ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
Which activity will cause the nurse to monitor for equipment-related accidents?
Correct Answer: A
Rationale: The correct answer is A. When a nurse uses a patient-controlled analgesic pump, there is a risk of equipment-related accidents such as pump malfunction, incorrect programming, or patient misuse. The nurse must monitor the pump closely to prevent potential harm to the patient.
Choices B, C, and D do not pose the same level of risk for equipment-related accidents as using a patient-controlled analgesic pump. B involves computer-based documentation, C involves using a measuring device for urine, and D involves a manual medication-dispensing device, all of which are less likely to result in equipment-related accidents compared to using the analgesic pump.
Question 2 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 3 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 4 of 5
A nurse is teaching a community group of school-aged parents about safety. Which safety item is most important for the nurse to include in the teaching session?
Correct Answer: A
Rationale: The correct answer is A: Proper fit of a bicycle helmet. This is the most important safety item to include in the teaching session because head injuries from biking accidents can be severe or fatal. A properly fitting helmet can significantly reduce the risk of head trauma. Soccer shin guards (
B), swimming goggles (
C), and baseball sliding shorts (
D) are all important safety items but do not directly protect against life-threatening head injuries like a bicycle helmet does. It is crucial to prioritize the most critical safety measure when educating parents on safety for their school-aged children.
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.