ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 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 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
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 4 of 5
The nurse has placed a yellow armband on a 70-year-old patient. Which observation by the nurse will indicate the patient has an understanding of this action?
Correct Answer: B
Rationale: The correct answer is B: The patient wears the red nonslip footwear. This indicates the patient understands the significance of the yellow armband, which is typically used to identify fall risk patients. By wearing the red nonslip footwear, the patient is demonstrating awareness and compliance with safety precautions.
A: Removing the armband to bathe does not necessarily indicate understanding of its purpose.
C: Insisting on taking a 'water' pill in the evening is unrelated to the armband.
D: Asking about a new medicine due to a penicillin allergy is not directly related to the armband.
In summary, choice B is correct as it directly aligns with the purpose of the yellow armband, while the other choices are not indicative of understanding its significance.
Question 5 of 5
The patient is confused, is trying to get out of bed, and is pulling at the intravenous infusion tubing. Which nursing diagnosis will the nurse add to the care plan?
Correct Answer: D
Rationale: The correct answer is D: Risk for injury. The patient's confused state and attempting to get out of bed and pulling at the IV tubing pose a risk for injury. Confusion can lead to falls or pulling out the IV, resulting in harm. Impaired home maintenance (
A) is not relevant to the immediate safety concern. Deficient knowledge (
B) does not address the current risk of injury. Risk for poisoning (
C) is not indicated based on the scenario. Other choices are not provided. In conclusion, D is the most appropriate nursing diagnosis due to the immediate risk of injury associated with the patient's behavior.