ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
An older-adult patient is using a wheelchair to attend a physical therapy session. Which action by the nurse indicates safe transport of the patient?
Correct Answer: B
Rationale: The correct answer is B because backing the wheelchair into the elevator allows the patient to exit the elevator facing forward, ensuring safety and preventing falls. Positioning the patient's buttocks close to the front of the seat (choice
A) may lead to instability. Leading with large rear wheels first (choice
C) can cause the wheelchair to tip over. Placing a locked wheelchair on the same side of the bed as the patient's weaker side (choice
D) may hinder the patient's ability to safely transfer. Unlocking the wheelchair for easy maneuverability when the patient is transferring (choice E) is important but not directly related to safe transport in this scenario.
Question 2 of 5
The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?
Correct Answer: A
Rationale: The correct answer is A because increased aggressiveness and blood spots on clothing are potential signs of substance abuse in adolescents. Aggressiveness and changes in behavior are common indicators of substance abuse. Blood spots on clothing may be a result of injection drug use. This information is crucial for parents to recognize warning signs and seek help for their adolescents.
Choice B is incorrect because it does not specifically address the issue of substance abuse, focusing only on increased aggressiveness as a general environmental clue.
Choice C is incorrect as it discusses uncoordination, which is not directly related to the topic of substance abuse.
Choice D is incorrect because it focuses on seat belt use, which is not the primary concern in a session about safety and substance abuse.
Question 3 of 5
The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient. Initially, the nurse must assess the patient to determine the cause of confusion and agitation. This assessment helps identify any underlying medical conditions or factors contributing to the behavior. Gathering restraint supplies (
B) should not be the initial action as it does not address the root cause of the patient's behavior. Trying alternatives to restraint (
C) is a good approach, but assessment should come first to determine appropriateness. Calling the health care provider for a restraint order (
D) should be a last resort and only done after other options have been exhausted.
Question 4 of 5
A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?
Correct Answer: C
Rationale: The correct answer is C: Uses medication bar coding. This action aligns with the National Patient Safety Goals by ensuring accurate medication administration and reducing medication errors. Bar coding helps verify the right patient, right medication, right dose, right route, and right time. Option A is important but not specific to the National Patient Safety Goals. Option B should use sterile technique for IV catheter insertion. Option D is relevant but not directly related to patient safety goals. Options E, F, and G are not provided.
Question 5 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.