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. Initially, the nurse must assess the patient to determine the cause of confusion and agitation. This assessment helps identify any underlying medical conditions or factors contributing to the behavior. Gathering restraint supplies (
B) should not be the initial action as it does not address the root cause of the patient's behavior. Trying alternatives to restraint (
C) is a good approach, but assessment should come first to determine appropriateness. Calling the health care provider for a restraint order (
D) should be a last resort and only done after other options have been exhausted.
Question 2 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 is B: The patient has do not resuscitate preferences. A purple wristband typically signifies that a patient has chosen not to be resuscitated in the event of cardiac arrest or other life-threatening situations. This is important information for healthcare providers to be aware of so they can provide appropriate care according to the patient's wishes.
Choices A, C, and D are incorrect because a purple wristband specifically indicates do not resuscitate preferences, not allergies, fall risk, or seizure risk.
Question 3 of 5
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?
Correct Answer: D
Rationale: The correct answer is D because it includes examples of safety risks that directly impact patient well-being. Wet floors pose slip hazards, patient pinching fingers in doors can lead to injuries, failure to use a lift for patients can result in falls, and malfunctioning alarms can delay response to emergencies.
A, B, and C do not address direct patient safety risks like D does. A focuses on environmental factors that may not directly harm patients. B mentions blocked hallways and locked medication rooms, which are more related to facility operations. C mentions minor issues like an empty ice machine and unlocked supply cabinet that do not directly pose risks to patients.
Question 4 of 5
A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
Correct Answer: A
Rationale: The correct answer is A: Remove the restraint. The blue color in the toes indicates impaired circulation, likely due to the restraint being too tight. Removing the restraint will help restore circulation and prevent further damage.
Choice B (Place a blanket over the feet) is incorrect as it does not address the underlying circulation issue.
Choice C (Immediately do a complete head-to-toe neurologic assessment) is not necessary as the priority is addressing the circulation concern.
Choice D (Take the patient's vital signs) is important but not the immediate action needed for the blue toes.
Question 5 of 5
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.)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
B: The health care provider must specify the type and location of the restraint to ensure proper application and prevent harm.
D: A face-to-face assessment is crucial to assess the patient's condition and determine the necessity of restraints.
E: Specifying the duration and circumstances of restraint use promotes safety and ensures restraints are not used unnecessarily.
Incorrect
Choices:
A: Ordering restraints prn does not provide clear guidance on when and how to use them, potentially leading to improper use.
C: Renewing orders every 24 hours is important, but it alone does not ensure safe and appropriate use of restraints.
F & G: No options provided, but they would likely be incorrect as they are not relevant to the safe use of restraints.