ATI FUNDAMENTAL PROCTORED EXAM STUDY GUIDE 2024-2025 TEST BANK: 50
FREQUENTLY TESTED MCQS WITH DETAILED RATIONALES / GRADED A+ /
GUARANTEED PASS!!
1. A home health nurse is performing a home assessment for safety. Which
comment by the patient will cause the nurse to follow up?
a. "Every December is the time to change batteries on the carbon monoxide detector."
b. "I will schedule an appointment with a chimney inspector next week."
c. "If I feel dizzy when using the heater, I need to have it inspected."
d. "When it is cold outside in the winter, I will use a nonvented furnace."
ANS: D
Using a nonvented heater introduces carbon monoxide into the environment and decreases
the available oxygen for human consumption and the nurse should follow up to correct this
behavior. Checking the chimney and heater, changing the batteries on the detector, and
following up on symptoms such as dizziness, nausea, and fatigue are all statements that are
safe and appropriate and need no follow-up
2. The nurse is caring for an older-adult patient admitted with nausea, vomiting, and
diarrhea
due to food poisoning. The nurse completes the health history. Which priority concern
will require collaboration with social services to address the patient's health care needs?
a. The electricity was turned off 3 days ago.
b. The water comes from the county water supply.
c. A son and family recently moved into the home.
d. This home is not furnished with a microwave oven.
ANS: A
Electricity is needed for refrigeration of food, and lack of electricity could have contributed to
,the nausea, vomiting, and diarrhea due to food poisoning. This discussion about the patient's
electrical needs can be referred to social services. Foods that are inadequately prepared or
stored or subject to unsanitary conditions increase the patient's risk for infections and food
poisoning, and an assessment should include storage practices. The water supply, the
increased number of individuals in the home, and not having a microwave may or may not be
concerns but do not pertain to the current health care needs of this patient.
3. The patient has been diagnosed with a respiratory illness and reports shortness of
breath.
The nurse adjusts the temperature to facilitate the comfort of the patient. At which
temperature range will the nurse set the thermostat?
a. 60 ° to 64° F
b. 65 ° to 75° F
c. 15 ° to 17° C
d. 25 ° to 28° C
ANS: B
A person's comfort zone is usually between 18.3° and 23.9° C (65° and 75° F). The other ranges
are too low or too high and do not reflect the average person's comfort zone
4. A homeless adult patient presents to the emergency department. The nurse obtains
the
following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse
58, and respiratory rate 12. Which vital sign should the nurse address immediately?
a. Respiratory rate
b. Temperature
c. Apical pulse
d. Blood pressure
, ANS: B
The temperature indicates the patient is experiencing hypothermia. Homeless individuals are
more at risk for hypothermia. While all the vital signs are low, the most critical vital sign at
this time is the temperature
5. A nurse is teaching the patient and family about wound care. Which technique will
the nurse teach to best prevent transmission of pathogens?
a. Wash hands
b. Wash wound
c. Wear gloves
d. Wear eye protection
ANS: A
One of the most effective methods for limiting the transmission of pathogens is the medically
aseptic practice of hand hygiene. The most common means of transmission of pathogens is
by the hands. While washing the wound is needed, the best method to prevent transmission
is hand hygiene. Wearing gloves and possibly eye protection help protect the nurse, but
handwashing is best for limiting the transmission of pathogens.
6. The nurse is monitoring for Never Events. Which finding indicates the nurse will report
a Never Event?
a. No blood incompatibility occurs with a blood transfusion.
b. A surgical sponge is left in the patient's incision.
c. Pulmonary embolism after lung surgery
d. Stage II pressure ulcer
ANS: B
The Centers for Medicare and Medicaid Services names select serious reportable events as
Never Events (i.e., adverse events that should never occur in a health care setÝng). A surgical
sponge left in a patient's incision is a Never Event. No blood incompatibility reaction is safe
practice. Pulmonary embolism after certain orthopedic procedures is like a total knee and hip
replacement. Stage III and IV pressure ulcers are Never Events.
FREQUENTLY TESTED MCQS WITH DETAILED RATIONALES / GRADED A+ /
GUARANTEED PASS!!
1. A home health nurse is performing a home assessment for safety. Which
comment by the patient will cause the nurse to follow up?
a. "Every December is the time to change batteries on the carbon monoxide detector."
b. "I will schedule an appointment with a chimney inspector next week."
c. "If I feel dizzy when using the heater, I need to have it inspected."
d. "When it is cold outside in the winter, I will use a nonvented furnace."
ANS: D
Using a nonvented heater introduces carbon monoxide into the environment and decreases
the available oxygen for human consumption and the nurse should follow up to correct this
behavior. Checking the chimney and heater, changing the batteries on the detector, and
following up on symptoms such as dizziness, nausea, and fatigue are all statements that are
safe and appropriate and need no follow-up
2. The nurse is caring for an older-adult patient admitted with nausea, vomiting, and
diarrhea
due to food poisoning. The nurse completes the health history. Which priority concern
will require collaboration with social services to address the patient's health care needs?
a. The electricity was turned off 3 days ago.
b. The water comes from the county water supply.
c. A son and family recently moved into the home.
d. This home is not furnished with a microwave oven.
ANS: A
Electricity is needed for refrigeration of food, and lack of electricity could have contributed to
,the nausea, vomiting, and diarrhea due to food poisoning. This discussion about the patient's
electrical needs can be referred to social services. Foods that are inadequately prepared or
stored or subject to unsanitary conditions increase the patient's risk for infections and food
poisoning, and an assessment should include storage practices. The water supply, the
increased number of individuals in the home, and not having a microwave may or may not be
concerns but do not pertain to the current health care needs of this patient.
3. The patient has been diagnosed with a respiratory illness and reports shortness of
breath.
The nurse adjusts the temperature to facilitate the comfort of the patient. At which
temperature range will the nurse set the thermostat?
a. 60 ° to 64° F
b. 65 ° to 75° F
c. 15 ° to 17° C
d. 25 ° to 28° C
ANS: B
A person's comfort zone is usually between 18.3° and 23.9° C (65° and 75° F). The other ranges
are too low or too high and do not reflect the average person's comfort zone
4. A homeless adult patient presents to the emergency department. The nurse obtains
the
following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse
58, and respiratory rate 12. Which vital sign should the nurse address immediately?
a. Respiratory rate
b. Temperature
c. Apical pulse
d. Blood pressure
, ANS: B
The temperature indicates the patient is experiencing hypothermia. Homeless individuals are
more at risk for hypothermia. While all the vital signs are low, the most critical vital sign at
this time is the temperature
5. A nurse is teaching the patient and family about wound care. Which technique will
the nurse teach to best prevent transmission of pathogens?
a. Wash hands
b. Wash wound
c. Wear gloves
d. Wear eye protection
ANS: A
One of the most effective methods for limiting the transmission of pathogens is the medically
aseptic practice of hand hygiene. The most common means of transmission of pathogens is
by the hands. While washing the wound is needed, the best method to prevent transmission
is hand hygiene. Wearing gloves and possibly eye protection help protect the nurse, but
handwashing is best for limiting the transmission of pathogens.
6. The nurse is monitoring for Never Events. Which finding indicates the nurse will report
a Never Event?
a. No blood incompatibility occurs with a blood transfusion.
b. A surgical sponge is left in the patient's incision.
c. Pulmonary embolism after lung surgery
d. Stage II pressure ulcer
ANS: B
The Centers for Medicare and Medicaid Services names select serious reportable events as
Never Events (i.e., adverse events that should never occur in a health care setÝng). A surgical
sponge left in a patient's incision is a Never Event. No blood incompatibility reaction is safe
practice. Pulmonary embolism after certain orthopedic procedures is like a total knee and hip
replacement. Stage III and IV pressure ulcers are Never Events.
