ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
Correct Answer: B,C,E,F
Rationale:
Correct Answer: B, C, E, F
Rationale:
B: Documenting the specific time and type of restraints applied ensures accurate monitoring and compliance with protocols.
C: Noting the presence and quality of radial pulses helps in assessing circulation and preventing complications related to restraints.
E: Documenting unsuccessful attempts to distract the patient with television indicates efforts made to address the patient's needs.
F: Recording any interventions or actions taken is crucial for continuity of care and legal documentation.
Summary:
A: Irrelevant to the patient's care in restraints.
D: Focuses on the equipment used rather than patient assessment.
G: No information provided to evaluate this option.
Question 3 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 4 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 5 of 5
The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
Correct Answer: B
Rationale: The correct answer is B because the patient's continuous removal of the nasogastric tube poses a risk to their health and safety, potentially leading to complications like aspiration or malnutrition. This behavior indicates a lack of understanding or impulse control, necessitating the consideration of using restraints to prevent harm. Refusing to call for help (
A) may indicate independence or anxiety, confusion about time (
C) could be due to various factors, and insomnia and requests for items (
D) may signal discomfort or need for assistance but do not directly indicate the need for restraints.