ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
RN is making assignments for client care to LPN at beginning of shift. Which of following assignments should LPN question?
Correct Answer: D
Rationale: The LPN should question assignment D: Replacing cartridge & tubing on PCA pump. This task requires specialized knowledge and training that typically falls within the scope of practice of a registered nurse (RN) rather than a licensed practical nurse (LPN). LPNs are not typically trained to handle complex medication administration tasks such as managing a patient-controlled analgesia (PC
A) pump. Furthermore, errors in changing the cartridge or tubing on a PCA pump could have serious consequences for the patient's pain management and safety.
Therefore, the LPN should question this assignment to ensure that it is appropriate for their level of training and expertise. Other choices are less likely to require specialized RN-level skills, making them more suitable for LPN assignment.
Question 2 of 5
Adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. Nurse believes that this is not in client's best interest, so she administers a PRN sedative medication that the client has not requested along with his usual medication. Which of the following types of tort has the nurse committed?
Correct Answer: B
Rationale: The nurse committed the tort of false imprisonment by administering the sedative medication without the client's consent, restricting his freedom of movement. This action constitutes a violation of the client's right to autonomy and self-determination. Assault (choice
A) involves the threat of harm or unwanted touching, which did not occur in this scenario. Negligence (choice
C) would involve a failure to provide reasonable care, which is not applicable here. Breach of confidentiality (choice
D) relates to disclosing privileged information without consent, which is not relevant to the situation.
Question 3 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when new nurse states client who has heat stroke will have which of following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body's cooling system fails, leading to a rapid rise in body temperature. This can cause vasodilation, leading to decreased blood pressure (hypotension) as the body tries to cool down. Bradycardia (
B) is unlikely because the body typically increases heart rate to try to cool itself down. Clammy skin (
C) is a common symptom of heat exhaustion, not heat stroke. Bradypnea (
D) refers to slow breathing, which is not typically associated with heat stroke. Overall, hypotension is the most relevant response as it directly relates to the body's response to heat stroke and the failure of its cooling mechanisms.
Question 4 of 5
When nurse is observing client drawing up & mixing insulin injections, which best demonstrates psychomotor learning has taken place?
Correct Answer: B
Rationale: The correct answer is B because demonstrating the appropriate technique for drawing up and mixing insulin injections directly shows psychomotor learning. This involves physical skills and coordination, which is essential for performing the task accurately.
Choice A only involves verbal communication, which may not necessarily reflect actual skill.
Choice C relates to cognitive understanding, but not necessarily the ability to perform the task.
Choice D involves written communication, which is not a direct demonstration of psychomotor learning.
Question 5 of 5
Nurse is caring for client receiving enteral tube feedings due to dysphagia. Which of following bed positions is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's. This position allows for optimal digestion and absorption of the enteral feedings by decreasing the risk of aspiration. Semi-Fowler's position helps prevent reflux and aspiration as it promotes proper alignment of the gastrointestinal tract. Supine position (choice
A) can increase the risk of aspiration. Semi-prone (choice
C) and Trendelenburg (choice
D) positions are not appropriate for enteral feedings due to potential complications like aspiration and reflux.