ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A nurse is inserting a urinary catheter. Which technique will the nurse use to prevent a procedure-related accident?
Correct Answer: C
Rationale: The correct answer is C: Surgical asepsis. This technique involves completely sterile conditions to prevent contamination during invasive procedures like catheter insertion. It includes using sterile gloves, draping the patient with sterile sheets, and using sterile equipment. Pathogenic asepsis (
A) focuses on killing pathogens but does not ensure a sterile field. Medical asepsis (
B) reduces the number of pathogens but is not sterile. Clean asepsis (
D) involves clean techniques but does not maintain a sterile field like surgical asepsis.
Question 2 of 5
A nurse is teaching a community group of school-aged parents about safety. Which safety item is most important for the nurse to include in the teaching session?
Correct Answer: A
Rationale: The correct answer is A: Proper fit of a bicycle helmet. This is the most important safety item to include because head injuries from biking accidents can be severe. A properly fitted helmet can prevent serious head trauma. Soccer shin guards (
B), swimming goggles (
C), and baseball sliding shorts (
D) are all important safety equipment, but none are as critical as a bicycle helmet in preventing life-threatening head injuries. Soccer shin guards protect against lower leg injuries, swimming goggles protect eyes, and sliding shorts protect against abrasions during baseball. However, none of these items directly protect against the most serious risk of head injuries like a bicycle helmet does.
Question 3 of 5
A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
B: The health care provider must specify the type and location of the restraint to ensure proper application and prevent harm.
D: A face-to-face assessment is crucial to assess the patient's condition and determine the necessity of restraints.
E: Specifying the duration and circumstances of restraint use promotes safety and ensures restraints are not used unnecessarily.
Incorrect
Choices:
A: Ordering restraints prn does not provide clear guidance on when and how to use them, potentially leading to improper use.
C: Renewing orders every 24 hours is important, but it alone does not ensure safe and appropriate use of restraints.
F & G: No options provided, but they would likely be incorrect as they are not relevant to the safe use of restraints.
Question 4 of 5
A patient has an ankle restraint applied. Upon assessment
Correct Answer: A
Rationale: The correct answer is A: the nurse finds the toes a light blue color. This indicates impaired circulation due to the restraint. The nurse should immediately remove the restraint to restore circulation and prevent tissue damage. This action takes priority over other choices as it addresses the urgent issue of compromised circulation. Removing the restraint will allow blood flow to return to the toes, preventing further complications. The other choices are less appropriate as they do not directly address the immediate concern of poor circulation. Placing a blanket or doing a neurologic assessment may delay necessary intervention, taking vital signs may provide valuable information but does not address the urgent issue of compromised circulation.
Question 5 of 5
The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. In which order will the nurse perform the steps, beginning with the first one?
Correct Answer: A
Rationale: The correct order is A: Pull the alarm. In case of a fire emergency, the first step is always to alert others by pulling the alarm to ensure everyone is aware and can evacuate safely. This action will help notify the fire department and other staff members. Removing the patient (
B) should be done after alerting others. Using the fire extinguisher (
C) should only be considered if safe to do so and if trained. Closing doors and windows (
D) can help contain the fire but is not the initial step.