ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 2 of 5
The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider. This is the next appropriate action because the patient experienced a fall, which is a significant event that requires further evaluation by the healthcare provider to assess for any injuries or underlying causes. Notifying the healthcare provider promptly can help in determining the appropriate course of action to ensure the patient's safety and well-being.
Summary of other choices:
A: Doing nothing is not appropriate as a fall is a serious event that requires assessment and follow-up.
C: Completing an incident report is important but should not be the immediate next step. Patient assessment and notifying the healthcare provider take precedence.
D: Assessing the patient should have been done before placing the patient back in bed, but it is still important to notify the healthcare provider for further evaluation.
Question 3 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 4 of 5
A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse 58, and respiratory rate 12. Which vital sign should the nurse address immediately?
Correct Answer: B
Rationale: The correct answer is B: Temperature. The nurse should address the low temperature of 94.8°F immediately as it indicates hypothermia, which can be life-threatening. Hypothermia can lead to altered mental status, cardiac arrhythmias, and even cardiac arrest. It is crucial to address hypothermia promptly by providing warming measures to prevent further complications.
The other vital signs are within normal ranges. The respiratory rate of 12, blood pressure of 106/56, and apical pulse of 58 are all considered normal for an adult. While these vital signs should be monitored, addressing the low temperature takes precedence due to the potential severe consequences of untreated hypothermia.
Question 5 of 5
The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews fall prevention in the home. Which information will the nurse include in the teaching session? (Select all that apply.)
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
1.
Choice B: Walking to the mailbox in the summer promotes physical activity and maintains strength and balance to prevent falls.
2.
Choice C: Yearly eye examinations are crucial for identifying vision changes that may increase fall risk.
3.
Choice E: Keeping pathways clutter free reduces tripping hazards and promotes safe mobility.
Incorrect
Choices:
A: Watering outdoor plants with a nozzle and hose does not directly relate to fall prevention.
D: Using bathtubs without safety strips increases the risk of slipping and falling.
F: No information given.
G: No information given.