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 continuously removing the nasogastric tube poses a risk of harm and indicates a lack of understanding or cooperation with the treatment plan. This behavior may lead to complications such as aspiration or malnutrition. Refusing help to go to the bathroom (
A) may not necessarily indicate a need for restraint but may require further assessment. Getting confused about the time at night (
C) could be due to factors like hospitalization and disrupted routines. Not sleeping and asking for items (
D) may indicate discomfort or anxiety but does not directly suggest a need for restraint.
Question 2 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 3 of 5
An older-adult patient is using a wheelchair to attend a physical therapy session. Which action by the nurse indicates safe transport of the patient?
Correct Answer: B
Rationale: The correct answer is B because backing the wheelchair into the elevator allows the patient to exit the elevator facing forward, ensuring safety and preventing falls. Positioning the patient's buttocks close to the front of the seat (choice
A) may lead to instability. Leading with large rear wheels first (choice
C) can cause the wheelchair to tip over. Placing a locked wheelchair on the same side of the bed as the patient's weaker side (choice
D) may hinder the patient's ability to safely transfer. Unlocking the wheelchair for easy maneuverability when the patient is transferring (choice E) is important but not directly related to safe transport in this scenario.
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
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