2023 ATI Mental Health Proctored Exam with Answers (99 Solved Questions)

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ATI RN Fundamentals Proctored Exam1.Can an RN delegate to the LPN to provide tracheosto-my care to a client with pneumonia?Yes.2.A nurse on a med-surg unit has receivedchange-of-shift report & will care for 4 clients. Whichof the following client's needs may the nurse assignto an assistive personnel (AP)?A. Feeding a client who was admitted 24 hrs agow/aspiration pneumoniaB. Reinforcing teaching w/a client who is learning towalk using a quad caneC. Reapplying a condom catheter for a client who hasurinary incontinenceD. Applying a sterile dressing to a pressure ulcerC. Reapplying acondom catheterfor a client whohas urinary incon-tinenceRationale: The ap-plication of acondom catheteris a noninvasive,routine procedurethat the nurse maydelegate to the AP3.A nurse is delegating the ambulation of a client whohad knee arthroplasty 5 days ago to an AP. Which ofthe following information should the nurse share withthe AP? Select All.A. The roommate is up independently.B. The client ambulates w/his slippers on over hisantiembolic stockingsC.The client uses a front-wheeled walker when ambu-latingD. The client had pain medication 30 min agoE. The client is allergic to codeineF. The client ate 50% of his breakfast this morningB, C, D4.An RN is making assignments for client care to a LPNat the beginning of the shift. Which of the followingassignments should the LPN question?A. Assisting a client who is 24hr postop to use anincentive spirometerD. Replacing thecartridge and tub-ing on a PCApumpRationale: The RN1 / 32

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ATI RN Fundamentals Proctored ExamB. Collecting a clean-catch urine specimen from aclient who was admitted on the previous shiftC. Providing nasopharyngeal suctioning for a clientwho has pneumoniaD. Replacing the cartridge and tubing on a PCA pumpis responsible forthe PCA pump5.A nurse is preparing an in-service program about del-egation. Which of the following elements should sheidentify when presenting the 5 rights of delegation?Select all.A. Right clientB. Right supervision/evaluationC. Right direction/communicationD. Right timeE. Right circumstancesB, C, EA and D are rightsof medication ad-ministration6.A nurse manager of a med-surg unit is assigningcare responsibilities for the oncoming shift. A clientis awaiting transfer back to the unit from the PACUfollowing thoracic surgery. To which staff membershould the nurse assign to this client?A. Charge nurseB. RNC. LPND. APB. RNA client return-ing from surgeryrequires assess-ment and es-tablishment of aplan of care. RNsare responsible forthis, especially ifthe client is poten-tially unstable.7.A nurse observes an AP reprimanding a client for notusing the urinal properly.The AP tells him she will puta diaper on him if he does not use the urinal morecarefully next time. Which of the following torts is theAP committing?A. AssaultB. BatteryA. AssaultBy threatening theclient, the APis committing as-sault.2 / 32

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ATI RN Fundamentals Proctored ExamC. False imprisonmentD. Invasion of privacy8.An adult client who is competent tells the nurse thathe is thinking about leaving the hospital against med-ical advice. The nurse believes that this is not in theclient's best interest, so she administers a PRN seda-tive med that the client has not requested along w/hisusual meds. Which of the following tort has the nursecommitted?A. AssaultB. False imprisonmentC. NegligenceD. Breach of confidentialityB. False imprison-mentThe nurse gavethe med asa chemical re-straint to keepthe client fromleaving the facili-ty against medicaladvice. The clientdid not consent.9.A client who will undergo neurosurgery the followingweek tells the nurse in the surgeon's office that hewill prepare his advance directives before he goesto the hospital. Which of the following statements bythe client indicates to the nurse that he understandsadvance directives?A. "I'd rather have my brother make decisions for me,but I know it has to be my wife."B. "I know they won't go ahead w/the surgery unlessI prepare these forms."C. "I plan to write that I don't want them to keep meon a breathing machine."D. "I will get my regular doctor to approve my planbefore I hand it in at the hospital."C.The client hasthe right to de-cide and spec-ify which med-ical procedures hewants when alife-threatening sit-uation arrives10.A client is about to undergo an elective surgical pro-cedure. Which of the following actions are appropri-ate for the nurse who is providing preop care regard-ing informed consent? Select all.A. Make sure the surgeon obtained the client's con-sentA, BThe rest of thechoices are thesurgeon's respon-sibility, not thenurse3 / 32

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ATI RN Fundamentals Proctored ExamB. Witness the client's signature on the consent formC. Explain the risks and benefits of the procedureD. Describe the consequences of choosing not tohave the surgeryE. Tell the client about alternatives to having thesurgery11.A nurse has noticed several occasions in the pastweek when another nurse on the unit seemed drowsy& unable to focus on the issue at hand. Today, shefound the nurse asleep in a chair in the break roomwhen she was not on break. Which of the followingactions should the nurse take?A. Remind the nurse that safe client care is a priorityon the unitB. Ask others on the team whether they have ob-served the same behaviorC. Report observations to the nurse manager on theunitD. Conclude that her coworker's fatigue is not herproblem to solveC.Any nurse whonotices behaviorthat could possiblyjeopardize clientcare or indicate asubstance abuseproblem has aduty to report thesituation immedi-ately to the nursemanager12.A nurse is preparing info for a change-of-shift report.Which of the following info should the nurse includein the report?A. The client's input & output for the shiftB. The client's BP from the previous dayC. A bone scan that is scheduled for todayD. The med routine from the med administrationrecordC. A bone scanthat is scheduledfor todayThis is importantbecause the nursemight have tomodify the client'scare to accommo-date them leavingthe unit13.A nurse enters a client's room & finds him sitting inhis chair. He states, "I fell in the shower, but I gotmyself back up & into my chair." How should thenurse document this in the client's chart?B.By writing whatthe client states,4 / 32

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ATI RN Fundamentals Proctored ExamA. The client fell in the shower.B. The client states he fell in the shower & was ableto get himself back into his chairC. The nurse should not document this info becauseshe did not witness the fallD. The client fell in the shower & is now resting com-fortablythe info is subjec-tive data14.A nursing instructor is reviewing documentation w/agroup of nursing students. Which of the following le-gal guidelines should they follow when documentinga client's record? Select all.A. Cover errors w/correction fluid, & write in the cor-rect infoB. Put the date & time on all entriesC. Document objective data, leaving out opinionsD. Use as many abbreviations as possibleE. Wait until the end of the shift to documentB, C15.The skin barrier covering a client's intestinal fistulakeeps falling off when she stands up to ambulate.Thenurse has reapplied it twice during the shift, but it re-mains intact only when the client is supine in bed.Thenurse telephoned the physical therapist about thedifficulties containing the drainage from the fistula,so the therapist didn't ambulate the client today. Theclient sat in a chair during lunch w/an absorbent padover the fistula. The client ate all the food on her tray.The wound care nurse confirmed that she will see theclient later today.The client states she feels frustratedat not having physical therapy, but the nurse thinksthe client welcomed having a day to rest.Which of thefollowing information should the nurse include in thechange-of-shift report? Select all.A. The physical therapist didn't ambulate the clienttodayA, B, D5 / 32

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ATI RN Fundamentals Proctored ExamB. The skin barrier's seal stays on in bed but loosenswhen the client stands.C. The client seemed to welcome having a "day off"from physical therapyD.The wound care nurse will see the client later todayE. The client ate all the food on her lunch tray16.A nurse is receiving a provider's prescription by tele-phone for morphine for a client who is reporting mod-erate to severe pain. Which of the following nursingactions are appropriate? Select all.A. Repeat the details of the prescription back to theproviderB. Have another nurse listen to the telephone pre-scriptionC. Obtain the prescriber's signature on the prescrip-tion within 24hrsD. Decline the verbal prescription because it is not anemergency situationE. Tell the charge nurse that the provider has pre-scribed morphine by telephoneA, B, C17.A nurse is caring for an older adult client who livesalone & is to be discharged in 3 days. He states thatit is difficult to prepare adequate nutritious mealsat home for just 1 person. To which of the followingmembers of the health care team should the nurserefer him?A. Registered dietitianB. Occupational therapistC. Physical therapistD. Social workerD. social workerA social work-er can makearrangements fora meal deliveryservice to providenutritious mealsdaily, or recom-mend a congre-gate meal sitenear the client'shome18.A goal for a client who has difficulty w/self-feedingdue to rheumatoid arthritis is to use adaptive de-D.An occupational6 / 32

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ATI RN Fundamentals Proctored Examvices. The nurse caring for the client should initiatea referral w/which of the following members of theinterprofessional care team?A. Social workerB. Certified nursing assistantC. Registered dietitianD. Occupational therapisttherapist can as-sist clients whohave physicalchallenges to useadaptive devices& strategies tohelp w/self-careactivities19.A client who is postop following a knee arthroplastyis concerned about the adverse effects of the med-ication he is receiving for pain management.Which ofthe following members of the interprofessional careteam may assist the client in understanding the med-ication's effects? Select all.A. ProviderB. CNAC. PharmacistD. RNE. Respiratory therapistA, C, D20.A client who has had a cerebrovascular accident haspersistent problems w/dysphagia. The nurse caringfor the client should initiate a referral w/which ofthe following members of the interprofessional careteam?A. Social workerB. CNAC. Occupational therapistD. Speech-language pathologistDA speech-lan-guage pathologistcan initiate spe-cific therapy forclients who havedifficulty feedingdue to swallowingdifficulties21.A nursing instructor is acquainting a group of nurs-ing students w/the roles of the various members ofthe health care team they will encounter on a med-ical-surgical unit. When she gives examples of thetypes of tasks CNAs may perform, which of the fol-lowing client activities should she include? Select all.A, B, C, EDetermining painlevel requires as-sessment, which7 / 32

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ATI RN Fundamentals Proctored ExamA. BathingB. AmbulatingC. ToiletingD. Determining pain levelE. Measuring vital signsis the job of the li-censed personnel.22.A nurse in a provider's office is preparing to assess ayoung adult male client's musculoskeletal system aspart of a comprehensive physical examination.Whichof the following findings should the nurse expect?Select all.A. A concave thoracic spine posteriorlyB. An exaggerated lumbar curvatureC. A concave lumbar spine posteriorlyD. An exaggerated thoracic curvatureE. Muscles slightly larger on his dominant sideC, E23.A nurse is evaluating a client's neurosensory system.To evaluate stereognosis, she would ask the clientto close his eyes & identify which of the followingitems?A. A word she whispers 30cm from his earB. A number she traces on the palm of his handC.The vibration of a tuning fork she places on his footD. A familiar object she places in his handD.Stereognosis istactile recognition24.A nurse is assessing a client who reports pain whenthe nurse evaluates the internal rotation of her rightshoulder. Which of the following activities is thisproblem likely to affect?A. Mopping her floorsB. Brushing the back of her hairC. Fastening her bra behind her backD. Reaching into a cabinet above her sinkC.Fastening a brafrom behind re-quires internal ro-tation of the shoul-der, so this activitywill illicit pain25.8 / 32

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ATI RN Fundamentals Proctored ExamA nurse is preforming a neurosensory examinationfor a client. Which of the following tests should thenurse preform to test the client's balance? Select all.A. Romberg testB. Heel-to-toe walkC. Snellen testD. Spinal accessory functionE. Rosenbaum testA, BC and E test visu-al acuity , D testscranial nerve XIis intact by askingthe client to shrugshoulders withoutcomplication.26.A nurse is collecting data from an older adult client aspart of a neurosensory examination. Which of the fol-lowing findings should the nurse expect as changesassociated w/aging? Select all.A. Slower light touch sensationB. Some vision & hearing declineC. Slower fine finger movementD. Some short-term memory declineE. Slower superficial pain sensationB, C, D27.A nurse is providing discharge instructions to a clientwho has a prescription for the use of oxygen in hishome. Which of the following should the nurse teachthe client about using oxygen safely in his home?Select all.A. Family members who smoke must be at least 10 ftfrom the client when the oxygen is in useB. Nail polish should not be used near a client who isreceiving oxygenC. A "No smoking" sign should be placed on the frontdoorD. Cotton bedding & clothing should be replacedw/items made from woolE. A fire extinguisher should be readily available inthe homeB, C, EFamily membersthat smoke shoulddo so outside, andwool creates stat-ic electricity so itshould be avoid-ed.28.9 / 32

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