ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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. Asking where, when, and what the patient was doing during the fall helps to assess the circumstances leading to the fall and potential risk factors. Inquiring about types of injuries provides insight into the severity of the fall and any complications.
Choice E is incorrect as it focuses on post-fall actions rather than the fall event itself. The other choices, F and G, are not provided in the question and are therefore irrelevant.
Question 2 of 5
The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
Correct Answer: C
Rationale: The correct answer is C: The patient folds three washcloths over and over. This behavior indicates engagement and focus, suggesting a sense of calm and control. Folding washcloths repetitively can be a soothing, repetitive task indicating decreased agitation.
Choices A, B, and D do not directly indicate successful use of alternatives to restraint. A patient getting up from the chair (
A) or becoming restless (
B) may suggest continued agitation or restlessness, while apologizing (
D) may indicate compliance out of fear or anxiety rather than true calmness.
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 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 5 of 5
A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
Correct Answer: D
Rationale: The correct answer is D because keeping the patient on fall risk until discharge ensures continuous monitoring and implementation of fall prevention measures. Checking on the patient once a shift (choice
A) may not provide adequate supervision. Encouraging visitors in the early evening (choice
B) could distract the patient and increase fall risk. Placing all four side rails in the 'up' position (choice
C) can lead to entrapment and decrease mobility. The other choices are not relevant to fall precautions.