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:
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 2 of 5
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
Correct Answer: B
Rationale: The correct answer is B:
Toddler.
Toddlers are most at risk for lead poisoning due to their tendency to explore and put objects in their mouths, including lead-contaminated items. Their developing bodies are more susceptible to the harmful effects of lead exposure. Young infants are less likely to be mobile and ingest lead. Preschoolers and adolescents are less at risk than toddlers due to their reduced likelihood of mouthing objects. Thus, the nurse is most likely assessing a toddler for lead poisoning.
Question 3 of 5
Which activity will cause the nurse to monitor for equipment-related accidents?
Correct Answer: A
Rationale: The correct answer is A: Uses a patient-controlled analgesic pump. This activity requires the nurse to monitor for equipment-related accidents because patient-controlled analgesic pumps involve the use of machinery that delivers medication directly to the patient. Monitoring is necessary to ensure the pump is functioning properly, prevent medication errors, and detect any malfunctions that could potentially harm the patient. The other choices (B, C,
D) do not involve the same level of direct patient interaction with equipment that could pose a risk of accidents. Computer-based documentation records, measuring devices, and manual medication-dispensing devices do not typically pose the same risk of equipment-related accidents as patient-controlled analgesic pumps.
Question 4 of 5
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
Correct Answer: D
Rationale: The correct answer is D: Orthostatic hypotension. This finding indicates a drop in blood pressure upon standing, increasing the risk of falls. Orthostatic hypotension can cause dizziness and lightheadedness when changing positions, leading to falls.
Choice A (55 years old) is not a significant risk factor for falls compared to orthostatic hypotension.
Choice B (20/20 vision) does not directly correlate with fall risk.
Choice C (urinary continence) is not a direct indicator of fall risk. In summary, orthostatic hypotension is the most concerning finding as it directly affects the patient's blood pressure regulation and increases the likelihood of falls.
Question 5 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.