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: The correct answer choices are B, D, and E.
Choice B is correct because the health care provider must specify the type and location of the restraint to ensure proper application.
Choice D is crucial as a face-to-face assessment is required to determine the necessity of the restraint.
Choice E is essential as specifying the duration and circumstances of restraint use promotes safe and appropriate care.
Choice A is incorrect as restraints should not be used as needed but based on a specific assessment.
Choice C is incorrect as renewing orders every 24 hours may not align with the patient's changing needs.
Question 2 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 3 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 4 of 5
A nurse is inserting a urinary catheter. Which technique will the nurse use to prevent a procedure-related accident?
Correct Answer: C
Rationale: The correct answer is C: Surgical asepsis. This technique involves completely sterile conditions to prevent contamination during invasive procedures like catheter insertion. It includes using sterile gloves, draping the patient with sterile sheets, and using sterile equipment. Pathogenic asepsis (
A) focuses on killing pathogens but does not ensure a sterile field. Medical asepsis (
B) reduces the number of pathogens but is not sterile. Clean asepsis (
D) involves clean techniques but does not maintain a sterile field like surgical asepsis.
Question 5 of 5
The nurse enters the patient's room and notices a small fire in the headlight above the bed. In which order will the nurse perform the steps?
Correct Answer: A
Rationale: The correct order is A: Pull the alarm. In a fire emergency, alerting others by pulling the alarm is the first step to ensure everyone is aware of the situation. This allows for quick evacuation and summons help from the fire department. Removing the patient (choice
B) should be done after alerting others. Using the fire extinguisher (choice
C) can be dangerous if not trained properly, so it should be left to professionals. Closing doors and windows (choice
D) can help contain the fire, but it should come after alerting others.