ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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.
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
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:
Correct Answer: D, E
Rationale:
D: Discussing steps to take if the seizure does not discontinue is crucial in ensuring the patient's safety. This empowers the family to know when to seek further medical assistance.
E: Instructing the family to reorient and reassure the patient after consciousness is regained helps to provide emotional support and maintain a sense of safety post-seizure.
Incorrect
Choices:
A: Demonstrating how to restrain the patient during a seizure is not recommended as it can lead to injury. Restraints should never be used during a seizure.
B: Moving the patient to a bed during a seizure can be dangerous and may cause harm. It is safer to protect the patient from injury in the current location.
C: Inserting a tongue depressor during a seizure is not recommended as it poses a risk of injury to the patient and can obstruct the airway.
Question 4 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 5 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 lead to dizziness and lightheadedness, making it challenging for the patient to maintain balance. Other choices (A, B,
C) do not directly correlate with fall risk. Age alone (
A) does not determine fall risk. 20/20 vision (
B) and urinary continence (
C) may contribute to overall health but do not specifically indicate an increased risk for falls.
Therefore, identifying orthostatic hypotension is crucial for the nurse to implement fall prevention strategies for the patient.