ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse delegating 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?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. The nurse should share that the client ambulates with slippers over antiembolic stockings (
B) to ensure proper footwear and prevent falls. Sharing that the client uses a front-wheeled walker when ambulating (
C) is vital for safety and stability. Informing the AP that the client had pain medication 30 minutes ago (
D) is crucial to prevent overexertion and ensure appropriate monitoring for side effects.
Choice A is incorrect because the roommate's independence is not relevant to the client's ambulation.
Choice E is also incorrect as the client's allergy to codeine is not directly related to ambulation delegation.
Question 2 of 5
An RN is making assignments for client care to an LPN at the beginning of shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale: The LPN should question replacing cartridge & tubing on PCA pump (
Choice
D) because this task involves manipulating the patient's medication delivery system, which is beyond the LPN's scope of practice. LPNs are not trained to handle complex medication administration devices like PCA pumps, as this requires a higher level of knowledge and skill typically reserved for RNs. The LPN should advocate for clarification from the RN or delegate this task to someone with the appropriate training.
Choices A, B, and C are within the LPN's scope of practice and do not require specialized training like manipulating a PCA pump.
Question 3 of 5
A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation?
Correct Answer: B,C,E
Rationale: The correct answer is B, C, and E.
B: Right supervision/evaluation ensures proper oversight and assessment of tasks delegated.
C: Right direction/communication emphasizes clear instructions and effective communication.
E: Right circumstances require considering factors such as workload, staff competency, and patient condition.
A: Right client is not part of the five rights of delegation.
D: Right time is important but not specifically part of the five rights of delegation.
Question 4 of 5
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer from PACU following thoracic surgery. To which staff member should the nurse assign this client?
Correct Answer: B
Rationale: The correct answer is B: RN. A registered nurse (RN) is the most appropriate staff member to care for a client awaiting transfer from PACU after thoracic surgery. RNs have the education and training to assess the client's condition, monitor vital signs, manage postoperative pain, and recognize any complications that may arise. They can also provide the necessary interventions and communicate effectively with the healthcare team. Assigning this client to an RN ensures safe and competent care.
Choice A (Charge nurse) may have administrative duties and may not be available to provide direct care.
Choice C (LPN) may not have the scope of practice or training to manage postoperative care for a client following thoracic surgery.
Choice D (AP) does not have the qualifications to assess and manage a client with complex postoperative needs.
Question 5 of 5
By the 2nd post-op day
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: By the 2nd post-op day, if a client has not achieved satisfactory pain relief, the nurse should follow the nursing process. This involves reassessment to identify the reasons for inadequate pain relief, which is essential for developing an effective plan to address the client's pain. The nurse should not simply wait to see if the pain lessens or immediately change the pain management plan without first understanding the underlying reasons. Additionally, teaching the client about the pain management plan may be important but not the immediate priority if the pain relief is not satisfactory. It is crucial to first assess the situation comprehensively before making any changes to the plan.