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. In a potential bioterrorism attack, the priority is to prevent the spread of the agent. By implementing standard precautions for all patients, the nurse can minimize the risk of transmission to themselves and others. Monitoring for specific symptoms (choice
A) is important but secondary to preventing further exposure. Transporting patients quickly (choice
C) may spread the agent further. Preparing for post-traumatic stress (choice
D) is important but not the immediate priority in the initial response to a bioterrorism attack.
Question 2 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 diagnosis is appropriate as it addresses the patient's need for education on proper device usage.
Choice A (Risk for falls) is not directly related to the scenario.
Choice C (Risk for suffocation) is not relevant to the situation.
Choice D (Impaired physical mobility) does not address the root cause of the issue.
Question 3 of 5
A confused patient is restless and continues to try to remove the oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention to implement for this patient?
Correct Answer: A
Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. The priority nursing diagnosis in this scenario is addressing the patient's safety. By checking on the patient every 15 minutes, the nurse can monitor for any attempts to remove the oxygen cannula or urinary catheter, reducing the risk of injury. This intervention allows for timely detection and prevention of harm to the patient.
Choice B: Risk for suffocation: Placing an 'Oxygen in Use' sign on the door does not directly address the immediate safety concern of the patient attempting to remove the oxygen cannula.
Choice C: Disturbed body image: While addressing body image concerns is important, it is not the priority in this situation where the patient's immediate safety is at risk.
Choice D: Deficient knowledge: Explaining the purpose of oxygen therapy and the urinary catheter is important for patient education but does not address the urgent need to prevent injury in this case.
Question 4 of 5
The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider. The nurse should notify the healthcare provider to inform them of the fall and the patient's condition, as this incident may require further evaluation or interventions to prevent future falls. Notifying the healthcare provider ensures that the patient receives appropriate care and attention. Other choices are incorrect because: A: Doing nothing may lead to overlooking potential injuries. C: Completing an incident report is important but not the immediate priority. D: Assessing the patient should have been done initially before placing them back in bed, but it is not the next step after placing the patient back in bed.
Question 5 of 5
The nurse is assessing a patient who reports a previous fall and is using the SPLATT acronym. Which questions will the nurse ask the patient? (Select all that apply.)
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D because they align with the SPLATT acronym used for assessing falls. A - Where did you fall? helps identify the location and potential hazards. B - What time did the fall occur? provides context about the circumstances. C - What were you doing when you fell? helps identify potential triggers. D - What types of injuries occurred after the fall? aids in understanding the impact of the fall.
Choices E and F are incorrect as they do not directly relate to the SPLATT assessment framework and may not provide immediate insights into the circumstances surrounding the fall.