ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
Correct Answer: D
Rationale: The correct answer is D: Applying the restraint. The rationale is that nursing assistive personnel can perform tasks that involve direct patient care under the supervision of a nurse. Applying restraints is a task that involves following specific guidelines and does not require critical thinking or decision-making skills. Tasks A, B, and C involve assessing, determining the need, and obtaining orders for restraints, which require nursing judgment and cannot be delegated to nursing assistive personnel. Other choices are left blank as they are not relevant to the question.
Question 2 of 5
A patient has an ankle restraint applied. Upon assessment
Correct Answer: A
Rationale: The correct answer is A because a light blue color in the toes indicates poor circulation due to the restraint. The nurse should assess for tissue damage and remove the restraint immediately to restore circulation. Removing the restraint is the priority to prevent further complications.
Choice B is incorrect as it doesn't address the circulatory issue.
Choices C, D, and E are not the immediate concern and can be addressed after addressing the circulation problem.
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 healthcare staff and patients is paramount. By implementing standard precautions, the nurse can help prevent the spread of any potential bioterrorism agent to other patients or staff. Monitoring for specific symptoms (choice
A) can be important but comes after ensuring safety through infection control. Transporting patients quickly (choice
C) may increase exposure risk. Preparing for post-traumatic stress (choice
D) is important but not the priority in the immediate response to a potential bioterrorism attack.
Question 4 of 5
The patient is confused
Correct Answer: D
Rationale: The correct answer is D: Deficient knowledge. The patient's confusion and behavior suggest a lack of understanding regarding the importance of staying in bed and not pulling at the IV tubing. By selecting this nursing diagnosis, the nurse can address the patient's cognitive deficits and provide education to prevent potential harm.
Choice A is incorrect as it describes a behavior related to confusion, not a nursing diagnosis.
Choice B focuses on the patient's actions rather than the underlying issue of knowledge deficit.
Choices C, E, and F are not directly related to the patient's confusion and do not address the root cause of the behavior.
Question 5 of 5
A confused patient is restless and continues to remove oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention?
Correct Answer: A
Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. This is the priority nursing diagnosis because the patient is at risk for harm due to removing essential medical equipment. Continuous monitoring can prevent potential injuries.
Choice B is incorrect as simply placing a sign does not actively address the patient's behavior.
Choice C is incorrect as the patient's actions are not related to body image.
Choice D is incorrect as the patient's behavior is not due to a lack of knowledge about oxygen therapy. Monitoring the patient closely is crucial in ensuring their safety and preventing harm in this situation.