ATI Fundamentals Proctored Exam 2 Versions 140 Questions & Answers with rationale Latest update

ATI Fundamentals Proctored Exam 2 Versions 140 Questions & Answers with rationale Latest update guaranteed pass

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

C.  Explain the risks and benefits of the procedure

D.  Describe the consequences of choosing not to have the surgery

E.  Tell the client about alternatives to having the surgery - A, B 

The rest of the choices are the surgeon's responsibility, not the nurse

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? 

A.  Remind the nurse that safe client care is a priority on the unit

B.  Ask others on the team whether they have observed the same behavior 

C.  Report observations to the nurse manager on the unit

D.  Conclude that her coworker's fatigue is not her problem to solve - C. 

Any nurse who notices behavior that could possibly jeopardize client care or indicate a substance abuse problem has a duty to report the situation immediately to the nurse manager

A nurse is preparing info for a change-of-shift report. Which of the following info should the nurse include in the report? 

A.  The client's input & output for the shift

B.  The client's BP from the previous day

C.  A bone scan that is scheduled for today

D.  The med routine from the med administration record - C. A bone scan that is scheduled for today

This is important because the nurse might have to modify the client's care to accommodate them leaving the unit

A nurse enters a client's room & finds him sitting in his chair. He states, "I fell in the shower, but I got myself back up & into my chair." How should the nurse document this in the client's chart? 

A.  The client fell in the shower. 

B.  The client states he fell in the shower & was able to get himself back into his chair C. The nurse should not document this info because she did not witness the fall

D. The client fell in the shower & is now resting comfortably - B. 

By writing what the client states, the info is subjective data

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. 

A.  Cover errors w/correction fluid, & write in the correct info

B.  Put the date & time on all entries

C.  Document objective data, leaving out opinions

D.  Use as many abbreviations as possible

E.  Wait until the end of the shift to document - B, C

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 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.  The physical therapist didn't ambulate the client today

B.  The skin barrier's seal stays on in bed but loosens when the - A, B, D

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 

D.  Decline the verbal prescription because it is not an emergency situation

E.  Tell the charge nurse that the provider has prescribed morphine by telephone - A, B, C

A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To which of the following members of the health care team should the nurse refer him? 

Registered dietitia