ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
The patient applies sequential compression devices after using the bathroom but puts them on incorrectly. Which nursing diagnosis will the nurse add?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge. The patient's incorrect application of sequential compression devices indicates a lack of understanding. This nursing diagnosis reflects the need for education to ensure proper device use and prevent complications. Risk for falls (
A) is not directly related to the scenario. Risk for suffocation (
C) is not applicable unless the devices are placed around the neck. Impaired physical mobility (
D) does not address the knowledge deficit.
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, C, B, D. Pulling the alarm alerts others. Using the fire extinguisher is next to try to extinguish the fire. Removing the patient ensures safety. Closing doors and windows helps contain the fire.
Choice A is correct as it prioritizes alerting others to the fire emergency.
Choice C is not the first step as the alarm should be pulled before attempting to use the fire extinguisher.
Choice B should follow using the fire extinguisher to ensure the patient's safety.
Choice D is the last step to prevent the fire from spreading.