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Exam (elaborations)

ATI Fundamentals ATI exam review 2024

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Fundamentals ATI exam review 2024 Fundamentals ATI exam review 2024

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Fundamentals ATI exam review 2024

A nurse is assisting with conducting a home hazard assessment for a client who has
dementia. Which of the following findings indicates an understanding of home
safety?

- An extension cord is secured under a rug
- A toaster is plugged in when not in use
- The water heater is set to 55c (131f)
- The edges of stairs are marked with brightly colored tape - ANSWER
The edges of stairs are marked with brightly colored tape

The nurse should instruct the client to mark edges of stairs with brightly colored
tape to alert the client of the steps and reduce the risk of fall.



A nurse is caring for a client who is experiencing a seizure. Which of the following
actions should the nurse take?

-Record the time and length of the seizure
-Restrain the clients extremes
-Place the client in the prone position
-Monitor the clients hemoglobin level - ANSWER Record the time
and length of the seizure


The nurse should monitor the length of time of the seizure to evaluate the type of
seizure and determine treatment required.



A nurse is caring for a client who is at risk for suicide. Which of the following
actions should the nurse take? (Select all that apply)

,-Place the client on round-the-clock surveillance
- Remove objects from the room that the client could use to harm themselves
- Search items brought into the clients room by visitors
- Refrain from asking the client if they intend to harm themselves
- Screen the client for suicidal ideations - ANSWER Place the
client on round the clock surveillance

Remove objects from the room that the client could use to harm themselves

Search items brought into the clients room by visitors

Screen the client for suicidal ideations



A nurse is caring for a client who has an indwelling urinary catheter in place.
Which of the following actions is the priority for the nurse to take to reduce the
clients risk of developing a healthcare associated infection?

- Wipe down the clients bedside table with an antiseptic wipe.
- Conduct informal audits of medical records to identify the number of healthcare
associated infections
- Perform hand hygiene
Instruct the client on ways to reduce the risk for infection - ANSWER
Perform hand hygiene

According to evidence-based practice, hand hygiene among medical professionals,
clients, and visitors is the priority intervention to reduce the risk for the client to
develop a healthcare-associated infection.



A nurse is checking a clients allergy bracelet before administering a medication
and finds the client is allergic to that medication. The nurse does not administer the
medication to the client. This is an example of which of the following unexpected
events?

- Near miss event
- Client safety event

,- Adverse event
- Sentinel event - ANSWER Near miss event

A near-miss event is an error that could have harmed the client which almost
occurs, but was caught and avoided. The nurse noted the client had an allergy to
the medication prior to administering it, avoiding harm to the client.



A nurse is preparing a poster about fire safety for a community health fair. The
nurse should include on the poster that which of the following components
contains needed elects for fire to occur? (SATA)

- Carbon dioxide
- Nitrogen
- Cooking oil
- Oxygen
- Heat - ANSWER Cooking oil

Oxygen

Heat



A nurse is assisting with teaching a class about evidence based protocols
established by the CDC to prevent healthcare associated infections (HAIs). Which
of the following infections should the nurse include? (SATA)

- Influenza infection
- Catheter associated urinary tract infection
- Mycobacterium tuberculosis infection
- Central line associated bloodstream infection
- Surgical site infection - ANSWER Catheter associated urinary
tract infection

Central line associated bloodstream infection

Surgical site infection

, A nurse is assisting with teaching a class about warning signs from a co-worker
that might indicate future workplace violence. Which of the following behaviors
should the nurse include?

- Legitimate absenteeism
- Strict adherence to facility policies
- Consistent adequate work performance
- frequent reports of not being treated fairly - ANSWER frequent
reports of not being treated fairly

The nurse should include that persistent complaining and voicing that they are not
being treated fairly is a warning sign for possible future workplace violence by a
co-worker.



A nurse is assisting with teaching a newly licensed nurse about electrical safety.
Which of the following actions by the newly licensed nurse indicates an
understanding of the teaching?

- The nurse plugs in a sequential compression device with wet hands
- The nurse holds onto the plug to unplug a clients electronic blood pressure
machine
- The nurse rolls the clients bed over an electrical cord
- The nurse uses an extension cord to plug in a clients smart infusion pump -
ANSWER The nurse holds onto the plug to unplug a clients electronic
blood pressure machine

The nurse should instruct the newly licensed nurse to hold onto the plug, rather
than the cord, to unplug electric cords. Pulling on the cord can damage the cord,
and result in an electric shock that could injure the nurse or the client.



A nurse is assisting with teaching a class about hospital-acquired injuries. The
nurse should include which of the following is a hospital-acquired injury? (SATA)

- Blood transfusion incompatibility

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