ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The patient has been diagnosed with a respiratory illness and reports shortness of breath. The nurse adjusts the temperature to facilitate the comfort of the patient. At which temperature range will the nurse set the thermostat?
Correct Answer: B
Rationale: The correct answer is B (65° to 75° F) because this temperature range is generally considered comfortable for most individuals, including those with respiratory illnesses experiencing shortness of breath. This range provides a balance between being not too cold to trigger discomfort or exacerbate respiratory symptoms and not too warm to cause overheating or breathing difficulties.
Choice A (60° to 64° F) is too cold and may worsen the patient's shortness of breath by causing them to shiver or feel uncomfortable.
Choice C (15° to 17°
C) is also too cold and may lead to discomfort and potential respiratory distress.
Choice D (25° to 28°
C) is too warm and can lead to overheating, exacerbating respiratory symptoms and making breathing more difficult.
Question 2 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 nurse should address the temperature (
Choice
B) immediately because it is below the normal range (normal range is around 97-99°F). A low body temperature, such as 94.8°F, can indicate hypothermia, which is a medical emergency requiring prompt intervention to prevent complications like organ dysfunction or cardiac arrest. Addressing the temperature first is crucial to prevent further deterioration of the patient's condition.
Other choices are not as urgent:
A: Respiratory rate (12 breaths per minute) is within the normal range.
C: Apical pulse (58 beats per minute) is slightly lower but not immediately life-threatening.
D: Blood pressure (106/56 mmHg) is on the lower side but not acutely concerning.
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. This technique is crucial in preventing the transmission of pathogens because hands are a common mode of pathogen spread. Washing hands effectively removes pathogens and reduces the risk of infection.
Choice B (Wash wound) is important for wound care but not as effective in preventing transmission of pathogens.
Choice C (Wear gloves) is important for personal protection but does not address the primary mode of transmission.
Choice D (Wear eye protection) is not directly related to preventing transmission through hand hygiene. It is essential to prioritize hand hygiene as the most effective method of preventing the spread of pathogens.
Question 4 of 5
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: A surgical sponge left in the patient's incision is a Never Event as it is a preventable medical error that should never occur. The nurse must report this immediately for prompt removal to prevent complications like infection or obstruction. This event breaches patient safety protocols and can lead to serious harm or even death.
Summary of other choices:
A: No blood incompatibility is a positive finding indicating patient safety measures were correctly followed.
C: Pulmonary embolism can occur despite proper precautions and is not always preventable.
D: Stage II pressure ulcer, while concerning, may not necessarily be a Never Event as it can be a result of various factors and is not always preventable with current medical knowledge.
Question 5 of 5
The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider. After assessing the patient and placing them back in bed, the nurse should notify the healthcare provider to ensure appropriate evaluation and management of the patient's fall. This is important for patient safety and to prevent any potential complications or underlying issues that may have contributed to the fall. Notifying the healthcare provider promptly allows for further assessment, interventions, and necessary precautions to be implemented.
Other choices are incorrect:
A: Doing nothing is not appropriate as the patient has experienced a fall, which requires further evaluation.
C: Completing an incident report is important, but notifying the healthcare provider takes precedence to ensure immediate appropriate care.
D: Assessing the patient has already been done, so the next step is to involve the healthcare provider for further management.