ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse has placed a yellow armband on a 70-year-old patient. Which observation by the nurse will indicate the patient has an understanding of this action?
Correct Answer: B
Rationale: The correct answer is B: The patient wears the red nonslip footwear. This indicates the patient understands the significance of the yellow armband, which is typically used to identify fall risk patients. By wearing the red nonslip footwear, the patient is demonstrating awareness and compliance with safety precautions.
A: Removing the armband to bathe does not necessarily indicate understanding of its purpose.
C: Insisting on taking a 'water' pill in the evening is unrelated to the armband.
D: Asking about a new medicine due to a penicillin allergy is not directly related to the armband.
In summary, choice B is correct as it directly aligns with the purpose of the yellow armband, while the other choices are not indicative of understanding its significance.
Question 2 of 5
A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct answer choices are B, D, and E.
Choice B is correct because the health care provider must specify the type and location of the restraint to ensure proper application.
Choice D is crucial as a face-to-face assessment is required to determine the necessity of the restraint.
Choice E is essential as specifying the duration and circumstances of restraint use promotes safe and appropriate care.
Choice A is incorrect as restraints should not be used as needed but based on a specific assessment.
Choice C is incorrect as renewing orders every 24 hours may not align with the patient's changing needs.
Question 3 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 4 of 5
The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which priority concern will require collaboration with social services to address the patient's health care needs?
Correct Answer: A
Rationale: The correct answer is A because the lack of electricity affects the patient's health and safety. Without electricity, the patient may not have access to refrigeration for food storage or heating for cooking, which can worsen their condition. Collaboration with social services can help address this urgent need.
Choice B is incorrect because the water source does not directly impact the patient's immediate health concerns.
Choice C is also incorrect as the son moving in does not directly address the patient's current health issues.
Choice D is incorrect because the absence of a microwave oven is not as critical as the lack of electricity for the patient's well-being.
Question 5 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: The correct answer includes choices C, D, and F.
Choice C is correct because the nurse should instruct the patient to walk 10 feet quickly and safely to assess mobility and balance.
Choice D is correct because the nurse should observe for unsteadiness in the patient's gait to evaluate fall risk.
Choice F is correct as it allows the patient a practice trial to familiarize themselves with the task, ensuring accurate assessment.
Choices A, B, and E are incorrect.
Choice A is incorrect because the time taken to complete the task alone does not rank a patient as high risk for falls; other factors need to be considered.
Choice B is incorrect because teaching the patient to rise from a straight back chair using arms for support is not part of the TUG assessment.
Choice E is incorrect because the counting should begin as soon as the patient starts the task, not after giving instructions.