ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A nurse is inserting a urinary catheter. Which technique will the nurse use to prevent a procedure-related accident?
Correct Answer: C
Rationale: The correct answer is C: Surgical asepsis. This technique involves creating and maintaining a sterile field to prevent contamination during invasive procedures like catheter insertion. The nurse will use sterile gloves, drapes, and equipment to minimize the risk of infection. Pathogenic asepsis (
A) focuses on removing or destroying pathogens but may not ensure sterility. Medical asepsis (
B) aims to reduce the number of pathogens but does not achieve a sterile environment. Clean asepsis (
D) involves cleanliness but not the level of sterility required for invasive procedures.
Question 2 of 5
A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?
Correct Answer: C
Rationale: The correct answer is C because using medication bar coding ensures the right medication is given to the right patient at the right time, aligning with National Patient Safety Goals to prevent medication errors. This process enhances patient safety by verifying the medication through scanning before administration.
Choice A may be a good practice, but it does not directly relate to a specific patient safety goal.
Choice B focuses on IV catheter insertion technique, which is important but not specifically related to patient safety goals.
Choice D is important for patient care but doesn't directly address medication safety.
Question 3 of 5
During the admission assessment, the nurse assesses the patient for fall risk. Which finding will alert the nurse to an increased risk for falls?
Correct Answer: B
Rationale: The correct answer is B: The patient takes a hypnotic. Patients taking hypnotic medications are at an increased risk for falls due to the sedative effects of these drugs, causing dizziness, impaired balance, and confusion. This increases the likelihood of accidents and falls.
Incorrect
Choices:
A: The patient is oriented. Being oriented does not necessarily indicate a decreased risk for falls.
C: The patient walks 2 miles a day. Regular exercise is beneficial for overall health but does not directly correlate with fall risk.
D: The patient recently became widowed. While emotional distress can affect a person's well-being, it does not directly indicate an increased risk for falls.
Question 4 of 5
A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
Correct Answer: D
Rationale: The correct answer is D: Applying the restraint. The rationale is that applying restraints is a task that can be safely delegated to nursing assistive personnel as it involves following specific instructions and does not require complex decision-making. Nursing assistive personnel can be trained to apply restraints safely under the supervision of a registered nurse.
A: Determining the need for restraints requires clinical judgment and assessment skills, which should be done by the registered nurse.
B: Assessing the patient's orientation involves critical thinking and interpretation of assessment findings, which is outside the scope of practice for nursing assistive personnel.
C: Obtaining an order for a restraint requires communication with the healthcare provider and understanding of legal and ethical implications, which should be done by the registered nurse.
Question 5 of 5
A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
Correct Answer: A
Rationale: The correct answer is A: Remove the restraint. The blue color in the toes indicates impaired circulation, possibly due to the ankle restraint being too tight. Removing the restraint will allow blood flow to return to the toes and prevent further complications such as tissue damage or necrosis.
Choice B is incorrect as it does not address the underlying circulation issue.
Choice C is not necessary unless there are other concerning neurological symptoms present.
Choice D is important for overall assessment but does not address the immediate issue of impaired circulation.