ATI Fundamental Proctored Exam Study Guide 2024-2025 -Nurselytic

Questions 88

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ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions

Extract:


Question 1 of 5

The patient is confused, is trying to get out of bed, and is pulling at the intravenous infusion tubing. Which nursing diagnosis will the nurse add to the care plan?

Correct Answer: D

Rationale: The correct answer is D: Risk for injury. The patient's confused state and attempting to get out of bed and pulling at the IV tubing pose a risk for injury. Confusion can lead to falls or pulling out the IV, resulting in harm. Impaired home maintenance (
A) is not relevant to the immediate safety concern. Deficient knowledge (
B) does not address the current risk of injury. Risk for poisoning (
C) is not indicated based on the scenario. Other choices are not provided. In conclusion, D is the most appropriate nursing diagnosis due to the immediate risk of injury associated with the patient's behavior.

Question 2 of 5

A home health nurse is teaching a family to prevent electrical shock. Which information will the nurse include in the teaching session?

Correct Answer: B

Rationale: The correct answer is B: Disconnect items before cleaning. This is the safest practice to prevent electrical shock as it ensures that appliances are not accidentally turned on while being cleaned. Running wires under the carpet (choice
A) can cause overheating and increase the risk of fire. Grasping the cord when unplugging items (choice
C) can lead to potential electric shock. Using masking tape to secure cords to the floor (choice
D) can create tripping hazards and damage the cords.

Question 3 of 5

During the admission assessment, the nurse assesses the patient for fall risk. Which finding will alert the nurse to an increased risk for falls?

Correct Answer: B

Rationale: The correct answer is B: The patient takes a hypnotic. Taking a hypnotic medication increases fall risk due to its sedative effects, leading to dizziness and impaired balance. This medication can cause drowsiness and confusion, increasing the likelihood of falls. The other choices may not necessarily indicate an increased fall risk. A: Being oriented is a positive sign. C: Walking 2 miles a day shows physical activity, which is beneficial for fall prevention. D: Becoming widowed is a psychosocial factor that may not directly indicate fall risk.

Question 4 of 5

A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?

Correct Answer: C

Rationale: The correct answer is C: Uses medication bar coding. This action aligns with the National Patient Safety Goals by ensuring accurate medication administration and reducing medication errors. Bar coding helps verify the right patient, right medication, right dose, right route, and right time. Option A is important but not specific to the National Patient Safety Goals. Option B should use sterile technique for IV catheter insertion. Option D is relevant but not directly related to patient safety goals. Options E, F, and G are not provided.

Question 5 of 5

The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which priority concern will require collaboration with social services to address the patient's health care needs?

Correct Answer: A

Rationale: The correct answer is A because the lack of electricity affects the patient's health and safety. Without electricity, the patient may not have access to refrigeration for food storage or heating for cooking, which can worsen their condition. Collaboration with social services can help address this urgent need.

Choice B is incorrect because the water source does not directly impact the patient's immediate health concerns.
Choice C is also incorrect as the son moving in does not directly address the patient's current health issues.
Choice D is incorrect because the absence of a microwave oven is not as critical as the lack of electricity for the patient's well-being.

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