ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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,E. The right supervision/evaluation ensures proper oversight of tasks delegated, right direction/communication ensures clear instructions are given, and right circumstances ensure delegation is appropriate.
Choice A (Right client) is incorrect as it is not a part of the five rights of delegation.
Choice D (Right time) is incorrect as it is not specifically related to delegation.
Choice F and G are not provided in the question and are therefore irrelevant. In summary, the elements of right supervision/evaluation, right direction/communication, and right circumstances are essential for effective delegation in nursing practice.
Question 2 of 5
A nurse is receiving a provider prescription by phone for morphine for a client who is reporting moderate to severe pain. Which of the following actions are appropriate?
Correct Answer: A,B,C
Rationale:
Correct Answer: A,B,C
Rationale:
A: Repeating details back to the provider ensures accuracy and clarity, reducing the risk of errors.
B: Having another nurse listen provides a second verification step to prevent misunderstandings.
C: Obtaining the prescriber's signature within 24 hours ensures proper documentation and legality.
Summary:
D: Declining the prescription is not appropriate as the client is in pain and requires timely treatment.
E: Informing the charge nurse alone does not ensure the prescription is properly confirmed and documented.
Question 3 of 5
Nurse is caring for client with SARS. Nurse is aware that healthcare professionals are required to report communicable & infectious diseases. Which of these illustrate rationale for reporting?
Correct Answer: A,B,C,E
Rationale: The correct answers A, B, C, and E are essential in the context of reporting communicable and infectious diseases.
A: Reporting helps in planning and evaluating control and prevention strategies by providing data on disease spread.
B: It aids in determining public health priorities by identifying which diseases are prevalent and require immediate attention.
C: Reporting ensures proper medical treatment for affected individuals by enabling healthcare professionals to track and manage cases effectively.
E: It assists in monitoring for common-source outbreaks, which is crucial for early detection and prevention of further spread.
Therefore, these choices align with the purpose of reporting communicable diseases, while options D and F are incorrect as they are not directly related to the rationale for reporting in this scenario.
Question 4 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 correct answer is D because LPNs are not typically responsible for changing cartridges and tubing on PCA pumps, as this task requires specialized training and knowledge that only RNs or higher-level healthcare providers possess. LPNs should question this assignment to ensure patient safety and proper care.
A: LPNs can assist with incentive spirometer use for post-op clients.
B: LPNs can collect clean-catch urine specimens.
C: LPNs can provide nasopharyngeal suctioning for pneumonia clients.
In summary, the LPN should question the assignment related to changing the cartridge and tubing on the PCA pump as it falls outside their scope of practice and requires RN-level skills.
Question 5 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? Select all that apply
Correct Answer: B, C, E, F
Rationale: The correct answer includes documenting when the patient was placed in restraints (
B) to ensure accurate monitoring and compliance with regulations, noting the presence of bilateral radial pulses (
C) to assess circulation, recording unsuccessful attempts to distract the patient (E) to document interventions tried, and documenting when the patient was released from restraints and range-of-motion exercises completed (F) for continuity of care.
Choices A and D are not essential information related to the patient's care in restraints, as the family member going to lunch does not impact the patient's immediate care and the presence of straps with quick-release buckles is standard equipment.