ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse is completing an admission history on a new home health patient. The patient has been experiencing seizures as the result of a recent brain injury. Which interventions should the nurse utilize for this patient and family? (Select all that apply.)
Correct Answer: D,E
Rationale: The correct answers are D and E. D is important as it addresses the need for the family to know what to do if the seizure does not stop, such as calling emergency services. E is crucial as it focuses on the post-seizure care, which includes reorienting and reassuring the patient. A is incorrect as restraining a patient during a seizure can be harmful. B is incorrect as moving the patient during a seizure can lead to injury. C is incorrect as inserting a tongue depressor can also be harmful and is not recommended during a seizure.
Question 2 of 5
The nurse is performing the “Timed Get Up and Go (TUG)†assessment. Which actions will the nurse take? (Select all that apply.)
Correct Answer: C, D, F
Rationale: The correct answer includes choices C, D, and F.
Choice C is correct because the nurse should instruct the patient to walk 10 feet quickly and safely to assess mobility and balance.
Choice D is correct because the nurse should observe for unsteadiness in the patient's gait to evaluate fall risk.
Choice F is correct as it allows the patient a practice trial to familiarize themselves with the task, ensuring accurate assessment.
Choices A, B, and E are incorrect.
Choice A is incorrect because the time taken to complete the task alone does not rank a patient as high risk for falls; other factors need to be considered.
Choice B is incorrect because teaching the patient to rise from a straight back chair using arms for support is not part of the TUG assessment.
Choice E is incorrect because the counting should begin as soon as the patient starts the task, not after giving instructions.
Question 3 of 5
The nurse enters the patient's room and notices a small fire in the headlight above the bed. In which order will the nurse perform the steps?
Correct Answer: A
Rationale: The correct order is A: Pull the alarm. In a fire emergency, alerting others by pulling the alarm is the first step to ensure everyone is aware of the situation. This allows for quick evacuation and summons help from the fire department. Removing the patient (choice
B) should be done after alerting others. Using the fire extinguisher (choice
C) can be dangerous if not trained properly, so it should be left to professionals. Closing doors and windows (choice
D) can help contain the fire, but it should come after alerting others.
Question 4 of 5
A confused patient is restless and continues to remove oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention?
Correct Answer: A
Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. The priority nursing diagnosis is to ensure the safety of the confused patient. By checking on the patient every 15 minutes, the nurse can prevent potential injuries from removing the oxygen cannula and urinary catheter.
Choice B is incorrect as simply placing a sign does not address the immediate risk of injury.
Choice C is incorrect as the patient's behavior indicates a higher priority concern than body image.
Choice D is incorrect as the patient's behavior is not related to a lack of knowledge about oxygen therapy. The key is to prioritize patient safety through constant monitoring in this scenario.
Question 5 of 5
A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up?
Correct Answer: D
Rationale: The correct answer is D because using a nonvented furnace can lead to carbon monoxide poisoning, which is a serious safety hazard. The other choices demonstrate safety precautions (A: changing batteries on carbon monoxide detector, B: scheduling chimney inspection, C: recognizing symptoms of heater issues) or potential safety concerns that prompt appropriate action (E: not provided). Using a nonvented furnace goes against safety guidelines, as it can release harmful gases into the home.
Therefore, the nurse should follow up on this statement to educate the patient on the dangers and recommend using a vented furnace for safety.