ATI Fundamental Proctored Exam Study Guide 2024-2025 -Nurselytic

Questions 88

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ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions

Extract:


Question 1 of 5

The nurse is discussing threats to adult safety with a college group. Which statement by a group member indicates understanding of the topic?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates an understanding of the threat to adult safety related to smoking, emphasizing the detrimental effects on the body. Smoking poses various health risks, including lung cancer, heart disease, and respiratory issues. Choosing not to smoke, even at parties, reflects a responsible attitude towards personal health and safety.


Choice B is incorrect as leaving dorms unlocked poses a safety risk, making individuals vulnerable to theft or harm.
Choice C is incorrect as any amount of alcohol can impair driving ability, making it unsafe to be a designated driver after consuming alcohol.
Choice D is incorrect as insufficient sleep can lead to physical and mental health issues, affecting overall safety and well-being.

Question 2 of 5

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?

Correct Answer: B

Rationale:
Correct Answer: B (Deficient knowledge)


Rationale:
1. The patient applying the sequential compression devices upside down indicates a lack of understanding (deficient knowledge) of how to use the devices correctly.
2. This nursing diagnosis focuses on the patient's lack of information or understanding, which can lead to incorrect implementation of interventions.
3.

Choices A, C, and D do not directly address the root cause of the issue, which is the patient's lack of knowledge about the proper use of the devices.
4. A risk for falls would be more appropriate if the patient were wearing slippery socks on a wet floor, not using compression devices incorrectly.
5. Risk for suffocation is not relevant to the scenario of upside-down compression devices.
6. Impaired physical mobility would be more applicable if the patient had difficulty moving or using the devices due to a physical limitation, not due to a lack of knowledge.

Question 3 of 5

A confused patient is restless and continues to try to remove the oxygen cannula and urinary catheter. What is the priority nursing diagnosis and intervention to implement for this patient?

Correct Answer: A

Rationale: The correct answer is A: Risk for injury: Check on patient every 15 minutes. The priority nursing diagnosis in this scenario is addressing the patient's safety. By checking on the patient every 15 minutes, the nurse can monitor for any attempts to remove the oxygen cannula or urinary catheter, reducing the risk of injury. This intervention allows for timely detection and prevention of harm to the patient.


Choice B: Risk for suffocation: Placing an 'Oxygen in Use' sign on the door does not directly address the immediate safety concern of the patient attempting to remove the oxygen cannula.


Choice C: Disturbed body image: While addressing body image concerns is important, it is not the priority in this situation where the patient's immediate safety is at risk.


Choice D: Deficient knowledge: Explaining the purpose of oxygen therapy and the urinary catheter is important for patient education but does not address the urgent need to prevent injury in this case.

Question 4 of 5

The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?

Correct Answer: C

Rationale: The correct answer is C: The patient folds three washcloths over and over. This behavior indicates engagement and focus, suggesting a sense of calm and control. Folding washcloths repetitively can be a soothing, repetitive task indicating decreased agitation.

Choices A, B, and D do not directly indicate successful use of alternatives to restraint. A patient getting up from the chair (
A) or becoming restless (
B) may suggest continued agitation or restlessness, while apologizing (
D) may indicate compliance out of fear or anxiety rather than true calmness.

Question 5 of 5

A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?

Correct Answer: D

Rationale: The correct answer is D because keeping the patient on fall risk until discharge ensures continuous monitoring and implementation of fall prevention measures. Checking on the patient once a shift (choice
A) may not provide adequate supervision. Encouraging visitors in the early evening (choice
B) could distract the patient and increase fall risk. Placing all four side rails in the 'up' position (choice
C) can lead to entrapment and decrease mobility. The other choices are not relevant to fall precautions.

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