ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. In which order will the nurse perform the steps, beginning with the first one?
Correct Answer: A
Rationale: The correct order is A: Pull the alarm. In case of a fire emergency, the first step is always to alert others by pulling the alarm to ensure everyone is aware and can evacuate safely. This action will help notify the fire department and other staff members. Removing the patient (
B) should be done after alerting others. Using the fire extinguisher (
C) should only be considered if safe to do so and if trained. Closing doors and windows (
D) can help contain the fire but is not the initial step.
Question 2 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.
Question 3 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, leading to unsafe actions like pulling at the IV tubing. This nursing diagnosis reflects the patient's need for education and information to prevent harm.
Choice A is incorrect as the patient's confusion is not related to trying to get out of bed.
Choices C, E, and F are not relevant to the patient's current situation and symptoms. Deficient knowledge directly addresses the root cause of the patient's confusion and behavior, making it the appropriate nursing diagnosis in this scenario.
Question 4 of 5
The patient has been diagnosed with a respiratory illness and reports shortness of breath. The nurse adjusts the temperature to facilitate the comfort of the patient. At which temperature range will the nurse set the thermostat?
Correct Answer: B
Rationale: The correct answer is B: 65° to 75° F. This temperature range is optimal for a patient experiencing shortness of breath due to a respiratory illness, as it provides a comfortable environment without being too cold or too warm which can exacerbate breathing difficulties. 60° to 64° F (
A) may be too cold and could cause discomfort, 15° to 17° C (
C) is too cold for most individuals, and 25° to 28° C (
D) is too warm and may increase respiratory distress. It is important to provide a temperature range that promotes comfort and relaxation for the patient to aid in their recovery.
Question 5 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.