ATI PROCTORED FUNDAMENTAL EXAM SCRIPT
WITH COMPLETE SOLUTIONS
◉ 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.
☐ S - Sweep the extinguisher from side to side, covering the area of
the fire.
◉ Mobility and Immobility: Positioning a Client for Promotion of
Venous Return (10).
Answer: Trendelenburg position
› The entire bed is tilted with the head of the bed lower than the foot
of the bed.
,› This position is used during postural drainage, and it facilitates
venous retur
◉ Urinary Elimination: Planning Care for a Client Who Has an Iodine
Allergy (40).
Answer: ● Intravenous pyelogram (IVP) - Injecting contrast media
(iodine) allows for viewing of ducts, renal
pelvis, ureters, bladder, and urethra. Determine whether the client
has an allergy to shellfish.
◉ Home Safety: Planning Home Safety for an Older Adult Client Who
Has Vision Loss (13).
Answer: Modifications that can be made to improve home safety
include:
☐ Removing items that could cause the client to trip, such as throw
rugs and loose carpets.
☐ Placing electrical cords and extension cords that against a wall
behind furniture.
☐ Monitoring gait and balance, and providing aids as needed.
☐ Making sure that steps and sidewalks are in good repair.
☐ Placing grab bars near the toilet and in the tub or shower, and
installing a stool riser.
☐ Using a nonskid mat in the tub or shower.
, ☐ Placing a shower chair in the shower and bedside commode if
needed.
☐ Ensuring that lighting is adequate both inside and outside of the
home.
Factors that contribute to loss of vision include presbyopia,
cataracts, glaucoma, diabetic retinopathy, macular degeneration,
infection, inflammation, injury, and brain tumor. Vision impairment
• Call clients by name before approaching to avoid startling them.
• Identify yourself.
• Stay within the clients' visual field if they have a partial loss.
• Give specific information about the location of items or areas of the
building.
• Explain interventions before touching clients.
• Before leaving, inform clients of your departure.
• Carefully appraise clothing and suggest changes if soiled or torn.
• Make a radio, television, compact disc (CD) player, or digital audio
file player available. Describe the arrangement of the food on the
tray before leaving the room. clock
◉ Client Safety: Using Restraints (12).
Answer: ● In general, seclusion and/or restraints should be ordered
for the shortest duration necessary and only if less restrictive
measures are not sufficient. It is for the physical protection of the
client or the protection of other clients or staff.
WITH COMPLETE SOLUTIONS
◉ 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.
☐ S - Sweep the extinguisher from side to side, covering the area of
the fire.
◉ Mobility and Immobility: Positioning a Client for Promotion of
Venous Return (10).
Answer: Trendelenburg position
› The entire bed is tilted with the head of the bed lower than the foot
of the bed.
,› This position is used during postural drainage, and it facilitates
venous retur
◉ Urinary Elimination: Planning Care for a Client Who Has an Iodine
Allergy (40).
Answer: ● Intravenous pyelogram (IVP) - Injecting contrast media
(iodine) allows for viewing of ducts, renal
pelvis, ureters, bladder, and urethra. Determine whether the client
has an allergy to shellfish.
◉ Home Safety: Planning Home Safety for an Older Adult Client Who
Has Vision Loss (13).
Answer: Modifications that can be made to improve home safety
include:
☐ Removing items that could cause the client to trip, such as throw
rugs and loose carpets.
☐ Placing electrical cords and extension cords that against a wall
behind furniture.
☐ Monitoring gait and balance, and providing aids as needed.
☐ Making sure that steps and sidewalks are in good repair.
☐ Placing grab bars near the toilet and in the tub or shower, and
installing a stool riser.
☐ Using a nonskid mat in the tub or shower.
, ☐ Placing a shower chair in the shower and bedside commode if
needed.
☐ Ensuring that lighting is adequate both inside and outside of the
home.
Factors that contribute to loss of vision include presbyopia,
cataracts, glaucoma, diabetic retinopathy, macular degeneration,
infection, inflammation, injury, and brain tumor. Vision impairment
• Call clients by name before approaching to avoid startling them.
• Identify yourself.
• Stay within the clients' visual field if they have a partial loss.
• Give specific information about the location of items or areas of the
building.
• Explain interventions before touching clients.
• Before leaving, inform clients of your departure.
• Carefully appraise clothing and suggest changes if soiled or torn.
• Make a radio, television, compact disc (CD) player, or digital audio
file player available. Describe the arrangement of the food on the
tray before leaving the room. clock
◉ Client Safety: Using Restraints (12).
Answer: ● In general, seclusion and/or restraints should be ordered
for the shortest duration necessary and only if less restrictive
measures are not sufficient. It is for the physical protection of the
client or the protection of other clients or staff.
