ATI Fundamental Proctored Exam Study Guide 2024-2025 -Nurselytic

Correct Answer: A

Rationale: The correct answer is A because using a patient-controlled analgesic pump involves the use of medical equipment that can malfunction or be misused, potentially leading to accidents such as medication overdose. The nurse needs to monitor the equipment closely to ensure it is functioning properly and the patient is using it correctly.

Choices B, C, and D do not involve equipment that poses a high risk of accidents if not monitored closely. Computer-based documentation records, measuring devices for urine, and manual medication-dispensing devices are all important tools for nurses, but they are less likely to result in equipment-related accidents compared to a patient-controlled analgesic pump.

Correct Answer: D

Rationale: The correct answer is D: Keep the patient on fall risk until discharge. This is because fall precautions should be maintained throughout the patient's stay to ensure their safety. Checking on the patient once a shift (
A) may not be sufficient to prevent falls. Encouraging visitors in the early evening (
B) could distract the patient and increase fall risk. Placing all four side rails in the 'up' position (
C) can lead to entrapment or injury.
Therefore, the best practice is to keep the patient on fall risk until discharge to maintain a high level of vigilance and prevent falls effectively.

Correct Answer: C

Rationale: The correct answer is C: Surgical asepsis. During urinary catheter insertion, surgical asepsis is crucial to prevent infection and other procedure-related accidents. Surgical asepsis involves using sterile techniques to minimize the risk of introducing pathogens. The nurse will follow strict protocols such as wearing sterile gloves, using sterile equipment, and maintaining a sterile field. This technique ensures that the urinary catheter is inserted in a sterile environment, reducing the risk of infection. Pathogenic asepsis (
A) focuses on destroying pathogens, not preventing their entry during a procedure. Medical asepsis (
B) aims to reduce the number of pathogens but does not provide the level of sterility needed for urinary catheter insertion. Clean asepsis (
D) involves cleanliness but does not meet the sterile requirements of urinary catheter insertion.

Correct Answer: C

Rationale: The correct answer is C: Uses medication bar coding. This action aligns with the National Patient Safety Goals by helping to ensure accurate medication administration through technology. Bar coding reduces the risk of medication errors by verifying the right patient, medication, dose, route, and time. Option A is important but does not specifically align with the National Patient Safety Goals. Option B mentions clean technique, but sterile technique is required for IV catheter insertion. Option D is important for surgical preparation but does not directly relate to patient safety goals.

Correct Answer: B

Rationale: The correct answer is B because orientation indicates the patient's awareness of self, time, and place, affecting their safety awareness. A high level of orientation reduces fall risk as the patient can navigate their environment effectively. Other choices are incorrect as assessing fall risk (
A) is important but doesn't directly indicate increased risk, taking a hypnotic (
C) may increase fall risk but isn't the most direct indicator, walking 2 miles a day (
D) is a positive sign of physical health, and being widowed (E) may impact mental health but doesn't directly relate to fall risk.