ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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: The correct answers are B, C, E, and F.
B: Documenting the time the patient was placed in restraints ensures proper monitoring and compliance with protocols.
C: Noting the presence of radial pulses and warm hands indicates good circulation, which is essential for patient safety.
E: Documenting unsuccessful attempts to distract the patient with TV shows nursing interventions and patient response.
F: Recording the completion of range-of-motion exercises after releasing restraints is crucial for continuity of care and monitoring patient progress.
Incorrect
Choices:
A: Family member's lunch activity is not relevant to the patient's care.
D: Describing the straps and buckles does not provide essential information on the patient's condition and care.
Question 2 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 3 of 5
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Correct Answer: B
Rationale: The correct answer is B because leaving a surgical sponge in a patient's incision is a Never Event, which refers to preventable medical errors that should never occur. This is a serious safety issue that can lead to infection, sepsis, and other complications. Reporting this event is crucial for patient safety and quality improvement.
Choices A, C, and D are not Never Events. No blood incompatibility during a blood transfusion is an expected outcome, pulmonary embolism after lung surgery can be a known complication, and a Stage II pressure ulcer can develop even with proper care.
Question 4 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:
Correct Answer: C, D, F
Rationale:
C: Instructing the patient to walk 10 feet quickly and safely is a key step in the TUG assessment to evaluate mobility and fall risk.
D: Observing for unsteadiness in the patient's gait is crucial in assessing balance and fall risk during the TUG assessment.
F: Beginning the timing of the assessment after giving instructions ensures an accurate measurement of the patient's performance.
Incorrect
Choices:
A: Ranks a patient as high risk for falls after taking 18 seconds is not a standard criterion for the TUG assessment.
B: Teaching the patient to rise using arms for support is not specific to the TUG assessment and may not be relevant to evaluating mobility and fall risk.
E: Beginning counting after instructions can introduce variability in timing and may not provide an accurate assessment of the patient's performance.
Question 5 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 because they align with the SPLATT acronym used for assessing falls. A - Where did you fall? helps identify the location and potential hazards. B - What time did the fall occur? provides context about the circumstances. C - What were you doing when you fell? helps identify potential triggers. D - What types of injuries occurred after the fall? aids in understanding the impact of the fall.
Choices E and F are incorrect as they do not directly relate to the SPLATT assessment framework and may not provide immediate insights into the circumstances surrounding the fall.