ATI RN
ATI Fundamental Proctored Exam Study Guide 2024-2025 Questions
Extract:
Question 1 of 5
Which patient will the nurse see first?
Correct Answer: B
Rationale: The correct answer is B. The nurse will see the 56-year-old patient with oxygen using an electric razor for grooming first because it poses an immediate risk of fire hazard due to oxygen's flammability. The other choices do not pose immediate safety risks. A: Lighter can be removed safely. C: Infant looking at shiny object is not an immediate danger. D: Battery is out of reach. E: Pacifier without string is safe. Thus, addressing the grooming patient's risk is the priority.
Question 2 of 5
A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up?
Correct Answer: D
Rationale: The correct answer is D because using a nonvented furnace can lead to carbon monoxide poisoning, which is a serious safety hazard. The other choices demonstrate safety precautions (A: changing batteries on carbon monoxide detector, B: scheduling chimney inspection, C: recognizing symptoms of heater issues) or potential safety concerns that prompt appropriate action (E: not provided). Using a nonvented furnace goes against safety guidelines, as it can release harmful gases into the home.
Therefore, the nurse should follow up on this statement to educate the patient on the dangers and recommend using a vented furnace for safety.
Question 3 of 5
An older-adult patient is using a wheelchair to attend a physical therapy session. Which action by the nurse indicates safe transport of the patient?
Correct Answer: B
Rationale: The correct answer is B because backing the wheelchair into the elevator allows the patient to exit the elevator facing forward, ensuring safety and preventing falls. Positioning the patient's buttocks close to the front of the seat (choice
A) may lead to instability. Leading with large rear wheels first (choice
C) can cause the wheelchair to tip over. Placing a locked wheelchair on the same side of the bed as the patient's weaker side (choice
D) may hinder the patient's ability to safely transfer. Unlocking the wheelchair for easy maneuverability when the patient is transferring (choice E) is important but not directly related to safe transport in this scenario.
Question 4 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:
Correct Answer: B, D, E
Rationale:
B: The health care provider must specify the type and location of the restraint to ensure proper application and prevent harm.
D: A face-to-face assessment is crucial to assess the patient's condition and determine the necessity of restraints.
E: Specifying the duration and circumstances of restraint use promotes safety and ensures restraints are not used unnecessarily.
Incorrect
Choices:
A: Ordering restraints prn does not provide clear guidance on when and how to use them, potentially leading to improper use.
C: Renewing orders every 24 hours is important, but it alone does not ensure safe and appropriate use of restraints.
F & G: No options provided, but they would likely be incorrect as they are not relevant to the safe use of restraints.
Question 5 of 5
The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
Correct Answer: C
Rationale: The correct answer is C: The patient folds three washcloths over and over. This behavior indicates engagement and focus, suggesting a sense of calm and control. Folding washcloths repetitively can be a soothing, repetitive task indicating decreased agitation.
Choices A, B, and D do not directly indicate successful use of alternatives to restraint. A patient getting up from the chair (
A) or becoming restless (
B) may suggest continued agitation or restlessness, while apologizing (
D) may indicate compliance out of fear or anxiety rather than true calmness.