ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 2 of 5
The nurse is discussing threats to adult safety with a college group. Which statement by a group member indicates understanding of the topic?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Smoking is a significant threat to adult safety due to its harmful effects on the body.
2. The statement acknowledges the risk associated with smoking, demonstrating an understanding of threats to adult safety.
3. Choosing not to smoke, even at parties, reflects a proactive approach to personal health and safety.
Summary:
B: Leaving dorms unlocked poses a safety risk, indicating a lack of understanding.
C: Drinking alcohol impairs judgment and coordination, making it unsafe to drive, even with a limited amount.
D: Working nights and studying with minimal sleep can lead to fatigue, affecting safety and performance.
Question 3 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 4 of 5
A confused patient is restless and continues to try to remove the oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention to implement for this patient?
Correct Answer: A
Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. The priority nursing diagnosis in this scenario is addressing the patient's safety. By checking on the patient every 15 minutes, the nurse can monitor for any attempts to remove the oxygen cannula or urinary catheter, reducing the risk of injury. This intervention allows for timely detection and prevention of harm to the patient.
Choice B: Risk for suffocation: Placing an 'Oxygen in Use' sign on the door does not directly address the immediate safety concern of the patient attempting to remove the oxygen cannula.
Choice C: Disturbed body image: While addressing body image concerns is important, it is not the priority in this situation where the patient's immediate safety is at risk.
Choice D: Deficient knowledge: Explaining the purpose of oxygen therapy and the urinary catheter is important for patient education but does not address the urgent need to prevent injury in this case.
Question 5 of 5
The patient has been diagnosed with a respiratory illness and reports shortness of breath. The nurse adjusts the temperature to facilitate the comfort of the patient. At which temperature range will the nurse set the thermostat?
Correct Answer: B
Rationale: The correct answer is B: 65° to 75° F. This temperature range is optimal for a patient experiencing shortness of breath due to a respiratory illness, as it provides a comfortable environment without being too cold or too warm which can exacerbate breathing difficulties. 60° to 64° F (
A) may be too cold and could cause discomfort, 15° to 17° C (
C) is too cold for most individuals, and 25° to 28° C (
D) is too warm and may increase respiratory distress. It is important to provide a temperature range that promotes comfort and relaxation for the patient to aid in their recovery.