ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?
Correct Answer: A
Rationale: The correct answer is A: Wash hands. This technique is crucial in preventing the transmission of pathogens because hands are a common mode of pathogen spread. Washing hands effectively removes pathogens and reduces the risk of infection.
Choice B (Wash wound) is important for wound care but not as effective in preventing transmission of pathogens.
Choice C (Wear gloves) is important for personal protection but does not address the primary mode of transmission.
Choice D (Wear eye protection) is not directly related to preventing transmission through hand hygiene. It is essential to prioritize hand hygiene as the most effective method of preventing the spread of pathogens.
Question 2 of 5
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: A surgical sponge left in the patient's incision is a Never Event as it is a preventable medical error that should never occur. The nurse must report this immediately for prompt removal to prevent complications like infection or obstruction. This event breaches patient safety protocols and can lead to serious harm or even death.
Summary of other choices:
A: No blood incompatibility is a positive finding indicating patient safety measures were correctly followed.
C: Pulmonary embolism can occur despite proper precautions and is not always preventable.
D: Stage II pressure ulcer, while concerning, may not necessarily be a Never Event as it can be a result of various factors and is not always preventable with current medical knowledge.
Question 3 of 5
The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider. After assessing the patient and placing them back in bed, the nurse should notify the healthcare provider to ensure appropriate evaluation and management of the patient's fall. This is important for patient safety and to prevent any potential complications or underlying issues that may have contributed to the fall. Notifying the healthcare provider promptly allows for further assessment, interventions, and necessary precautions to be implemented.
Other choices are incorrect:
A: Doing nothing is not appropriate as the patient has experienced a fall, which requires further evaluation.
C: Completing an incident report is important, but notifying the healthcare provider takes precedence to ensure immediate appropriate care.
D: Assessing the patient has already been done, so the next step is to involve the healthcare provider for further management.
Question 4 of 5
When making rounds the nurse observes a purple wristband on a patient's wrist. How will the nurse interpret this finding?
Correct Answer: B
Rationale: The correct answer is B: The patient has do not resuscitate preferences. A purple wristband is commonly used in healthcare settings to indicate that a patient has expressed their wish to not be resuscitated in case of cardiac arrest or other life-threatening situations. This information is crucial for healthcare providers to respect the patient's autonomy and ensure their wishes are honored.
Incorrect choices:
A: Allergies are typically indicated by a different color wristband, such as red.
C: High fall risk is usually denoted by a different color wristband, such as yellow.
D: Seizure risk is often indicated by a different color wristband, such as orange.
Question 5 of 5
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
Correct Answer: D
Rationale: The correct answer is D: Orthostatic hypotension. This finding indicates a drop in blood pressure upon standing, which can lead to dizziness and falls. A 55-year-old age (choice
A) does not inherently indicate fall risk. 20/20 vision (choice
B) does not directly correlate with fall risk. Urinary continence (choice
C) is not a significant fall risk factor. The presence of orthostatic hypotension (choice
D) is a clear indicator of potential falls due to the risk of dizziness and loss of balance.