ATI PROCTORED FUNDAMENTAL UPDATED
EXAMINATION TEST
◉ Medication Error Prevention.
Answer: ● Common medication errors
-Wrong medication or IV fluid
- Incorrect dose or IV rate
-Wrong client, route, or time
- Administration of known allergic medication
-Omission of dose
- Incorrect discontinuation of medication or IV fluid
◉ Disclosure of Confidential Health Information (ch.4).
Answer: *Breach of confidentiality
- A nurse releases a client's medical diagnosis to a member of the
press.*
◉ Trialing Handoff Communication Tools (5).
Answer: Change-of-Shift Report
◯ Nurses give this report at the conclusion of each shift to the nurse
assuming responsibility for
the clients.
,◯ Formats include face to face, audiotaping, or presentation during
walking rounds in each client's room (unless the client has a
roommate or visitors are present).
◯ An effective report should:
■ Include significant objective information about the client's health
problems.
■ Proceed in a logical sequence.
■ Include no gossip or personal opinion.
■ Relate recent changes in medications, treatments, procedures, and
the discharge plan.
● Telephone reports are useful when contacting the provider or
other members of the interprofessional team.
◯ It is important to:
■ Have all the data ready prior to contacting any member of the
interprofessional team.
■ Use a professional demeanor.
■ Use exact, relevant, and accurate information.
■ Document the name of the person, the time, content of the
message, and the instructions or information received during the
report.
elephone or Verbal Prescriptions
◯ It is best to avoid these, but they are sometimes necessary during
emergencies and at
unusual times.
,◯ Have a second nurse listen to a telephone prescription.
◯ Repeat it back, making sure to include the medication's name
(spell if necessary), dosage, time, and route.
◯ Question any prescription that may seem inappropriate for the
client.
◯ Make sure the provider signs the prescription in person within
the time frame the facility specifies,
typically 24 hr.
● Transfer Reports
◯ These should include demographic information, medical
diagnosis, providers, an overview of health status (physical,
psychosocial), plan of care, recent progress, any alterations that
might become an urgent or emergent situation, directives for any
assessments or client care essential with
◉ Client Safety: Priority Action for Fire (12).
Answer: Fire Safety
● Fires in health care facilities are usually due to problems related
to electrical or anesthetic equipment. Unauthorized smoking also
may be the cause of a fire.
● All staff must be instructed in fire response procedures, which
includes the following:
◯ Knowing the location of exits, alarms, fire extinguishers, and
oxygen turn-off valves
◯ Ensuring fire doors are not blocked with equipment
, ◯ Knowing the evacuation plan for the unit and facility
● The fire response in the health care setting always follows this
sequence (RACE):
◯ R - Rescue: Rescue and protect clients in close proximity to the
fire by evacuating them to a safer
location. Ambulatory clients can walk unattended to a safe location.
◯ A - Alarm: Activate the facility alarm system, and then report fire
details and location per facility protocol.
◯ C - Contain: Contain the fire by closing doors and windows as
well as turning off any sources of oxygen and electrical devices.
Clients who are on life support are ventilated with a bag-valve mask.
◯ E - Extinguish: Extinguish the fire if possible using an appropriate
fire extinguisher.
■ There are three classes of fire extinguisher:
☐ Class A is for paper, wood, upholstery, rags, or other types of trash
fires.
☐ Class B is for flammable liquids and gas fires.
☐ Class C is for electrical fires.
■ To use a fire extinguisher, use the PASS sequence:
☐ P - Pull the pin.
☐ A - Aim at the base of the fire.
☐ S - Squeeze the levers.
EXAMINATION TEST
◉ Medication Error Prevention.
Answer: ● Common medication errors
-Wrong medication or IV fluid
- Incorrect dose or IV rate
-Wrong client, route, or time
- Administration of known allergic medication
-Omission of dose
- Incorrect discontinuation of medication or IV fluid
◉ Disclosure of Confidential Health Information (ch.4).
Answer: *Breach of confidentiality
- A nurse releases a client's medical diagnosis to a member of the
press.*
◉ Trialing Handoff Communication Tools (5).
Answer: Change-of-Shift Report
◯ Nurses give this report at the conclusion of each shift to the nurse
assuming responsibility for
the clients.
,◯ Formats include face to face, audiotaping, or presentation during
walking rounds in each client's room (unless the client has a
roommate or visitors are present).
◯ An effective report should:
■ Include significant objective information about the client's health
problems.
■ Proceed in a logical sequence.
■ Include no gossip or personal opinion.
■ Relate recent changes in medications, treatments, procedures, and
the discharge plan.
● Telephone reports are useful when contacting the provider or
other members of the interprofessional team.
◯ It is important to:
■ Have all the data ready prior to contacting any member of the
interprofessional team.
■ Use a professional demeanor.
■ Use exact, relevant, and accurate information.
■ Document the name of the person, the time, content of the
message, and the instructions or information received during the
report.
elephone or Verbal Prescriptions
◯ It is best to avoid these, but they are sometimes necessary during
emergencies and at
unusual times.
,◯ Have a second nurse listen to a telephone prescription.
◯ Repeat it back, making sure to include the medication's name
(spell if necessary), dosage, time, and route.
◯ Question any prescription that may seem inappropriate for the
client.
◯ Make sure the provider signs the prescription in person within
the time frame the facility specifies,
typically 24 hr.
● Transfer Reports
◯ These should include demographic information, medical
diagnosis, providers, an overview of health status (physical,
psychosocial), plan of care, recent progress, any alterations that
might become an urgent or emergent situation, directives for any
assessments or client care essential with
◉ Client Safety: Priority Action for Fire (12).
Answer: Fire Safety
● Fires in health care facilities are usually due to problems related
to electrical or anesthetic equipment. Unauthorized smoking also
may be the cause of a fire.
● All staff must be instructed in fire response procedures, which
includes the following:
◯ Knowing the location of exits, alarms, fire extinguishers, and
oxygen turn-off valves
◯ Ensuring fire doors are not blocked with equipment
, ◯ Knowing the evacuation plan for the unit and facility
● The fire response in the health care setting always follows this
sequence (RACE):
◯ R - Rescue: Rescue and protect clients in close proximity to the
fire by evacuating them to a safer
location. Ambulatory clients can walk unattended to a safe location.
◯ A - Alarm: Activate the facility alarm system, and then report fire
details and location per facility protocol.
◯ C - Contain: Contain the fire by closing doors and windows as
well as turning off any sources of oxygen and electrical devices.
Clients who are on life support are ventilated with a bag-valve mask.
◯ E - Extinguish: Extinguish the fire if possible using an appropriate
fire extinguisher.
■ There are three classes of fire extinguisher:
☐ Class A is for paper, wood, upholstery, rags, or other types of trash
fires.
☐ Class B is for flammable liquids and gas fires.
☐ Class C is for electrical fires.
■ To use a fire extinguisher, use the PASS sequence:
☐ P - Pull the pin.
☐ A - Aim at the base of the fire.
☐ S - Squeeze the levers.
