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ATI Fundamentals Test Bank Questions & Answers

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ATI - Fundamentals
Study online at https://quizlet.com/_6kdsm7

1. Eye Charts 1. Snellen
- Stand 20 ft away

2. Rosenbaum
- Stand 14 inches away

2. SAFTEY IS BIG ON - Age
THIS ATI! - Mobility
Factors that af- - Cognitive and sensory awareness
fect the patient's - Emotional state
ability to protect - Ability to communicate
themselves - Lifestyle
- Safety Awareness

3. Fall Risk - Decreased visual acuity
- Generalized weakness
- Urinary frequency
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects

4. Seizure precau- - Have oxygen, suction, oral airway at bedside
tions - Padded side rails
- Saline locked IV for immediate access (High risk patients)
- Rapid intervention to maintain airway patency.
- Clutter free environment
- Make sure everyone (family too) knows that if pt. has a seizure, to not put
anything in their mouth during seizure. *Only thing that would go in mouth during
seizure is airway for status epilepticus.
- During seizure do not restrain pt. Lower pt. to floor or bed and protect pt. head.
Remove nearby furniture. Put patient on side with head flexed slightly forward if
possible and loosen his clothing.


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ATI - Fundamentals
Study online at https://quizlet.com/_6kdsm7

5. How would you - Avoid getting up to quickly
help prevent falls - Sit on the side of the bed for a few seconds prior to standing
for a patient - Stand at the side of the bed a few seconds prior to walking
with orthostatic
hypotension?

6. Seclusion and Re- - When everything else fails (orientation to environment, family member, sitter,
straints diversional activities, electronic devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face

7. Provider pre- - Reason for restraints
scription for re- - Type of restraints
straints must in- - Location of restraints
clude what? - How long to use restraints
- Type of behavior that warrants restraints

- *Prescription only last 4 hours for an adult. Providers may renew these prescrip-
tions with a maximum of 24 consecutive hours.*

8. Restraints in an - When there is an immediate risk to the patient or others, nurses may place
emergency situa- restraints on patient.
tion
- The nurse must then obtain a prescription from the provider ASAP, usually within
1 hour.

9. Nursing Respon- - Explain the need for restraints to pt. and family. They are for safety and are
sibilities for pa- temporary.
tients in re-
straints - Ask pt. or guardian to sign consent form.

- Assess skin integrity and provide skin care according to hospital protocol, usually
Q2.

- Offer fluid and food.

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ATI - Fundamentals
Study online at https://quizlet.com/_6kdsm7


- Provide means for hygiene and elimination.

- Monitor Vitals

- Offer range of motion exercises of extremities.

- Pad bony prominences to prevent skin breakdown.

- Use quick release knot to tie the restraints to the bed frame where they will not
tighten when raising or lowering the bed.

- Fit 2 fingers b/w restraints and patient.

- Remove or replace restraints frequently to ensure good circulation to the area
and allow for full range of motion to the limbs.

- Never leave pt. alone without restraints.

10. Fire Response - R - *Rescue* and protect patients close to fire by moving them to a safer location.
RACE Let patients who can walk, walk.

A - *Alarm* Activate alarm

C - *Contain* the fire by closing doors and windows and turning off any sources
of oxygen and electrical devices. Vent. pts. who are on life support with a BVM.

E - *Extinguish* fire

11. How to use P - *Pull* the pin
fire extinguisher -
PASS A - *Aim* at base of fire

S - *Squeeze* handle


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ATI - Fundamentals
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S - *Sweep* extinguisher from side to side.

12. State licensing Ensure that health care providers and agencies comply with state regulations.
boards

13. The Joint Com- Sets quality standards for accreditation of health care facilities.
mission

14. Medicare For patients older than 65 or those with permanent disabilities.

15. Medicaid For patients who have low income.

16. Preventative Educates and equips patients to reduce and control risk factors for disease.
health care
Examples
- Programs that promote immunizations
- Stress management
- Occupational health programs
- Seat belt use

17. Primary Health Emphasizes health promotion and includes prenatal and well-baby care, family
care planning, nutrition counseling, disease control.

Sustained partnership between patient and provider.

Directed toward promoting health and preventing development of disease
process or injury

Examples
- Office/clinic visits
- Community health centers
- Scheduled school or work-centered screenings (vision, hearing, obesity)
- Immunizations

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