ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A confused patient is restless and continues to try to remove the oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention to implement for this patient?
Correct Answer: A
Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. The priority nursing diagnosis in this scenario is addressing the patient's safety. By checking on the patient every 15 minutes, the nurse can monitor for any attempts to remove the oxygen cannula or urinary catheter, reducing the risk of injury. This intervention allows for timely detection and prevention of harm to the patient.
Choice B: Risk for suffocation: Placing an 'Oxygen in Use' sign on the door does not directly address the immediate safety concern of the patient attempting to remove the oxygen cannula.
Choice C: Disturbed body image: While addressing body image concerns is important, it is not the priority in this situation where the patient's immediate safety is at risk.
Choice D: Deficient knowledge: Explaining the purpose of oxygen therapy and the urinary catheter is important for patient education but does not address the urgent need to prevent injury in this case.
Question 2 of 5
The nurse is monitoring for the four categories of risk that have been identified in the health care environment. Which examples will alert the nurse that these safety risks are occurring?
Correct Answer: D
Rationale: The correct answer is D because the examples listed are all directly related to safety risks in the healthcare environment. Wet floors unmarked pose a slip hazard, patient pinching fingers in the door is a potential injury risk, failure to use a lift for a patient can lead to musculoskeletal injuries for both patients and staff, and alarms not functioning properly can compromise patient safety.
Choices A, B, and C do not encompass as wide a range of safety risks as choice D.
Choice A includes issues that may affect patient comfort but do not necessarily pose immediate safety risks.
Choice B focuses more on facility maintenance and security rather than patient safety.
Choice C includes minor issues like an empty ice machine and unlocked supply cabinet, which are not as critical as the safety risks listed in choice D.
In summary, choice D includes examples that directly relate to patient safety, making it the most appropriate answer among the options provided.
Question 3 of 5
The nurse enters the patient's room and notices a small fire in the headlight above the bed. In which order will the nurse perform the steps?
Correct Answer: A
Rationale: The correct order is A: Pull the alarm. In a fire emergency, alerting others by pulling the alarm is the first step to ensure everyone is aware of the situation. This allows for quick evacuation and summons help from the fire department. Removing the patient (choice
B) should be done after alerting others. Using the fire extinguisher (choice
C) can be dangerous if not trained properly, so it should be left to professionals. Closing doors and windows (choice
D) can help contain the fire, but it should come after alerting others.
Question 4 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, increasing the risk of falls. Orthostatic hypotension can lead to dizziness and lightheadedness, making it challenging for the patient to maintain balance. Other choices (A, B,
C) do not directly correlate with fall risk. Age alone (
A) does not determine fall risk. 20/20 vision (
B) and urinary continence (
C) may contribute to overall health but do not specifically indicate an increased risk for falls.
Therefore, identifying orthostatic hypotension is crucial for the nurse to implement fall prevention strategies for the patient.
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.