ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?
Correct Answer: A
Rationale: The correct answer is A: Wash hands. Handwashing is the most effective way to prevent the transmission of pathogens. Proper hand hygiene reduces the risk of spreading infections from person to person or from surfaces to individuals. By washing hands before and after wound care, the nurse and family members can minimize the introduction of harmful pathogens to the wound site. Washing the wound (choice
B) is important for wound care but does not address the prevention of pathogen transmission. Wearing gloves (choice
C) and eye protection (choice
D) are important for personal protection but do not directly prevent transmission of pathogens to the wound.
Question 2 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct actions for the nurse to take in this scenario are A, B, C, and D. Closing all doors helps contain the fire and smoke, protecting patients. Noting evacuation routes ensures a quick and safe exit strategy if needed. Identifying oxygen shut-offs prevents potential fuel for a fire. Moving bedridden patients in their bed is crucial for their safety and transportability. Waiting for the fire department (choice E) is not recommended as immediate action by the nurse is necessary to ensure patient safety.
Question 3 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 4 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: Keep the patient on fall risk until discharge. This is the appropriate action because fall risk assessments should be ongoing throughout the patient's stay to ensure safety. Checking on the patient once a shift (
A) may not be sufficient to prevent falls. Encouraging visitors in the early evening (
B) does not directly address the patient's fall risk. Placing all four side rails in the 'up' position (
C) can lead to restraint-related issues and is not recommended unless necessary for safety. Keeping the patient on fall risk until discharge (
D) ensures ongoing monitoring and implementation of appropriate precautions.
Question 5 of 5
The patient is confused
Correct Answer: D
Rationale: The correct answer is D: Deficient knowledge. The patient's confusion and behavior suggest a lack of understanding, leading to unsafe actions like pulling at the IV tubing. This nursing diagnosis reflects the patient's need for education and information to prevent harm.
Choice A is incorrect as the patient's confusion is not related to trying to get out of bed.
Choices C, E, and F are not relevant to the patient's current situation and symptoms. Deficient knowledge directly addresses the root cause of the patient's confusion and behavior, making it the appropriate nursing diagnosis in this scenario.