ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 2 of 5
The emergency department has been notified of a potential bioterrorism attack. Which action by the nurse is priority?
Correct Answer: B
Rationale: The correct answer is B: Manage all patients using standard precautions. This is the priority action because in a potential bioterrorism attack, the safety of all patients and staff is paramount. By implementing standard precautions, the nurse can prevent the spread of any potential harmful agents and protect everyone in the emergency department. Monitoring for specific symptoms (choice
A) may be important but not as immediate as ensuring proper infection control. Transporting patients quickly (choice
C) may increase the risk of spreading any potential contaminants. Preparing for post-traumatic stress (choice
D) is important but not the priority in the initial response to a bioterrorism event.
Question 3 of 5
The nurse is completing an admission history on a new home health patient. The patient has been experiencing seizures as the result of a recent brain injury. Which interventions should the nurse utilize for this patient and family? (Select all that apply.)
Correct Answer: D, E
Rationale:
Correct Answer: D, E
Rationale:
D: Discussing steps to take if the seizure does not discontinue is crucial in ensuring the patient's safety. This empowers the family to know when to seek further medical assistance.
E: Instructing the family to reorient and reassure the patient after consciousness is regained helps to provide emotional support and maintain a sense of safety post-seizure.
Incorrect
Choices:
A: Demonstrating how to restrain the patient during a seizure is not recommended as it can lead to injury. Restraints should never be used during a seizure.
B: Moving the patient to a bed during a seizure can be dangerous and may cause harm. It is safer to protect the patient from injury in the current location.
C: Inserting a tongue depressor during a seizure is not recommended as it poses a risk of injury to the patient and can obstruct the airway.
Question 4 of 5
The nurse is providing safety information regarding accidental poisoning to a grandparent. Which comment requires nurse intervention?
Correct Answer: D
Rationale: The correct answer is D. Providing syrup of ipecac is not recommended as a first aid measure for poisoning anymore, as it can actually be harmful and delay proper medical treatment. The rationale is based on current guidelines from poison control experts. A: Providing the poison control number is important for immediate assistance. B: Inducing vomiting is not recommended for bleach ingestion. C: Calling 911 for loss of consciousness indicates awareness of a medical emergency.
Question 5 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.