ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The patient applies sequential compression devices after going to the bathroom. The nurse checks the patient's application of the devices and finds that they have been put on upside down. Which nursing diagnosis will the nurse add to the patient's plan of care?
Correct Answer: B
Rationale:
Correct Answer: B (Deficient knowledge)
Rationale:
1. The patient applying the sequential compression devices upside down indicates a lack of understanding (deficient knowledge) of how to use the devices correctly.
2. This nursing diagnosis focuses on the patient's lack of information or understanding, which can lead to incorrect implementation of interventions.
3.
Choices A, C, and D do not directly address the root cause of the issue, which is the patient's lack of knowledge about the proper use of the devices.
4. A risk for falls would be more appropriate if the patient were wearing slippery socks on a wet floor, not using compression devices incorrectly.
5. Risk for suffocation is not relevant to the scenario of upside-down compression devices.
6. Impaired physical mobility would be more applicable if the patient had difficulty moving or using the devices due to a physical limitation, not due to a lack of knowledge.
Question 2 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: Firstly, smoking in bed poses a high fire risk due to the potential for bedding catching fire. Using the same space heater as grandparents may indicate an outdated and potentially unsafe appliance. Lastly, using the RACE method with a fire extinguisher demonstrates preparedness in case of a fire.
Choices B, E, and any others not selected do not directly indicate unsafe fire practices.
Question 3 of 5
Which patient will the nurse see first?
Correct Answer: B
Rationale: The correct answer is B. The nurse will see the 56-year-old patient with oxygen using an electric razor for grooming first because it poses an immediate risk of fire hazard due to oxygen's flammability. The other choices do not pose immediate safety risks. A: Lighter can be removed safely. C: Infant looking at shiny object is not an immediate danger. D: Battery is out of reach. E: Pacifier without string is safe. Thus, addressing the grooming patient's risk is the priority.
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
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.