ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 2 of 5
The nurse is performing the 'Timed Get Up and Go (TUG)' assessment. Which actions will the nurse take? (Select all that apply.)
Correct Answer: C,D,F
Rationale:
Correct Answer: C, D, F
Rationale:
C: Instructing the patient to walk 10 feet quickly and safely is a key step in the TUG assessment to evaluate mobility and fall risk.
D: Observing for unsteadiness in the patient's gait is crucial in assessing balance and fall risk during the TUG assessment.
F: Beginning the timing of the assessment after giving instructions ensures an accurate measurement of the patient's performance.
Incorrect
Choices:
A: Ranks a patient as high risk for falls after taking 18 seconds is not a standard criterion for the TUG assessment.
B: Teaching the patient to rise using arms for support is not specific to the TUG assessment and may not be relevant to evaluating mobility and fall risk.
E: Beginning counting after instructions can introduce variability in timing and may not provide an accurate assessment of the patient's performance.
Question 3 of 5
Which patient will the nurse see first?
Correct Answer: B
Rationale: The correct answer is B because using an electric razor while on oxygen can lead to a fire hazard due to the presence of flammable materials. The nurse should see this patient first to prevent any potential danger.
Choice A poses a risk, but it is less immediate compared to B.
Choices C and D are not urgent situations requiring immediate attention.
Choice E is safe as there is no immediate risk to the infant.
Question 4 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. The priority nursing diagnosis is to ensure the safety of the confused patient. By checking on the patient every 15 minutes, the nurse can prevent potential injuries from removing the oxygen cannula and urinary catheter.
Choice B is incorrect as simply placing a sign does not address the immediate risk of injury.
Choice C is incorrect as the patient's behavior indicates a higher priority concern than body image.
Choice D is incorrect as the patient's behavior is not related to a lack of knowledge about oxygen therapy. The key is to prioritize patient safety through constant monitoring in this scenario.
Question 5 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct actions for the nurse to take in this scenario are A, B, C, and D. Closing all doors helps contain the fire and smoke, protecting patients. Noting evacuation routes ensures a quick and safe exit strategy if needed. Identifying oxygen shut-offs prevents potential fuel for a fire. Moving bedridden patients in their bed is crucial for their safety and transportability. Waiting for the fire department (choice E) is not recommended as immediate action by the nurse is necessary to ensure patient safety.