsulin.
Aplnurseplisplcompletingplanpladmissionplassessmentplforplaplclientplwhoplreportsplvomitingplan
dpldiarrheaplforpltheplpastpl3pldays.plWhichplofpltheplfollowingplfindingsplshouldpltheplnurseplexpe
ct?
A.plNeckplveinpldistentionpl
B.plUrineplspecificplgravitypl1.010
2024 WITH NGN LATEST TEST BANK 60
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Aplnurseplinplanplacuteplcareplfacilityplisplpreparingplapldischargeplsummaryplforplaplclientplwhopli
spltransferringpltoplapllong-
termplcareplfacility.plWhichplofpltheplfollowingpldocumentationplshouldpltheplnurseplinclude?
A.plClientplflowplsheet
B.plAcuityplratings
C.plCurrentplmedications
D.plIncidentplreportspl-plANS--C.plCurrentplmedications
Theplnurseplshouldplincludepltheplclient'splmedicationsplinplthepldischargeplsummarypltoplensur
eplclientplsafetyplandplcontinuityplofplcare.
Aplnurseplisplreviewingplprotocolplinplpreparationplforplsuctioningplsecretionsplfromplaplclientplwh
oplhasplaplnewpltracheostomy.plWhichplofpltheplfollowingplactionsplshouldpltheplnurseplplanpltoplt
ake?
A.plUseplaplresuscitationplbagplwithpl80%ploxygenplpriorpltopltheplprocedure.
B.plSelectplaplsuctionplcatheterplthatplisplhalfpltheplsizeplofplthepllumen.
C.plPlacepltheplendplofpltheplsuctionplcatheterplinplwater-solublepllubricant.
D.plAdjustpltheplwallplsuctionplapparatuspltoplaplpressureplofpl170plmmplHg.pl-plANS--
B.plSelectplaplsuctionplcatheterplthatplisplhalfpltheplsizeplofplthepllumen.
Theplnurseplshouldplselectplaplsuctionplcatheterplthatplisplhalfpltheplsizeplofplthepllumenpltoplpreve
ntplhypoxemiaplandpltraumapltopltheplmucosa.
Aplnurseplisplcaringplforplaplclientplwhoplhaspldecreasedplmobility.plWhichplofpltheplfollowingplacti
onsplshouldpltheplnursepltakepltopldecreasepltheplclient'splriskplofpldevelopingplplantarplflexionplc
ontractures?
A.plPlaceplaplpillowplunderpltheplclient'splknees.
B.plPositionplapltrochanterplrollplunderpleachplofpltheplclient'splhips.
C.plAdvisepltheplclientpltoplwearplrubber-soledplslippers.
,D.plApplyplanplankle-footplorthoticpldevicepltopltheplclient'splfeet.pl-plANS--D.plApplyplanplankle-
footplorthoticpldevicepltopltheplclient'splfeet.
Theplnurseplshouldpluseplapldevicepltoplmaintainpldorsiflexion,plsuchplasplanplankle-
footplorthoticpldeviceplorplaplfootplboardplplacedplperpendicularpltopltheplmattress.
Aplnurseplmanagerplisploverseeingpltheplcareplactivitiesplonplaplunit.plForplwhichplofpltheplfollowin
gplsituationsplshouldpltheplnurseplmanagerplinterveneplduepltoplaplviolationplofplHIPAAplguidelin
es?
A.plAplnurseplwhoplisplcaringplforplaplclientplreviewspltheplclient'splmedicalplchartplwithplaplnursing
plstudentplwhoplisplworkingplwithpltheplnurse.
B.plAplnurseplasksplaplnurseplfromplanotherplunitpltoplassistplwithpldocumentationplforplaplclient.
C.plAplnurseplwhoplisplcaringplforplaplclientplreturnsplaplcallpltopltheplpersonplappointedplinpltheplhe
althplcareplproxypltopldiscusspltheplclient'splcare.
D.plAplnursepldiscussesplaplclient'splstatusplwithpltheplphysicalpltherapistplwhoplisplcaringplforplth
eplclient.pl-plANS--
B.plAplnurseplasksplaplnurseplfromplanotherplunitpltoplassistplwithpldocumentationplforplaplclient.
Onlyplhealthplcareplprofessionalspldirectlyplcaringplforplaplclientplshouldplhaveplaccesspltopltheplc
lient'splmedicalplinformation;pltherefore,plthisplisplaplviolationplofplHIPAAplguidelines.
Aplnurseplisplpreparingpltopladministerpl0.5plmLplofploralplsingle-
doseplliquidplmedicationpltoplaplclient.plWhichplofpltheplfollowingplactionsplshouldpltheplnurseplta
ke?
A.plGentlyplshakepltheplcontainerplofplmedicationplpriorpltopladministration.
B.plTransferpltheplmedicationpltoplaplmedicineplcup.
C.plPlacepltheplclientplinplaplsemi-Fowler'splpositionplpriorpltoplmedicationpladministration.
D.plVerifyplthepldosageplbyplmeasuringpltheplliquidplbeforepladministeringplit.pl-plANS--
A.plGentlyplshakepltheplcontainerplofplmedicationplpriorpltopladministration.
Theplnurseplshouldplgentlyplshakepltheplliquidplmedicationpltoplensureplthatpltheplmedicationplisp
lmixed.
Aplnurseplonplaplmedicalplunitplisplpreparingpltopldischargeplaplclientpltoplhome.plWhichplofpltheplfo
llowingplactionsplshouldpltheplnursepltakeplasplpartplofpltheplmedicationplreconciliationplprocess
?
A.plSealplunusedplmedicationsplfrompltheplfacilityplinplaplplasticplbag.
B.plEvaluatepltheplclient'splabilitypltoplself-administerplmedications.
C.plReportplanplidentifiedpldiscrepancypltoplTheplJointplCommission.
D.plCompareplprescriptionsplwithplmedicationspltheplclientplreceivedplwhileplatpltheplfacility.pl-
plANS--
D.plCompareplprescriptionsplwithplmedicationspltheplclientplreceivedplwhileplatpltheplfacility.
, Whenplperformingplmedicationplreconciliation,pltheplnurseplshouldplcreateplaplcurrent,placcura
tepllistplofpleveryplmedicationpltheplclientplisplorplshouldplbepltaking.plPartplofpltheplprocessplisplco
mparingpltheplmedicationspltheplclientplreceivedplatpltheplfacilityplwithplthosepltheplproviderplhas
plprescribedplforpltheplclientpltopltakeplafterpldischarge.
Aplnurseplisplcaringplforplaplclientplwhoplhasplterminalplliverplcancer.plWhichplofpltheplfollowingplst
atementsplshouldpltheplnurseplidentifyplasplanplindicationplthatpltheplclientplisplexperiencingplspir
itualpldistress?
A.pl"WhatplcouldplIplhavepldonepltopldeserveplthisplillness?"
B.pl"Iplblameplmedicalplscienceplforplnotplcuringplme."
C.pl"Whereplisplmypldaughterplatplapltimepllikeplthis?"
D.pl"WillplIpleverplbeginpltoplfeelplinplchargeplofplmypllifeplagain?"pl-plANS--
A.pl"WhatplcouldplIplhavepldonepltopldeserveplthisplillness?"
Theplclient'splterminalplillnessplmightplpromptpltheplclientpltoplreviewpltheirpllifeplandplquestionplit
splmeaning.plAplmanifestationplofpltheplclient'splspiritualpldistressplisplaskingplwhyplthisplillnesspli
splhappeningpltoplthem.
Aplnurseplisplcaringplforplaplclientplwhoplhasplaplprescriptionplforpl5plunitsplofplregularplinsulinpland
pl10plunitsplofplNPHplinsulinpltoplmixpltogetherplandpladministerplsubcutaneously.plDetermineplt
heplcorrectplorderplofplstepsplforplthisplprocedure.pl(Movepltheplstepsplintopltheplboxplonpltheplrigh
t,plplacingplthemplinpltheplorderplofplperformance.plUseplallpltheplsteps.)
A.plInjectpl5plunitsplofplairplintopltheplbottleplofplregularplinsulin.
B.plWithdrawpltheplcorrectpldoesplofplNPHplinsulinplfrompltheplbottle.
C.plInjectpl10plunitsplofplairplintopltheplbottleplofplNPHplinsulin.pl
D.plWithdrawpltheplcorrectpldoesplofplregularplinsulinplfrompltheplbottle.pl-plANS--
C.plInjectpl10plunitsplofplairplintopltheplbottleplofplNPHplinsulin.pl
A.plInjectpl5plunitsplofplairplintopltheplbottleplofplregularplinsulin.
D.plWithdrawpltheplcorrectpldoesplofplregularplinsulinplfrompltheplbottle.
B.plWithdrawpltheplcorrectpldoesplofplNPHplinsulinplfrompltheplbottle.
TheplnurseplshouldplfirstplinjectplairplintopltheplvialplofplNPHplinsulinplwithoutpltouchingpltheplneed
lepltopltheplsolution.plNext,pltheplnurseplshouldplinjectplairplintopltheplvialplofplregularplinsulinplandpl
withdrawpltheplcorrectplamountplofpltheplregularplinsulin.plFinally,pltheplnurseplshouldplinsertplth
eplneedleplintopltheplNPHplinsulinplvialplandplwithdrawpltheplcorrectplamountplofplNPHplinsulin.plT
heplnurseplshouldplfollowpltheseplstepspltoplpreventplcontaminatingpltheplregularplinsulinplwithpl
NPHplinsulin.
Aplnurseplisplcompletingplanpladmissionplassessmentplforplaplclientplwhoplreportsplvomitingplan
dpldiarrheaplforpltheplpastpl3pldays.plWhichplofpltheplfollowingplfindingsplshouldpltheplnurseplexpe
ct?
A.plNeckplveinpldistentionpl
B.plUrineplspecificplgravitypl1.010
