ATI Fundamental Proctored Exam Study Guide 2024-2025 -Nurselytic

Questions 91

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ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions

Extract:


Question 1 of 5

The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Assess the patient. The nurse's priority is to assess the patient to determine the cause of sudden confusion and agitation. This may be due to various reasons such as hypoxia, hypoglycemia, infection, or medication side effects. Assessing the patient's vital signs, oxygen saturation, blood glucose level, and reviewing medication administration can help identify the underlying cause. Gathering restraint supplies (
B) should not be the initial action as it may not address the root cause of the confusion and can lead to further agitation. Trying alternatives to restraint (
C) is important, but assessing the patient should come first. Calling the healthcare provider for a restraint order (
D) should only be considered after other interventions have been attempted.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

The nurse is monitoring for the four categories of risk that have been identified in the health care environment. Which examples will alert the nurse that these safety risks are occurring?
The nurse is monitoring for the four categories of risk that have been identified in the health care environment. Which examples will alert the nurse that these safety risks are occurring?
A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
The patient applies sequential compression devices after going to the bathroom. The nurse checks the patient's application of the devices and finds that they have been put on upside down. Which nursing diagnosis will the nurse add to the patient's plan of care?
A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?

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