ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
Correct Answer: B
Rationale: The correct answer is B because the patient's continuous removal of the nasogastric tube poses a risk to their health and safety, potentially leading to complications like aspiration or malnutrition. This behavior indicates a lack of understanding or impulse control, necessitating the consideration of using restraints to prevent harm. Refusing to call for help (
A) may indicate independence or anxiety, confusion about time (
C) could be due to various factors, and insomnia and requests for items (
D) may signal discomfort or need for assistance but do not directly indicate the need for restraints.
Question 2 of 5
The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews fall prevention in the home. Which information will the nurse include in the teaching session? (Select all that apply.)
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
1.
Choice B: Walking to the mailbox in the summer promotes physical activity and maintains strength and balance to prevent falls.
2.
Choice C: Yearly eye examinations are crucial for identifying vision changes that may increase fall risk.
3.
Choice E: Keeping pathways clutter free reduces tripping hazards and promotes safe mobility.
Incorrect
Choices:
A: Watering outdoor plants with a nozzle and hose does not directly relate to fall prevention.
D: Using bathtubs without safety strips increases the risk of slipping and falling.
F: No information given.
G: No information given.
Question 3 of 5
When making rounds the nurse observes a purple wristband on a patient's wrist. How will the nurse interpret this finding?
Correct Answer: B
Rationale: The correct interpretation for the purple wristband is that the patient has do not resuscitate (DNR) preferences. This is because in healthcare settings, purple wristbands are commonly used to indicate that a patient has chosen not to have cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This information is crucial for healthcare providers to be aware of in order to respect the patient's wishes and provide appropriate care.
Choice A (patient is allergic): This is incorrect because purple wristbands are not typically used to indicate allergies. Allergy information is usually communicated through a different system like red wristbands.
Choice C (high risk for falls): Purple wristbands do not typically signify a high risk for falls. Fall risk is usually indicated by a different color wristband or a specific protocol in healthcare settings.
Choice D (risk for seizures): Purple wristbands are not generally used to indicate a risk for seizures. Seizure risk may be indicated by a different color
Question 4 of 5
During the admission assessment
Correct Answer: B
Rationale: The correct answer is B because orientation is a crucial aspect of assessing a patient's cognitive function, which directly impacts fall risk. If a patient is disoriented, they may struggle to navigate their environment safely, increasing the risk of falls.
Choices A, C, D, and E are incorrect because assessing fall risk goes beyond these factors. Walking 2 miles a day may indicate physical strength, but not necessarily cognitive function. Taking a hypnotic may affect alertness but does not directly relate to orientation. Being widowed may have emotional implications but does not directly affect fall risk assessment.
Question 5 of 5
The nurse is completing an admission history on a new home health patient. The patient has been experiencing seizures as the result of a recent brain injury. Which interventions should the nurse utilize for this patient and family? (Select all that apply.)
Correct Answer: D, E
Rationale:
Correct Answer: D, E
Rationale:
D: Discussing steps to take if the seizure does not discontinue is crucial in ensuring the patient's safety. This empowers the family to know when to seek further medical assistance.
E: Instructing the family to reorient and reassure the patient after consciousness is regained helps to provide emotional support and maintain a sense of safety post-seizure.
Incorrect
Choices:
A: Demonstrating how to restrain the patient during a seizure is not recommended as it can lead to injury. Restraints should never be used during a seizure.
B: Moving the patient to a bed during a seizure can be dangerous and may cause harm. It is safer to protect the patient from injury in the current location.
C: Inserting a tongue depressor during a seizure is not recommended as it poses a risk of injury to the patient and can obstruct the airway.