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: Backs wheelchair into elevator. This action is safe because it allows the nurse to maintain visual contact with the patient while moving them into the elevator. This also prevents the patient from accidentally rolling forward and potentially falling out of the wheelchair.
Choice A is incorrect because positioning the patient close to the front of the seat can increase the risk of the patient sliding forward during transport.
Choice C is incorrect as leading with large rear wheels first can make it difficult to maneuver and navigate through tight spaces.
Choice D is incorrect as placing the locked wheelchair on the same side as the patient's weaker side can make it challenging for the patient to transfer safely.
Choice E is incorrect as unlocking the wheelchair before the patient is ready to transfer can lead to potential safety hazards.
Question 2 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. This is the priority action because the nurse needs to first assess the patient's condition to determine the underlying cause of confusion and agitation. This assessment will help identify any potential medical issues or factors contributing to the behavior. Gathering restraint supplies (
B) should not be the first action as it does not address the root cause of the patient's behavior. Trying alternatives to restraint (
C) is a good option but should come after assessing the patient. Calling the health care provider for a restraint order (
D) is premature without a full assessment of the patient's condition.
Question 3 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.
Question 4 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 5 of 5
The patient is confused, is trying to get out of bed, and is pulling at the intravenous infusion tubing. Which nursing diagnosis will the nurse add to the care plan?
Correct Answer: D
Rationale: The correct answer is D: Risk for injury. The patient's confused state and attempting to get out of bed and pulling at the IV tubing pose a risk for injury. Confusion can lead to falls or pulling out the IV, resulting in harm. Impaired home maintenance (
A) is not relevant to the immediate safety concern. Deficient knowledge (
B) does not address the current risk of injury. Risk for poisoning (
C) is not indicated based on the scenario. Other choices are not provided. In conclusion, D is the most appropriate nursing diagnosis due to the immediate risk of injury associated with the patient's behavior.