ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?
Correct Answer: C
Rationale: The correct answer is C: Uses medication bar coding. This action aligns with the National Patient Safety Goals by ensuring accurate medication administration and reducing medication errors. Bar coding helps verify the right patient, right medication, right dose, right route, and right time. Option A is important but not specific to the National Patient Safety Goals. Option B should use sterile technique for IV catheter insertion. Option D is relevant but not directly related to patient safety goals. Options E, F, and G are not provided.
Question 2 of 5
During the admission assessment
Correct Answer: B
Rationale: The correct answer is B because orientation is a crucial aspect of assessing a patient's cognitive function, which directly impacts fall risk. If a patient is disoriented, they may struggle to navigate their environment safely, increasing the risk of falls.
Choices A, C, D, and E are incorrect because assessing fall risk goes beyond these factors. Walking 2 miles a day may indicate physical strength, but not necessarily cognitive function. Taking a hypnotic may affect alertness but does not directly relate to orientation. Being widowed may have emotional implications but does not directly affect fall risk assessment.
Question 3 of 5
The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient. This is the priority action because the nurse needs to first assess the patient's condition to determine the underlying cause of confusion and agitation. This assessment will help identify any potential medical issues or factors contributing to the behavior. Gathering restraint supplies (
B) should not be the first action as it does not address the root cause of the patient's behavior. Trying alternatives to restraint (
C) is a good option but should come after assessing the patient. Calling the health care provider for a restraint order (
D) is premature without a full assessment of the patient's condition.
Question 4 of 5
A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
Correct Answer: A
Rationale: The correct answer is A: Remove the restraint. The blue color in the toes indicates impaired circulation, likely due to the restraint being too tight. Removing the restraint will help restore circulation and prevent further damage.
Choice B (Place a blanket over the feet) is incorrect as it does not address the underlying circulation issue.
Choice C (Immediately do a complete head-to-toe neurologic assessment) is not necessary as the priority is addressing the circulation concern.
Choice D (Take the patient's vital signs) is important but not the immediate action needed for the blue toes.
Question 5 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 because they align with the SPLATT acronym used for assessing falls. A - Where did you fall? helps identify the location and potential hazards. B - What time did the fall occur? provides context about the circumstances. C - What were you doing when you fell? helps identify potential triggers. D - What types of injuries occurred after the fall? aids in understanding the impact of the fall.
Choices E and F are incorrect as they do not directly relate to the SPLATT assessment framework and may not provide immediate insights into the circumstances surrounding the fall.