ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
Correct Answer: C
Rationale: The correct answer is C because the patient folding washcloths repetitively indicates engagement in a calming activity, showing reduced agitation and restlessness. This behavior suggests the alternative approach is effective in managing the patient's behavior without resorting to restraint.
Choice A indicates the patient is still getting up, which implies the alternative is not working.
Choice B suggests restlessness persists when the sitter is absent, indicating the need for continuous supervision.
Choice D indicates the patient feeling guilty, which does not necessarily reflect the success of the alternative approach.
Question 2 of 5
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
Correct Answer: B
Rationale: The correct answer is B:
Toddler.
Toddlers are most at risk for lead poisoning due to their tendency to explore and put objects in their mouths, including lead-contaminated items. Their developing bodies are more susceptible to the harmful effects of lead exposure. Young infants are less likely to be mobile and ingest lead. Preschoolers and adolescents are less at risk than toddlers due to their reduced likelihood of mouthing objects. Thus, the nurse is most likely assessing a toddler for lead poisoning.
Question 3 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 4 of 5
A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
Correct Answer: D
Rationale: The correct answer is D because keeping the patient on fall risk until discharge ensures continuous monitoring and implementation of fall prevention measures. Checking on the patient once a shift (choice
A) may not provide adequate supervision. Encouraging visitors in the early evening (choice
B) could distract the patient and increase fall risk. Placing all four side rails in the 'up' position (choice
C) can lead to entrapment and decrease mobility. The other choices are not relevant to fall precautions.
Question 5 of 5
A home health nurse is assessing the home for fire safety. Which information from the family will cause the nurse to intervene? (Select all that apply.)
Correct Answer: A, C, D
Rationale:
Correct Answer: A, C, D
Rationale:
A: Smoking in bed poses a high risk of starting a fire, as smoking materials can easily ignite bedding. Intervene to educate on safer habits.
C: Using an old space heater may be unsafe due to potential malfunctions or outdated safety features. Intervene to recommend a newer model.
D: Using the RACE method (Rescue, Alarm, Contain, Extinguish) is correct fire safety protocol. No intervention needed as this is a safe practice.
Summary:
B: Leaving candles unattended is a fire hazard, but the family states they never do this, so no intervention needed.
E: Having fire extinguishers in accessible locations is a good practice, so no intervention needed.
Overall, choices B and E demonstrate good fire safety practices, while choices A and C require intervention to address potential risks.