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 three washcloths over and over demonstrates engagement in a repetitive, soothing activity, indicating reduced agitation or restlessness.
Choice A shows lack of improvement as the patient is still trying to get up.
Choice B suggests dependency on the sitter for comfort.
Choice D indicates compliance due to guilt, not necessarily effectiveness of the alternative.
Question 2 of 5
The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient. The priority action is to assess the patient to determine the underlying cause of the sudden confusion and agitation. This will help the nurse identify any medical issues or discomfort causing the behavior, such as hypoxia, infection, or medication side effects. By assessing the patient first, the nurse can address the root cause of the behavior and implement appropriate interventions, which may include addressing the patient's needs, providing comfort measures, or involving other healthcare team members as needed. Gathering restraint supplies (
B) should not be the initial action as it does not address the underlying cause of the behavior. Trying alternatives to restraint (
C) is important but should come after assessing the patient. Calling the healthcare provider for a restraint order (
D) should only be considered after other interventions have been attempted.
Question 3 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 wet floors unmarked pose slip hazards, patient pinching fingers in the door indicates lack of safety measures, failure to use a lift for patient increases risk of injury, and alarms not functioning properly can lead to delayed response.
Choice A includes minor inconveniences but not significant safety risks.
Choice B focuses on facility maintenance rather than direct patient safety risks.
Choice C mentions minor issues like empty ice machine and unlocked supply cabinet that do not directly impact patient safety.
Question 4 of 5
Which activity will cause the nurse to monitor for equipment-related accidents?
Correct Answer: A
Rationale: The correct answer is A because using a patient-controlled analgesic pump involves the use of medical equipment that can malfunction or be misused, potentially leading to accidents such as medication overdose. The nurse needs to monitor the equipment closely to ensure it is functioning properly and the patient is using it correctly.
Choices B, C, and D do not involve equipment that poses a high risk of accidents if not monitored closely. Computer-based documentation records, measuring devices for urine, and manual medication-dispensing devices are all important tools for nurses, but they are less likely to result in equipment-related accidents compared to a patient-controlled analgesic pump.
Question 5 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: Keep the patient on fall risk until discharge. This is because fall precautions should be maintained throughout the patient's stay to ensure their safety. Checking on the patient once a shift (
A) may not be sufficient to prevent falls. Encouraging visitors in the early evening (
B) could distract the patient and increase fall risk. Placing all four side rails in the 'up' position (
C) can lead to entrapment or injury.
Therefore, the best practice is to keep the patient on fall risk until discharge to maintain a high level of vigilance and prevent falls effectively.