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:
Correct Answer: C, D, F
Rationale:
C: Instructing the patient to walk 10 feet quickly and safely is a key step in the TUG assessment to evaluate mobility and fall risk.
D: Observing for unsteadiness in the patient's gait is crucial in assessing balance and fall risk during the TUG assessment.
F: Beginning the timing of the assessment after giving instructions ensures an accurate measurement of the patient's performance.
Incorrect
Choices:
A: Ranks a patient as high risk for falls after taking 18 seconds is not a standard criterion for the TUG assessment.
B: Teaching the patient to rise using arms for support is not specific to the TUG assessment and may not be relevant to evaluating mobility and fall risk.
E: Beginning counting after instructions can introduce variability in timing and may not provide an accurate assessment of the patient's performance.
Question 2 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 it includes examples of safety risks that directly impact patient well-being. Wet floors pose slip hazards, patient pinching fingers in doors can lead to injuries, failure to use a lift for patients can result in falls, and malfunctioning alarms can delay response to emergencies.
A, B, and C do not address direct patient safety risks like D does. A focuses on environmental factors that may not directly harm patients. B mentions blocked hallways and locked medication rooms, which are more related to facility operations. C mentions minor issues like an empty ice machine and unlocked supply cabinet that do not directly pose risks to patients.
Question 3 of 5
A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?
Correct Answer: A
Rationale: The correct answer is A: Wash hands. Hand hygiene is the most important measure to prevent the transmission of pathogens. Washing hands effectively removes and reduces the number of microorganisms that can be transferred to wounds. This helps in preventing infections during wound care.
Choice B, washing the wound, is important for wound healing but does not directly prevent pathogen transmission.
Choice C, wearing gloves, is important to protect the healthcare provider but does not address the primary prevention of pathogen transmission to the wound.
Choice D, wearing eye protection, is important for certain procedures but is not directly related to preventing pathogen transmission during wound care.
Question 4 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 5 of 5
A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse 58, and respiratory rate 12. Which vital sign should the nurse address immediately?
Correct Answer: B
Rationale: The correct answer is B: Temperature. The nurse should address the low temperature of 94.8°F immediately as it indicates hypothermia, which can be life-threatening. Hypothermia can lead to altered mental status, cardiac arrhythmias, and even cardiac arrest. It is crucial to address hypothermia promptly by providing warming measures to prevent further complications.
The other vital signs are within normal ranges. The respiratory rate of 12, blood pressure of 106/56, and apical pulse of 58 are all considered normal for an adult. While these vital signs should be monitored, addressing the low temperature takes precedence due to the potential severe consequences of untreated hypothermia.