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. This is the next appropriate action because the patient experienced a fall, which is a significant event that requires further evaluation by the healthcare provider to assess for any injuries or underlying causes. Notifying the healthcare provider promptly can help in determining the appropriate course of action to ensure the patient's safety and well-being.
Summary of other choices:
A: Doing nothing is not appropriate as a fall is a serious event that requires assessment and follow-up.
C: Completing an incident report is important but should not be the immediate next step. Patient assessment and notifying the healthcare provider take precedence.
D: Assessing the patient should have been done before placing the patient back in bed, but it is still important to notify the healthcare provider for further evaluation.
Question 2 of 5
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
Correct Answer: D
Rationale: The correct answer is D: Orthostatic hypotension. This finding indicates a drop in blood pressure upon standing, increasing the risk of falls. Orthostatic hypotension can lead to dizziness and lightheadedness, making it challenging for the patient to maintain balance. Other choices (A, B,
C) do not directly correlate with fall risk. Age alone (
A) does not determine fall risk. 20/20 vision (
B) and urinary continence (
C) may contribute to overall health but do not specifically indicate an increased risk for falls.
Therefore, identifying orthostatic hypotension is crucial for the nurse to implement fall prevention strategies for the patient.
Question 3 of 5
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Correct Answer: B
Rationale: The correct answer is B because leaving a surgical sponge in a patient's incision is a Never Event - a preventable medical error that should never occur. This can lead to serious complications and harm to the patient. Reporting this event is crucial for quality improvement and patient safety.
Choices A, C, and D are not considered Never Events as they are potential complications that can occur despite proper care and precautions. A blood transfusion without incompatibility, pulmonary embolism after lung surgery, and a Stage II pressure ulcer are all risks associated with healthcare but are not classified as Never Events.
Question 4 of 5
A home health nurse is assessing a family's home after the birth of an infant. A toddler also lives in the home. Which finding will cause the nurse to follow up?
Correct Answer: A
Rationale: The correct answer is A because storing plastic grocery bags within reach of a toddler poses a suffocation hazard. Plastic bags can be a choking or asphyxiation risk. Electric outlets being covered (choice
B) is important for safety. No bumper pads in the crib (choice
C) and crib slats being 5 cm apart (choice
D) are actually good safety practices.
Question 5 of 5
A home health nurse is assessing the home for fire safety. Which information from the family will cause the nurse to intervene? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Firstly, smoking in bed poses a high fire risk due to the potential for bedding catching fire. Using the same space heater as grandparents may indicate an outdated and potentially unsafe appliance. Lastly, using the RACE method with a fire extinguisher demonstrates preparedness in case of a fire.
Choices B, E, and any others not selected do not directly indicate unsafe fire practices.