ATI Fundamental Proctored Exam Study Guide 2024-2025 -Nurselytic

Questions 88

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ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions

Extract:


Question 1 of 5

A home health nurse assesses a home after the birth of an infant. A toddler also lives in the home. Which finding requires follow-up?

Correct Answer: A

Rationale: The correct answer is A because plastic grocery bags stored under the counter pose a suffocation hazard to the toddler. Plastic bags can be a choking risk and should be stored out of reach. Electric outlets being covered (choice
B) is a safety measure to prevent electrical shocks. No bumper pads in the crib (choice
C) is recommended to reduce the risk of suffocation or Sudden Infant Death Syndrome (SIDS). Crib slats being 5 cm apart (choice
D) is within safety guidelines to prevent entrapment.

Question 2 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 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 patient has been diagnosed with a respiratory illness and reports shortness of breath. The nurse adjusts the temperature to facilitate the comfort of the patient. At which temperature range will the nurse set the thermostat?

Correct Answer: B

Rationale: The correct answer is B: 65° to 75° F. This temperature range is optimal for a patient experiencing shortness of breath due to a respiratory illness, as it provides a comfortable environment without being too cold or too warm which can exacerbate breathing difficulties. 60° to 64° F (
A) may be too cold and could cause discomfort, 15° to 17° C (
C) is too cold for most individuals, and 25° to 28° C (
D) is too warm and may increase respiratory distress. It is important to provide a temperature range that promotes comfort and relaxation for the patient to aid in their recovery.

Question 5 of 5

A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up?

Correct Answer: D

Rationale: The correct answer is D because using a nonvented furnace can lead to carbon monoxide poisoning, which is a serious safety hazard. The other choices demonstrate safety precautions (A: changing batteries on carbon monoxide detector, B: scheduling chimney inspection, C: recognizing symptoms of heater issues) or potential safety concerns that prompt appropriate action (E: not provided). Using a nonvented furnace goes against safety guidelines, as it can release harmful gases into the home.
Therefore, the nurse should follow up on this statement to educate the patient on the dangers and recommend using a vented furnace for safety.

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