ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
B: The health care provider must specify the type and location of the restraint to ensure proper application and prevent harm.
D: A face-to-face assessment is crucial to assess the patient's condition and determine the necessity of restraints.
E: Specifying the duration and circumstances of restraint use promotes safety and ensures restraints are not used unnecessarily.
Incorrect
Choices:
A: Ordering restraints prn does not provide clear guidance on when and how to use them, potentially leading to improper use.
C: Renewing orders every 24 hours is important, but it alone does not ensure safe and appropriate use of restraints.
F & G: No options provided, but they would likely be incorrect as they are not relevant to the safe use of restraints.
Question 2 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 3 of 5
The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which priority concern will require collaboration with social services?
Correct Answer: A
Rationale: The correct answer is A. The priority concern requiring collaboration with social services is the electricity being turned off 3 days ago. This situation poses a significant risk to the patient's health and safety, as it may affect the ability to refrigerate food and medications, maintain a comfortable temperature, and operate medical equipment if needed. Collaborating with social services can help address this urgent issue and ensure the patient's well-being.
Choices B, C, and D are incorrect as they do not directly impact the patient's immediate health and safety needs in the same way as the lack of electricity.
Question 4 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 be delegated tasks that involve the physical application of restraints once a decision has been made by the healthcare provider to use them. This is within the scope of their training and does not require clinical judgment. Tasks such as determining the need for restraints (
A), assessing the patient's orientation (
B), and obtaining an order for a restraint (
C) involve clinical judgment and assessment skills, which should be done by a licensed nurse or healthcare provider.
Therefore, option D is the appropriate task to delegate to nursing assistive personnel in this scenario.
Question 5 of 5
The nurse is providing information regarding safety and accidental poisoning to a grandparent who will be taking custody of a 1-year-old grandchild. Which comment by the grandparent will cause the nurse to intervene?
Correct Answer: D
Rationale: The correct answer is D. It is essential to intervene if the grandparent mentions, "If my grandchild eats a plant." This statement is incorrect because not all plants are safe for consumption, and some can be toxic. The grandparent should be advised to keep all plants out of reach of the child and to seek immediate medical attention if the child ingests a plant. The other choices are correct: A provides the poison control number, B advises against inducing vomiting for bleach ingestion, C instructs to call 911 if the child loses consciousness, and E correctly states that syrup of ipecac should not be given.