ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Correct Answer: B
Rationale: The correct answer is B because leaving a surgical sponge in a patient's incision is a Never Event, which refers to preventable medical errors that should never occur. This is a serious safety issue that can lead to infection, sepsis, and other complications. Reporting this event is crucial for patient safety and quality improvement.
Choices A, C, and D are not Never Events. No blood incompatibility during a blood transfusion is an expected outcome, pulmonary embolism after lung surgery can be a known complication, and a Stage II pressure ulcer can develop even with proper care.
Question 2 of 5
The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
Correct Answer: B
Rationale: The correct answer is B because the patient's continuous removal of the nasogastric tube poses a risk to their health and safety, potentially leading to complications like aspiration or malnutrition. This behavior indicates a lack of understanding or impulse control, necessitating the consideration of using restraints to prevent harm. Refusing to call for help (
A) may indicate independence or anxiety, confusion about time (
C) could be due to various factors, and insomnia and requests for items (
D) may signal discomfort or need for assistance but do not directly indicate the need for restraints.
Question 3 of 5
A home health nurse is teaching a family to prevent electrical shock. Which information will the nurse include in the teaching session?
Correct Answer: B
Rationale: The correct answer is B: Disconnect items before cleaning. This is the safest practice to prevent electrical shock as it ensures that appliances are not accidentally turned on while being cleaned. Running wires under the carpet (choice
A) can cause overheating and increase the risk of fire. Grasping the cord when unplugging items (choice
C) can lead to potential electric shock. Using masking tape to secure cords to the floor (choice
D) can create tripping hazards and damage the cords.
Question 4 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
Correct Answer: B,C,E,F
Rationale:
Correct Answer: B, C, E, F
Rationale:
B: Documenting the specific time and type of restraints applied ensures accurate monitoring and compliance with protocols.
C: Noting the presence and quality of radial pulses helps in assessing circulation and preventing complications related to restraints.
E: Documenting unsuccessful attempts to distract the patient with television indicates efforts made to address the patient's needs.
F: Recording any interventions or actions taken is crucial for continuity of care and legal documentation.
Summary:
A: Irrelevant to the patient's care in restraints.
D: Focuses on the equipment used rather than patient assessment.
G: No information provided to evaluate this option.
Question 5 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 the examples listed are all directly related to safety risks in the healthcare environment. Wet floors unmarked pose a slip hazard, patient pinching fingers in the door is a potential injury risk, failure to use a lift for a patient can lead to musculoskeletal injuries for both patients and staff, and alarms not functioning properly can compromise patient safety.
Choices A, B, and C do not encompass as wide a range of safety risks as choice D.
Choice A includes issues that may affect patient comfort but do not necessarily pose immediate safety risks.
Choice B focuses more on facility maintenance and security rather than patient safety.
Choice C includes minor issues like an empty ice machine and unlocked supply cabinet, which are not as critical as the safety risks listed in choice D.
In summary, choice D includes examples that directly relate to patient safety, making it the most appropriate answer among the options provided.