Nr 324 Exam review ATI RN Fundamentals Proctored Focus

1. Can an RN delegate to the LPN to provide tracheostomy care to a
client 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 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
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 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
4. 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 shif
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. 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
6. 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
7. 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
8. 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
9. A client who will undergo neurosurgery the following week tells the
nurse 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 has
to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these
forms."
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 at
the hospital."