ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews fall prevention in the home. Which information will the nurse include in the teaching session? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct choices for fall prevention in the home are B, C, and E.
B: Walking to the mailbox is a low-impact exercise that helps maintain balance and strength, reducing fall risk.
C: Yearly eye exams ensure good vision, important for identifying hazards and maintaining balance.
E: Keeping pathways clutter-free minimizes tripping hazards.
A: Watering outdoor plants is not directly related to fall prevention.
D: Using bathtubs without safety strips increases the risk of slipping.
In summary, choices B, C, and E directly address fall prevention by promoting strength, vision, and reducing hazards, while choices A and D do not contribute to reducing fall risk.
Question 2 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 3 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 for the purple wristband is that the patient has do not resuscitate (DNR) preferences. This is because in healthcare settings, purple wristbands are commonly used to indicate that a patient has chosen not to have cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This information is crucial for healthcare providers to be aware of in order to respect the patient's wishes and provide appropriate care.
Choice A (patient is allergic): This is incorrect because purple wristbands are not typically used to indicate allergies. Allergy information is usually communicated through a different system like red wristbands.
Choice C (high risk for falls): Purple wristbands do not typically signify a high risk for falls. Fall risk is usually indicated by a different color wristband or a specific protocol in healthcare settings.
Choice D (risk for seizures): Purple wristbands are not generally used to indicate a risk for seizures. Seizure risk may be indicated by a different color
Question 4 of 5
A home health nurse assesses a home after the birth of an infant. A toddler also lives in the home. Which finding requires follow-up?
Correct Answer: A
Rationale: The correct answer is A because plastic grocery bags stored under the counter pose a suffocation hazard to the toddler. Plastic bags can be a choking risk and should be stored out of reach. Electric outlets being covered (choice
B) is a safety measure to prevent electrical shocks. No bumper pads in the crib (choice
C) is recommended to reduce the risk of suffocation or Sudden Infant Death Syndrome (SIDS). Crib slats being 5 cm apart (choice
D) is within safety guidelines to prevent entrapment.
Question 5 of 5
The patient is confused
Correct Answer: D
Rationale: The correct answer is D: Deficient knowledge. The patient's confusion and behavior suggest a lack of understanding, leading to unsafe actions like pulling at the IV tubing. This nursing diagnosis reflects the patient's need for education and information to prevent harm.
Choice A is incorrect as the patient's confusion is not related to trying to get out of bed.
Choices C, E, and F are not relevant to the patient's current situation and symptoms. Deficient knowledge directly addresses the root cause of the patient's confusion and behavior, making it the appropriate nursing diagnosis in this scenario.