ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
When making rounds the nurse observes a purple wristband on a patient's wrist. How will the nurse interpret this finding?
Correct Answer: B
Rationale: The correct interpretation for the purple wristband is that the patient has do not resuscitate (DNR) preferences. This is because in healthcare settings, purple wristbands are commonly used to indicate that a patient has chosen not to have cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This information is crucial for healthcare providers to be aware of in order to respect the patient's wishes and provide appropriate care.
Choice A (patient is allergic): This is incorrect because purple wristbands are not typically used to indicate allergies. Allergy information is usually communicated through a different system like red wristbands.
Choice C (high risk for falls): Purple wristbands do not typically signify a high risk for falls. Fall risk is usually indicated by a different color wristband or a specific protocol in healthcare settings.
Choice D (risk for seizures): Purple wristbands are not generally used to indicate a risk for seizures. Seizure risk may be indicated by a different color
Question 2 of 5
The nurse is providing safety information regarding accidental poisoning to a grandparent. Which comment requires nurse intervention?
Correct Answer: D
Rationale: The correct answer is D. Providing syrup of ipecac is not recommended as a first aid measure for poisoning anymore, as it can actually be harmful and delay proper medical treatment. The rationale is based on current guidelines from poison control experts. A: Providing the poison control number is important for immediate assistance. B: Inducing vomiting is not recommended for bleach ingestion. C: Calling 911 for loss of consciousness indicates awareness of a medical emergency.
Question 3 of 5
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Correct Answer: B
Rationale: The correct answer is B because leaving a surgical sponge in a patient's incision is a Never Event, which refers to preventable medical errors that should never occur. This is a serious safety issue that can lead to infection, sepsis, and other complications. Reporting this event is crucial for patient safety and quality improvement.
Choices A, C, and D are not Never Events. No blood incompatibility during a blood transfusion is an expected outcome, pulmonary embolism after lung surgery can be a known complication, and a Stage II pressure ulcer can develop even with proper care.
Question 4 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct actions for the nurse to take in this scenario are A, B, C, and D. Closing all doors helps contain the fire and smoke, protecting patients. Noting evacuation routes ensures a quick and safe exit strategy if needed. Identifying oxygen shut-offs prevents potential fuel for a fire. Moving bedridden patients in their bed is crucial for their safety and transportability. Waiting for the fire department (choice E) is not recommended as immediate action by the nurse is necessary to ensure patient safety.
Question 5 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
Correct Answer: B, C, E, F
Rationale: The correct answers are B, C, E, and F.
B: Documenting the time the patient was placed in restraints ensures proper monitoring and compliance with protocols.
C: Noting the presence of radial pulses and warm hands indicates good circulation, which is essential for patient safety.
E: Documenting unsuccessful attempts to distract the patient with TV shows nursing interventions and patient response.
F: Recording the completion of range-of-motion exercises after releasing restraints is crucial for continuity of care and monitoring patient progress.
Incorrect
Choices:
A: Family member's lunch activity is not relevant to the patient's care.
D: Describing the straps and buckles does not provide essential information on the patient's condition and care.