ATI PN CMS FUNDAMENTALS PROCTORED EXAM LATEST
UPDATE 2024 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES GRADED A+
Ch. 1) A nurse is caring for a group of clients on a medical-surgical unit. For which of the
following client care needs should the nurse initiate a referral for a social worker? (Select
all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults.
C. A client states, "I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client states, "I do not understand how to use a nebulizer."
A, B, D
Rationale:
A. initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a patient
B. Initiate a referral for a social worker to provide information and assistance in coordinating
care for community resources available for clients
D. Initiate a referral for a social worker to assist the client in obtaining medical equipment
for use after discharge
Ch. 1) A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is
to use adaptive devices. The nurse caring for the client should initiate a referral to which
of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
,D
Rationale: an occupational therapist can assist clients who have physical challenges to use
adaptive devices and strategies to help with self-care activities
Ch. 1) A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication prescribed for pain management. Which of the
following members of the interprofessional care team can assist the client in
understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist
A, C, D
Rationale:
A. The provider must be knowledgeable about any medication prescribed for the client
including its actions, effects, and interactions
C. A pharmacist must be knowledgeable about any medication dispensed for the client,
including its actions, effects, and interactions.
D. A registered nurse must be knowledgeable about any medication administered, including
its actions, effects, and interactions.
Ch. 1) A client who had a cerebrovascular accident has persistent problems with
dysphagia. The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist
,D
Rationale: A speech language pathologist can initiate specific therapy for clients who have
difficulty with feeding due to swallowing difficulties
Ch. 1) A nurse is acquainting a group of newly licensed nurses with the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When
providing examples of the types of tasks certified nursing assistants (CNAS) can perform,
which of the following client activities should the nurse include? (Select all that apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs
A, B, C, E
Rationale: it is within the range of function for a CNA to provide basic care to patients
(bathing, assisting with ambulation, assisting with toileting, measuring and recording vital
signs)
Ch. 4) A nurse observes an assistive personnel (AP) reprimanding a client for not using the
urinal properly. The AP tells the client that diapers will be used next time the urinal is
used improperly. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
A
Rationale: by threatening the client, the AP is committing a salt. The AP's threats could make
the client become fearful and apprehensive.
Ch. 4) A nurse is caring for a competent adult client who tells the nurse, "I am leaving the
hospital this morning whether the doctor discharges me or not." The nurse believes that
, this is not in the client's best interest, and prepares to administer a PRN sedative
medication the client has not requested along with the scheduled morning medication.
Which of the following types of tort is the nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
B
Rationale: administering a medication as a chemical restraint to keep the client from leaving
the facility against medical advice is false imprisonment, because the client neither
requested nor consented to receiving the sedative.
Ch. 4) A nurse in a surgeon's office is providing preoperative teaching for a client who is
scheduled for surgery the following week. The client tells the nurse that "I plan to prepare
my advance directives before I come to the hospital." Which of the following statements
made by the client should indicate to the nurse an understanding of advance 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 with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."
C
Rationale: The patient has the right to decide and specify which medical procedures he
wants when a life-threatening situation arises.
Ch. 4) A nurse is caring for a client who is about to undergo an elective surgical procedure.
The nurse should take which of the following actions regarding informed consent? (Select
all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
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