ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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. Using a nonvented furnace can lead to carbon monoxide poisoning due to inadequate ventilation. This poses a serious safety risk to the patient.
Choice A is correct as it emphasizes the importance of changing carbon monoxide detector batteries annually.
Choices B and C are also correct as they address chimney and heater safety.
Choices E, F, and G are incorrect as they are not provided in the question stem.
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 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 3 of 5
When making rounds the nurse observes a purple wristband on a patient's wrist. How will the nurse interpret this finding?
Correct Answer: B
Rationale: The correct interpretation for the purple wristband is that the patient has do not resuscitate (DNR) preferences. This is because in healthcare settings, purple wristbands are commonly used to indicate that a patient has chosen not to have cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This information is crucial for healthcare providers to be aware of in order to respect the patient's wishes and provide appropriate care.
Choice A (patient is allergic): This is incorrect because purple wristbands are not typically used to indicate allergies. Allergy information is usually communicated through a different system like red wristbands.
Choice C (high risk for falls): Purple wristbands do not typically signify a high risk for falls. Fall risk is usually indicated by a different color wristband or a specific protocol in healthcare settings.
Choice D (risk for seizures): Purple wristbands are not generally used to indicate a risk for seizures. Seizure risk may be indicated by a different color
Question 4 of 5
Which activity will cause the nurse to monitor for equipment-related accidents?
Correct Answer: A
Rationale: The correct answer is A. When a nurse uses a patient-controlled analgesic pump, there is a risk of equipment-related accidents such as pump malfunction, incorrect programming, or patient misuse. The nurse must monitor the pump closely to prevent potential harm to the patient.
Choices B, C, and D do not pose the same level of risk for equipment-related accidents as using a patient-controlled analgesic pump. B involves computer-based documentation, C involves using a measuring device for urine, and D involves a manual medication-dispensing device, all of which are less likely to result in equipment-related accidents compared to using the analgesic pump.
Question 5 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: The correct choices for fall prevention in the home are B, C, and E.
B: Walking to the mailbox is a low-impact exercise that helps maintain balance and strength, reducing fall risk.
C: Yearly eye exams ensure good vision, important for identifying hazards and maintaining balance.
E: Keeping pathways clutter-free minimizes tripping hazards.
A: Watering outdoor plants is not directly related to fall prevention.
D: Using bathtubs without safety strips increases the risk of slipping.
In summary, choices B, C, and E directly address fall prevention by promoting strength, vision, and reducing hazards, while choices A and D do not contribute to reducing fall risk.