ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
An older-adult patient is using a wheelchair to attend a physical therapy session. Which action by the nurse indicates safe transport of the patient?
Correct Answer: B
Rationale: The correct answer is B: Backs wheelchair into elevator. This action ensures that the patient is facing forward during transport, reducing the risk of injury. Positioning the patient's buttocks close to the front of the wheelchair seat (
Choice
A) may cause instability. Leading with large rear wheels first (
Choice
C) can lead to tipping. Placing a locked wheelchair on the same side of the bed as the patient's weaker side (
Choice
D) may hinder safe transfer. Unlocking the wheelchair for easy maneuverability (
Choice E) is important but not specifically related to safe transport.
Question 2 of 5
A home health nurse is assessing the home for fire safety. Which information from the family will cause the nurse to intervene? (Select all that apply.)
Correct Answer: A, C, D
Rationale: The correct answers are A, C, D.
A: Smoking in bed poses a significant fire hazard due to the risk of falling asleep while smoking, leading to potential ignition of bed linens.
C: Using an old space heater may increase the risk of malfunction and fire hazards, as older models may not have modern safety features.
D: Using the RACE method for fire extinguisher use (Rescue, Alarm, Contain, Extinguish) is incorrect; the correct method is PASS (Pull, Aim, Squeeze, Sweep).
B, E: Leaving candles burning and having fire extinguishers accessible are good fire safety practices.
In summary, choices A, C, and D warrant intervention due to the increased risk of fire hazards, while choices B and E demonstrate good fire safety habits.
Question 3 of 5
The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews fall prevention in the home. Which information will the nurse include in the teaching session? (Select all that apply.)
Correct Answer: B, C, E
Rationale:
Correct
Answer: B, C, E
Rationale:
- B: Walking regularly helps maintain strength and balance, reducing fall risk.
- C: Yearly eye exams can detect vision problems that contribute to falls.
- E: Clear pathways prevent tripping hazards, reducing the risk of falls.
Incorrect
Choices:
- A: Watering plants is unrelated to fall prevention.
- D: Bathtubs without safety strips increase fall risk.
- F, G: No additional choices given.
Question 4 of 5
A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
Correct Answer: B, D, E
Rationale: The correct answer includes choices B, D, and E.
Choice B ensures that the type and location of the restraint are clearly specified, promoting safe and appropriate use.
Choice D mandates a face-to-face assessment by the healthcare provider before ordering restraints, ensuring that the decision is based on a thorough evaluation of the patient's condition.
Choice E is crucial as it requires the healthcare provider to specify the duration and circumstances of restraint use, helping prevent unnecessary or prolonged use.
Choices A, C, F, and G are incorrect because relying on PRN orders (
A) may lead to inconsistent and potentially unsafe application of restraints, renewing orders every 24 hours (
C) may not adequately address the patient's changing needs, and the absence of specific details in choices F and G can result in ambiguity and misuse of restraints.
Question 5 of 5
The nurse is performing the “Timed Get Up and Go (TUG)†assessment. Which actions will the nurse take? (Select all that apply.)
Correct Answer: C, D, F
Rationale: The correct answers are C, D, and F.
C: Instructing the patient to walk 10 feet quickly and safely is a key step in the TUG assessment to evaluate mobility and fall risk.
D: Observing for unsteadiness in the patient's gait is crucial to assess balance and risk of falls during the TUG assessment.
F: Allowing the patient a practice trial helps ensure that they understand the instructions and can perform the task accurately during the actual assessment.
These actions are essential for a comprehensive and accurate evaluation of the patient's mobility and fall risk during the Timed Get Up and Go assessment.