ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
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 assistive personnel (AP)?
Correct Answer: C
Rationale: The correct answer is C. The nurse may assign the task of reapplying a condom catheter for a client who has urinary incontinence to assistive personnel (AP). This task involves a routine procedure that does not require specialized nursing knowledge or assessment skills. It is a straightforward task that can be safely delegated to AP under the supervision of the nurse.
Choices A, B, and D involve more complex care that requires nursing assessment, critical thinking, and specialized skills. Feeding a client with aspiration pneumonia requires monitoring for signs of aspiration, reinforcing teaching about using a quad cane involves patient safety and proper technique, and applying a sterile dressing to a pressure ulcer requires aseptic technique to prevent infection. These tasks should be performed by the nurse to ensure the safety and well-being of the clients.
Question 2 of 5
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to the nurse manager on the unit. This action is crucial for patient safety and the well-being of the drowsy nurse. By reporting to the nurse manager, appropriate steps can be taken to address the issue, such as evaluating the nurse's workload, offering support or counseling, or implementing policies to prevent such incidents in the future.
Choice A is incorrect as simply reminding the nurse may not address the underlying issue.
Choice B is less effective as it may delay necessary intervention.
Choice D is incorrect as patient safety is a collective responsibility. Reporting to the nurse manager is the best course of action to ensure proper handling of the situation.
Question 3 of 5
A nurse educator is teaching a module on safe med administration to newly hired nurses. Which of the following statements by the newly hired nurse indicate understanding of the nurse's responsibility when implementing med therapy? Select all.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. A indicates understanding of monitoring for side effects, B for therapeutic effects, and E for refusing unsafe meds. These actions align with a nurse's responsibilities in medication administration to ensure patient safety.
Choice C, prescribing dose, is incorrect as nurses do not have prescribing authority.
Choice D, changing dose based on adverse effects, is incorrect as this requires a healthcare provider's order.
Question 4 of 5
A nurse is preparing info for a change-of-shift report. Which of the following info should the nurse include in the report?
Correct Answer: C
Rationale: The correct answer is C: A bone scan that is scheduled for today. This information is crucial for the oncoming nurse to be aware of as it may impact the client's care plan and require specific preparations or monitoring. Including the client's input & output (
A) is important, but it may not be as time-sensitive as a scheduled procedure. The client's BP from the previous day (
B) is important but may not be as relevant for immediate care planning. The med routine from the med administration record (
D) is necessary information, but it is more appropriate for routine handovers rather than urgent updates.
Question 5 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes bathing, ambulating, toileting, and measuring vital signs as activities that CNAs may perform. CNAs are trained to assist with basic activities of daily living such as bathing, toileting, and ambulating to ensure the comfort and well-being of patients. They are also responsible for measuring vital signs to monitor the patient's health status. Choosing option D, determining pain level, would be incorrect as this task typically falls under the responsibility of a nurse who can assess and manage pain effectively. Option F and G are not provided in the question, but it is important to understand the scope of practice for CNAs and how it differs from other healthcare team members.