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
Correct Answer: A
Rationale: The correct answer is A: the nurse finds the toes a light blue color. This indicates impaired circulation due to the restraint. The nurse should immediately remove the restraint to restore circulation and prevent tissue damage. This action takes priority over other choices as it addresses the urgent issue of compromised circulation. Removing the restraint will allow blood flow to return to the toes, preventing further complications. The other choices are less appropriate as they do not directly address the immediate concern of poor circulation. Placing a blanket or doing a neurologic assessment may delay necessary intervention, taking vital signs may provide valuable information but does not address the urgent issue of compromised circulation.
Question 2 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. Hand hygiene is the most important measure to prevent the transmission of pathogens. Washing hands effectively removes and reduces the number of microorganisms that can be transferred to wounds. This helps in preventing infections during wound care.
Choice B, washing the wound, is important for wound healing but does not directly prevent pathogen transmission.
Choice C, wearing gloves, is important to protect the healthcare provider but does not address the primary prevention of pathogen transmission to the wound.
Choice D, wearing eye protection, is important for certain procedures but is not directly related to preventing pathogen transmission during wound care.
Question 3 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 4 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 the nurse will take are A, B, C, and D. Closing all doors helps contain smoke and fire. Noting evacuation routes ensures safe movement of patients. Noting oxygen shut-offs prevents fueling the fire. Moving bedridden patients in their beds avoids injury during evacuation. Waiting for the fire department (E) delays safety measures. Using type B fire extinguishers for electrical fires (F) is incorrect; type C extinguishers are for electrical fires.
Question 5 of 5
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
Correct Answer: B
Rationale: The correct answer is B:
Toddler.
Toddlers are at higher risk for lead poisoning due to their hand-to-mouth behavior and tendency to explore their environment. They may ingest lead-based paint chips or contaminated soil. Young infants have limited mobility and are less likely to ingest lead. Preschoolers and adolescents are also at risk but toddlers have the highest likelihood due to their behaviors.