ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse is providing safety information regarding accidental poisoning to a grandparent. Which comment requires nurse intervention?
Correct Answer: D
Rationale: The correct answer is D. Providing syrup of ipecac is not recommended as a first aid measure for poisoning anymore, as it can actually be harmful and delay proper medical treatment. The rationale is based on current guidelines from poison control experts. A: Providing the poison control number is important for immediate assistance. B: Inducing vomiting is not recommended for bleach ingestion. C: Calling 911 for loss of consciousness indicates awareness of a medical emergency.
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
The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which priority concern will require collaboration with social services to address the patient's health care needs?
Correct Answer: A
Rationale: The correct answer is A because the lack of electricity affects the patient's health and safety. Without electricity, the patient may not have access to refrigeration for food storage or heating for cooking, which can worsen their condition. Collaboration with social services can help address this urgent need.
Choice B is incorrect because the water source does not directly impact the patient's immediate health concerns.
Choice C is also incorrect as the son moving in does not directly address the patient's current health issues.
Choice D is incorrect because the absence of a microwave oven is not as critical as the lack of electricity for the patient's well-being.
Question 4 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.
Question 5 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.