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 lead to dizziness and lightheadedness, making it challenging for the patient to maintain balance. Other choices (A, B,
C) do not directly correlate with fall risk. Age alone (
A) does not determine fall risk. 20/20 vision (
B) and urinary continence (
C) may contribute to overall health but do not specifically indicate an increased risk for falls.
Therefore, identifying orthostatic hypotension is crucial for the nurse to implement fall prevention strategies for the patient.
Question 2 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 3 of 5
A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up?
Correct Answer: D
Rationale: The correct answer is D because using a nonvented furnace can lead to carbon monoxide poisoning, which is a serious safety hazard. The other choices demonstrate safety precautions (A: changing batteries on carbon monoxide detector, B: scheduling chimney inspection, C: recognizing symptoms of heater issues) or potential safety concerns that prompt appropriate action (E: not provided). Using a nonvented furnace goes against safety guidelines, as it can release harmful gases into the home.
Therefore, the nurse should follow up on this statement to educate the patient on the dangers and recommend using a vented furnace for safety.
Question 4 of 5
An older-adult patient is using a wheelchair to attend a physical therapy session. Which action by the nurse indicates safe transport of the patient?
Correct Answer: B
Rationale: The correct answer is B: Backs wheelchair into elevator. This action is safe because it allows the nurse to maintain visual contact with the patient while moving them into the elevator. This also prevents the patient from accidentally rolling forward and potentially falling out of the wheelchair.
Choice A is incorrect because positioning the patient close to the front of the seat can increase the risk of the patient sliding forward during transport.
Choice C is incorrect as leading with large rear wheels first can make it difficult to maneuver and navigate through tight spaces.
Choice D is incorrect as placing the locked wheelchair on the same side as the patient's weaker side can make it challenging for the patient to transfer safely.
Choice E is incorrect as unlocking the wheelchair before the patient is ready to transfer can lead to potential safety hazards.
Question 5 of 5
The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
Correct Answer: C
Rationale: The correct answer is C: The patient folds three washcloths over and over. This behavior indicates engagement and focus, suggesting a sense of calm and control. Folding washcloths repetitively can be a soothing, repetitive task indicating decreased agitation.
Choices A, B, and D do not directly indicate successful use of alternatives to restraint. A patient getting up from the chair (
A) or becoming restless (
B) may suggest continued agitation or restlessness, while apologizing (
D) may indicate compliance out of fear or anxiety rather than true calmness.