ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A confused patient is restless and continues to remove oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention?
Correct Answer: A
Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. The priority nursing diagnosis is to ensure the safety of the confused patient. By checking on the patient every 15 minutes, the nurse can prevent potential injuries from removing the oxygen cannula and urinary catheter.
Choice B is incorrect as simply placing a sign does not address the immediate risk of injury.
Choice C is incorrect as the patient's behavior indicates a higher priority concern than body image.
Choice D is incorrect as the patient's behavior is not related to a lack of knowledge about oxygen therapy. The key is to prioritize patient safety through constant monitoring in this scenario.
Question 2 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 because backing the wheelchair into the elevator allows the patient to exit the elevator facing forward, ensuring safety and preventing falls. Positioning the patient's buttocks close to the front of the seat (choice
A) may lead to instability. Leading with large rear wheels first (choice
C) can cause the wheelchair to tip over. Placing a locked wheelchair on the same side of the bed as the patient's weaker side (choice
D) may hinder the patient's ability to safely transfer. Unlocking the wheelchair for easy maneuverability when the patient is transferring (choice E) is important but not directly related to safe transport in this scenario.
Question 3 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 nursing assistive personnel can be delegated tasks that involve the physical application of restraints once a decision has been made by the healthcare provider to use them. This is within the scope of their training and does not require clinical judgment. Tasks such as determining the need for restraints (
A), assessing the patient's orientation (
B), and obtaining an order for a restraint (
C) involve clinical judgment and assessment skills, which should be done by a licensed nurse or healthcare provider.
Therefore, option D is the appropriate task to delegate to nursing assistive personnel in this scenario.
Question 4 of 5
The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?
Correct Answer: A
Rationale: The correct answer is A because increased aggressiveness and blood spots on clothing are potential signs of substance abuse in adolescents. Aggressiveness and changes in behavior are common indicators of substance abuse. Blood spots on clothing may be a result of injection drug use. This information is crucial for parents to recognize warning signs and seek help for their adolescents.
Choice B is incorrect because it does not specifically address the issue of substance abuse, focusing only on increased aggressiveness as a general environmental clue.
Choice C is incorrect as it discusses uncoordination, which is not directly related to the topic of substance abuse.
Choice D is incorrect because it focuses on seat belt use, which is not the primary concern in a session about safety and substance abuse.
Question 5 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. Hand hygiene is the most important measure to prevent the transmission of pathogens. Washing hands effectively removes and reduces the number of microorganisms that can be transferred to wounds. This helps in preventing infections during wound care.
Choice B, washing the wound, is important for wound healing but does not directly prevent pathogen transmission.
Choice C, wearing gloves, is important to protect the healthcare provider but does not address the primary prevention of pathogen transmission to the wound.
Choice D, wearing eye protection, is important for certain procedures but is not directly related to preventing pathogen transmission during wound care.