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 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: Firstly, smoking in bed poses a high fire risk due to the potential for bedding catching fire. Using the same space heater as grandparents may indicate an outdated and potentially unsafe appliance. Lastly, using the RACE method with a fire extinguisher demonstrates preparedness in case of a fire.

Choices B, E, and any others not selected do not directly indicate unsafe fire practices.

Question 2 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 cause dizziness and lightheadedness when changing positions, leading to falls.
Choice A (55 years old) is not a significant risk factor for falls compared to orthostatic hypotension.
Choice B (20/20 vision) does not directly correlate with fall risk.
Choice C (urinary continence) is not a direct indicator of fall risk. In summary, orthostatic hypotension is the most concerning finding as it directly affects the patient's blood pressure regulation and increases the likelihood of falls.

Question 3 of 5

The nurse is assessing a patient who reports a previous fall and is using the SPLATT acronym. Which questions will the nurse ask the patient? (Select all that apply.)

Correct Answer: A,B,C,D

Rationale: The correct answers are A, B, C, and D. Asking where, when, and what the patient was doing during the fall helps to assess the circumstances leading to the fall and potential risk factors. Inquiring about types of injuries provides insight into the severity of the fall and any complications.
Choice E is incorrect as it focuses on post-fall actions rather than the fall event itself. The other choices, F and G, are not provided in the question and are therefore irrelevant.

Question 4 of 5

The emergency department has been notified of a potential bioterrorism attack. Which action by the nurse is priority?

Correct Answer: B

Rationale: The correct answer is B: Manage all patients using standard precautions. In a potential bioterrorism attack, the priority is to prevent the spread of the agent. By implementing standard precautions for all patients, the nurse can minimize the risk of transmission to themselves and others. Monitoring for specific symptoms (choice
A) is important but secondary to preventing further exposure. Transporting patients quickly (choice
C) may spread the agent further. Preparing for post-traumatic stress (choice
D) is important but not the immediate priority in the initial response to a bioterrorism attack.

Question 5 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 it includes examples of safety risks that directly impact patient well-being. Wet floors pose slip hazards, patient pinching fingers in doors can lead to injuries, failure to use a lift for patients can result in falls, and malfunctioning alarms can delay response to emergencies.
A, B, and C do not address direct patient safety risks like D does. A focuses on environmental factors that may not directly harm patients. B mentions blocked hallways and locked medication rooms, which are more related to facility operations. C mentions minor issues like an empty ice machine and unlocked supply cabinet that do not directly pose risks to patients.

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