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 using sterile equipment and maintaining a sterile field to prevent contamination during invasive procedures like catheter insertion. It reduces the risk of introducing pathogens into the urinary tract. Pathogenic asepsis (
A) focuses on killing pathogens but doesn't ensure sterility. Medical asepsis (
B) reduces the number of pathogens but doesn't maintain a sterile field. Clean asepsis (
D) involves basic cleanliness but doesn't ensure sterility like surgical asepsis.
Question 2 of 5
The patient applies sequential compression devices after going to the bathroom. The nurse checks the patient's application of the devices and finds that they have been put on upside down. Which nursing diagnosis will the nurse add to the patient's plan of care?
Correct Answer: B
Rationale:
Correct Answer: B (Deficient knowledge)
Rationale:
1. The patient applying the sequential compression devices upside down indicates a lack of understanding (deficient knowledge) of how to use the devices correctly.
2. This nursing diagnosis focuses on the patient's lack of information or understanding, which can lead to incorrect implementation of interventions.
3.
Choices A, C, and D do not directly address the root cause of the issue, which is the patient's lack of knowledge about the proper use of the devices.
4. A risk for falls would be more appropriate if the patient were wearing slippery socks on a wet floor, not using compression devices incorrectly.
5. Risk for suffocation is not relevant to the scenario of upside-down compression devices.
6. Impaired physical mobility would be more applicable if the patient had difficulty moving or using the devices due to a physical limitation, not due to a lack of knowledge.
Question 3 of 5
A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
Correct Answer: D
Rationale: The correct answer is D because keeping the patient on fall risk until discharge ensures continuous monitoring and implementation of fall prevention measures. Checking on the patient once a shift (choice
A) may not provide adequate supervision. Encouraging visitors in the early evening (choice
B) could distract the patient and increase fall risk. Placing all four side rails in the 'up' position (choice
C) can lead to entrapment and decrease mobility. The other choices are not relevant to fall precautions.
Question 4 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 5 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.