ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
The patient is confused
Correct Answer: D
Rationale: The correct answer is D: Deficient knowledge. The patient's confusion and behavior suggest a lack of understanding, leading to unsafe actions like pulling at the IV tubing. This nursing diagnosis reflects the patient's need for education and information to prevent harm.
Choice A is incorrect as the patient's confusion is not related to trying to get out of bed.
Choices C, E, and F are not relevant to the patient's current situation and symptoms. Deficient knowledge directly addresses the root cause of the patient's confusion and behavior, making it the appropriate nursing diagnosis in this scenario.
Question 2 of 5
The nurse is completing an admission history on a new home health patient. The patient has been experiencing seizures as the result of a recent brain injury. Which interventions should the nurse utilize for this patient and family? (Select all that apply.)
Correct Answer: D,E
Rationale: The correct answers are D and E. D is important as it addresses the need for the family to know what to do if the seizure does not stop, such as calling emergency services. E is crucial as it focuses on the post-seizure care, which includes reorienting and reassuring the patient. A is incorrect as restraining a patient during a seizure can be harmful. B is incorrect as moving the patient during a seizure can lead to injury. C is incorrect as inserting a tongue depressor can also be harmful and is not recommended during a seizure.
Question 3 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 4 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. Hand hygiene is the most important measure to prevent the transmission of pathogens. Washing hands effectively removes and reduces the number of microorganisms that can be transferred to wounds. This helps in preventing infections during wound care.
Choice B, washing the wound, is important for wound healing but does not directly prevent pathogen transmission.
Choice C, wearing gloves, is important to protect the healthcare provider but does not address the primary prevention of pathogen transmission to the wound.
Choice D, wearing eye protection, is important for certain procedures but is not directly related to preventing pathogen transmission during wound care.
Question 5 of 5
A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct answer choices are B, D, and E.
Choice B is correct because the health care provider must specify the type and location of the restraint to ensure proper application.
Choice D is crucial as a face-to-face assessment is required to determine the necessity of the restraint.
Choice E is essential as specifying the duration and circumstances of restraint use promotes safe and appropriate care.
Choice A is incorrect as restraints should not be used as needed but based on a specific assessment.
Choice C is incorrect as renewing orders every 24 hours may not align with the patient's changing needs.