ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 the nurse will take are A, B, C, and D. Closing all doors helps contain smoke and fire. Noting evacuation routes ensures safe movement of patients. Noting oxygen shut-offs prevents fueling the fire. Moving bedridden patients in their beds avoids injury during evacuation. Waiting for the fire department (E) delays safety measures. Using type B fire extinguishers for electrical fires (F) is incorrect; type C extinguishers are for electrical fires.
Question 2 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
Correct Answer: B,C,E,F
Rationale:
Correct Answer: B, C, E, F
Rationale:
B: Documenting the specific time and type of restraints applied ensures accurate monitoring and compliance with protocols.
C: Noting the presence and quality of radial pulses helps in assessing circulation and preventing complications related to restraints.
E: Documenting unsuccessful attempts to distract the patient with television indicates efforts made to address the patient's needs.
F: Recording any interventions or actions taken is crucial for continuity of care and legal documentation.
Summary:
A: Irrelevant to the patient's care in restraints.
D: Focuses on the equipment used rather than patient assessment.
G: No information provided to evaluate this option.
Question 3 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: Keep the patient on fall risk until discharge. This is the appropriate action because fall risk assessments should be ongoing throughout the patient's stay to ensure safety. Checking on the patient once a shift (
A) may not be sufficient to prevent falls. Encouraging visitors in the early evening (
B) does not directly address the patient's fall risk. Placing all four side rails in the 'up' position (
C) can lead to restraint-related issues and is not recommended unless necessary for safety. Keeping the patient on fall risk until discharge (
D) ensures ongoing monitoring and implementation of appropriate precautions.
Question 4 of 5
Which patient will the nurse see first?
Correct Answer: B
Rationale: The correct answer is B. The nurse will see the 56-year-old patient with oxygen using an electric razor for grooming first because it poses an immediate risk of fire hazard due to oxygen's flammability. The other choices do not pose immediate safety risks. A: Lighter can be removed safely. C: Infant looking at shiny object is not an immediate danger. D: Battery is out of reach. E: Pacifier without string is safe. Thus, addressing the grooming patient's risk is the priority.
Question 5 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. The nurse adjusts the temperature to provide comfort to the patient experiencing shortness of breath due to a respiratory illness. This temperature range is optimal as it helps maintain a comfortable environment for the patient without causing any extreme temperature changes that could worsen respiratory symptoms.
Choice A is too cold, which may exacerbate breathing difficulties.
Choice C is too low for room temperature, which could make the patient uncomfortable.
Choice D is too warm and may lead to discomfort. Overall, choice B strikes the right balance for the patient's comfort and respiratory well-being.