ATI PROCTORED FUNDAMENTAL 2023 (1 & 2
Attempt): Questions And Answers (100%/Latest
update)
- Generalized weakness
- Urinary frequency
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects
Seizure precautions - CORRECT ANSWER-- Have oxygen, suction, oral airway at
bedside
- 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.
How would you help prevent falls for a patient with orthostatic hypotension? -
CORRECT ANSWER-- Avoid getting up to quickly
- Sit on the side of the bed for a few seconds prior to standing
- Stand at the side of the bed a few seconds prior to walking
Seclusion and Restraints - CORRECT ANSWER-- When everything else fails
(orientation to environment, family member, sitter, diversional activities, electronic
devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face
Provider prescription for restraints must include what? - CORRECT ANSWER-- Reason
for restraints
- Type of restraints
- Location of restraints
- How long to use restraints
- Type of behavior that warrants restraints
,- *Prescription only last 4 hours for an adult. Providers may renew these prescriptions
with a maximum of 24 consecutive hours.*
Restraints in an emergency situation - CORRECT ANSWER-- When there is an
immediate risk to the patient or others, nurses may place restraints on patient.
- The nurse must then obtain a prescription from the provider ASAP, usually within 1
hour.
Nursing Responsibilities for patients in restraints - CORRECT ANSWER-- Explain the
need for restraints to pt. and family. They are for safety and are temporary.
- 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.
- 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.
Fire Response - RACE - CORRECT ANSWER-R - *Rescue* and protect patients close
to fire by moving them to a safer location. 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
,Fall Risk - CORRECT ANSWER-- Decreased visual acuity Eye Charts - CORRECT
ANSWER-1. Snellen
- Stand 20 ft away
2. Rosenbaum
- Stand 14 inches away
SAFTEY IS BIG ON THIS ATI!
Factors that affect the patient's ability to protect themselves - CORRECT ANSWER--
Age
- Mobility
- Cognitive and sensory awareness
- Emotional state
- Ability to communicate
- Lifestyle
- Safety Awareness
How to use fire extinguisher - PASS - CORRECT ANSWER-P - *Pull* the pin
A - *Aim* at base of fire
S - *Squeeze* handle
S - *Sweep* extinguisher from side to side.
State licensing boards - CORRECT ANSWER-Ensure that health care providers and
agencies comply with state regulations.
The Joint Commission - CORRECT ANSWER-Sets quality standards for accreditation
of health care facilities.
Medicare - CORRECT ANSWER-For patients older than 65 or those with permanent
disabilities.
Medicaid - CORRECT ANSWER-For patients who have low income.
Preventative health care - CORRECT ANSWER-Educates and equips patients to
reduce and control risk factors for disease.
, Examples
- Programs that promote immunizations
- Stress management
- Occupational health programs
- Seat belt use
Primary Health care - CORRECT ANSWER-Emphasizes health promotion and includes
prenatal and well-baby care, family 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
- Smoking cessation
- Diet
Secondary Healthcare - CORRECT ANSWER-The diagnosis and treatment of acute
illness and injury.
Focus on screening for early detection of disease with prompt treatment of any found.
Examples
- Care in hospital settings (inpatient & ER)
- Diagnostic Centers
- Emergent Care Centers
- Screenings
- Well visits
- Pap Smears
Tertiary Healthcare - CORRECT ANSWER-AKA acute care, involves the provision of
specialized and highly technical care.
Begins after the illness is diagnosed.
Examples
- ICU
- Oncology
- Burn Centers
- PT
Attempt): Questions And Answers (100%/Latest
update)
- Generalized weakness
- Urinary frequency
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects
Seizure precautions - CORRECT ANSWER-- Have oxygen, suction, oral airway at
bedside
- 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.
How would you help prevent falls for a patient with orthostatic hypotension? -
CORRECT ANSWER-- Avoid getting up to quickly
- Sit on the side of the bed for a few seconds prior to standing
- Stand at the side of the bed a few seconds prior to walking
Seclusion and Restraints - CORRECT ANSWER-- When everything else fails
(orientation to environment, family member, sitter, diversional activities, electronic
devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face
Provider prescription for restraints must include what? - CORRECT ANSWER-- Reason
for restraints
- Type of restraints
- Location of restraints
- How long to use restraints
- Type of behavior that warrants restraints
,- *Prescription only last 4 hours for an adult. Providers may renew these prescriptions
with a maximum of 24 consecutive hours.*
Restraints in an emergency situation - CORRECT ANSWER-- When there is an
immediate risk to the patient or others, nurses may place restraints on patient.
- The nurse must then obtain a prescription from the provider ASAP, usually within 1
hour.
Nursing Responsibilities for patients in restraints - CORRECT ANSWER-- Explain the
need for restraints to pt. and family. They are for safety and are temporary.
- 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.
- 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.
Fire Response - RACE - CORRECT ANSWER-R - *Rescue* and protect patients close
to fire by moving them to a safer location. 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
,Fall Risk - CORRECT ANSWER-- Decreased visual acuity Eye Charts - CORRECT
ANSWER-1. Snellen
- Stand 20 ft away
2. Rosenbaum
- Stand 14 inches away
SAFTEY IS BIG ON THIS ATI!
Factors that affect the patient's ability to protect themselves - CORRECT ANSWER--
Age
- Mobility
- Cognitive and sensory awareness
- Emotional state
- Ability to communicate
- Lifestyle
- Safety Awareness
How to use fire extinguisher - PASS - CORRECT ANSWER-P - *Pull* the pin
A - *Aim* at base of fire
S - *Squeeze* handle
S - *Sweep* extinguisher from side to side.
State licensing boards - CORRECT ANSWER-Ensure that health care providers and
agencies comply with state regulations.
The Joint Commission - CORRECT ANSWER-Sets quality standards for accreditation
of health care facilities.
Medicare - CORRECT ANSWER-For patients older than 65 or those with permanent
disabilities.
Medicaid - CORRECT ANSWER-For patients who have low income.
Preventative health care - CORRECT ANSWER-Educates and equips patients to
reduce and control risk factors for disease.
, Examples
- Programs that promote immunizations
- Stress management
- Occupational health programs
- Seat belt use
Primary Health care - CORRECT ANSWER-Emphasizes health promotion and includes
prenatal and well-baby care, family 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
- Smoking cessation
- Diet
Secondary Healthcare - CORRECT ANSWER-The diagnosis and treatment of acute
illness and injury.
Focus on screening for early detection of disease with prompt treatment of any found.
Examples
- Care in hospital settings (inpatient & ER)
- Diagnostic Centers
- Emergent Care Centers
- Screenings
- Well visits
- Pap Smears
Tertiary Healthcare - CORRECT ANSWER-AKA acute care, involves the provision of
specialized and highly technical care.
Begins after the illness is diagnosed.
Examples
- ICU
- Oncology
- Burn Centers
- PT
