ATI RN
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 priority action is to assess the patient to determine the underlying cause of the sudden confusion and agitation. This will help the nurse identify any medical issues or discomfort causing the behavior, such as hypoxia, infection, or medication side effects. By assessing the patient first, the nurse can address the root cause of the behavior and implement appropriate interventions, which may include addressing the patient's needs, providing comfort measures, or involving other healthcare team members as needed. Gathering restraint supplies (
B) should not be the initial action as it does not address the underlying cause of the behavior. Trying alternatives to restraint (
C) is important but should come after assessing the patient. Calling the healthcare provider for a restraint order (
D) should only be considered after other interventions have been attempted.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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