ATI Fundamentals 2024 Overview

ati fundamentals 2024 Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? yes 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)? C. Reapplying a condom catheter for a client who has urinary incontinence 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. 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 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? D. Replacing the cartridge and tubing on a PCA pump 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. B. Right supervision/evaluation C. Right direction/communication E. Right circumstances 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? B. RN 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 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? False imprisonment A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his advance I plan to write that I don't want them to keep me on a breathing directives before he goes to the hospital. Which of the following machine. statements by the client indicates to the nurse that he understands advance directives? A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing preop care regarding informed consent? Select all. A. Make sure the surgeon obtained the client's consent B. Witness the client's signature on the consent form 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? Report observations to the nurse manager on the unit A nurse is preparing info for a change-of-shift report. Which of the following info should the nurse include in the report? A bone scan that is scheduled for today A nurse enters a client's room & finds him sitting in his chair. He B. The client states he fell in the shower & was able to get himself states, "I fell in the shower, but I got myself back up & into my back into his chair chair." How should the nurse document this in the client's chart? A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client's record? Select all. B. Put the date & time on all entries C. Document objective data, leaving out opinions The skin barrier covering a client's intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn't ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see A. The physical therapist didn't ambulate the client today B. The skin barrier's seal stays on in bed but loosens when the client stands. The wound care nurse will see the client later today 1/4 the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all. A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all. A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the prescriber's signature on the prescription within 24hrs A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the prescriber's signature on the prescription within 24hrs social worker A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? D. Occupational therapist A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team may assist the client in understanding the medication's effects? Select all. A. Provider C. Pharmacist D. RN A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? Speech-language pathologist 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. A. Bathing B. Ambulating C. Toileting E. Measuring vital signs A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all. C. A concave lumbar spine posteriorly E. Muscles slightly larger on his dominant side A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she would ask the client to close his eyes & identify which of the following items? . A familiar object she places in his hand A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect? . Fastening her bra behind her back A nurse is preforming a neurosensory examination for a client. Which of the following tests should the nurse preform to test the client's balance? Select all. A. Romberg test B. Heel-to-toe walk A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all. B. Some vision & hearing decline C. Slower fine finger movement D. Some short-term memory decline A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all. B. Nail polish should not be used near a client who is receiving oxygen C. A "No smoking" sign should be placed on the front door E. A fire extinguisher should be readily available in the home A nurse educator is conducting a parenting class for new parents. Which of the following statements made by a participant indicates a need for further clarification & instruction? "Once my baby can sit up, he should be safe in the bathtub." A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling? D. Carbon monoxide binds w/hemoglobin in the body 2/4 A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? Hypotension B. Immunocompromised individuals are at risk for complications from food poisoning A home health nurse is discussing the dangers of food poisoning C. Clients who are especially at risk are instructed to eat or drink w/a client. Which of the following info should the nurse include in only pasteurized milk, yogurt, cheese, or other dairy products her counseling? Select all. E. Handling raw & fresh food separately to avoid cross contamination may prevent food poisoning A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all A. Planning & evaluating control & prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment E. Monitoring for common-source outbreaks B. Wear a mask when providing care within 3 ft of the client A nurse is contributing to the plan of care for a client who is C. Place a surgical mask on the client if transportation to another being admitted to the facility w/a suspected diagnosis of pertussis. dept is unavoidable. Which of the following should the nurse include in the plan of care? Select all. E. Wear a gown when preforming care that may result in contamination from secretions A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some crustings. Which of the following should the nurse suspect? Herpes zoster A nurse is caring for a client who reports severe sore throat, pain when swallowing, & swollen lymph nodes. The client is experiencing which of the following stages of infection? D. Illness A nurse educator is reviewing w/a newly hired nurse the difference in clinical manifestations of a localized vs. a systemic infection. The nurse indicates understanding when she states that which of the following are clinical manifestations of a systemic infection? Select all. A. Fever B. Malaise E. Increase in pulse & respiratory rate A nurse is teaching a young adult client about health promotion & illness prevention. Which of the following statements by the client indicates an understanding of the teaching? It is important to schedule routine health care visits even if I'm feeling well. A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development? C. Devoting a great deal of time to establishing an occupation A nurse is counseling a young adult who describes having difficulty dealing w/several issues. Which of the following problems the "I don't even know who I am yet, & now I'm supposed to know what client verbalized should the nurse identify as the priority for further to do." assessment & intervention? A nurse is reviewing safety precautions w/a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? Select all. B. Wear a helmet while skiing C. Install a carbon monoxide detector D. Secure firearms in a safe location A nurse is reviewing the CDC's immunization recommendations w/a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all. A. Human papillomaviru B. Measles, mumps, rubella C. Varicella A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101 F), a pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all. A. Obtain culture specimens before initiating antimicrobials C. Encourage the client to limit activity & rest E. Assist the client w/oral hygiene frequently 3/4 A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemo. Which of the following is the nurse's priority instruction for measuring vital signs for this client? "Don't measure the client's temp rectally." A nurse is instructing a group of nursing students in measuring a client's RR. Which of the following guidelines should the nurse include? Select all. A. Place the client in semi-Fowler's position B. Have the client rest an arm across the abdomen C. Observe 1 full respiratory cycle before counting the rate A nurse who is admitting a client who has a fractured femur obtains a BP reading of 140/94 mmHg. The client denies any history of HTN. Which of the following actions should the nurse take next? Ask the client if she is having pain 4/4