ATI RN N ursing Fundamentals Exam 2024 New
Latest Version with All Q uestions from Actual ,
Answers and Rationale
Question 1:
A nurse enters a client's room and sees smoke coming from the client's trash can.
Which of the following actions should the nurse take first?
A. Confine the fire by closing doors and windows.
B. Activate the fire alarm system.
C. Extinguish the fire if possible.
D. Rescue the client from immediate danger.
Show correct answer and explanation
Explanation
Choice A rationale:
Confine the fire by closing doors and windows. While confining the fire is
important, the nurse's first priority should be ensuring the safety of the client.
Closing doors and windows may help prevent the fire from spreading, but it does
not address the im mediate danger to the client.
Choice B rationale:
Activate the fire alarm system. Activating the fire alarm is a crucial step to alert
other staff members, patients, and visitors about the fire. However, it is not the
first action the nurse should take. Ensuring the safety of the client should be the
top priority.
Choice C rationale:
Extinguish the fire if possible. Attempting to extinguish the fire can be dangerous
for the nurse and may waste precious time. The nurse's safety and the client's
safety should be the primary concern. Trying to put out the fire before ensuring
the client's safety is not the best course of action.
Choice D rationale:
Rescue the client from immediate danger. This is the correct answer because the
nurse's first priority in a fire emergency is to ensure the safety of the client.
Rescuing the client from immediate danger should be done before any other
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actions are taken. The nurse should assess the situation, help the client to safety,
and then notify others about the fire and activate the alarm system.
Question 2:
A nurse delegates the application of wrist restraints for a client who is confused to an
assistive personnel (AP) The AP padded the wrist restraints and secured the straps to the
bed frame with a double knot.
Which of the following actions should the nurse take?
A. Retie the restraint straps with a slipknot.
B. Check that three fingers will fit beneath the restraints.
C. Retie the restraint straps to the side rails.
D. Remove the padding under the wrist restraints.
Show correct answer and explanation
Explanation
Choice A rationale:
Retie the restraint straps with a slipknot. Using a slipknot may make it easier to
release the restraints quickly if necessary, but it does not address the issue of
proper fit and safety. The nurse should focus on ensuring the restraints are
applied correc tly and safely.
Choice B rationale:
Check that three fingers will fit beneath the restraints. This is the correct answer
because it ensures that the restraints are not too tight, allowing for proper
circulation and preventing injury to the client. Checking for proper fit is a
fundamental saf ety measure when using restraints.
Choice C rationale:
Retie the restraint straps to the side rails. Tying the restraints to the side rails
could pose a significant risk to the client's safety. It may restrict movement
further and lead to complications. The nurse should prioritize the client's comfort
and safe ty when applying restraints.
Choice D rationale:
Remove the padding under the wrist restraints. Removing the padding under the
restraints may cause discomfort and skin irritation for the client. Properly padded
restraints are necessary to prevent injury. Instead of removing the padding, the
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nurse should focus on checking the fit and ensuring the restraints are applied
correctly.
Question 3:
A nurse is caring for a client when the safety on the bed plug's electrical outlet pops and
begins to smoke.
Which of the following actions is the nurse's priority?
A. Use a fire extinguisher on the outlet.
B. Activate the fire alarm.
C. Move any clients to safety.
Show correct answer and explanation
Explanation
Choice A rationale:
Use a fire extinguisher on the outlet. Using a fire extinguisher directly on an
electrical outlet is extremely dangerous and can lead to electrocution. It is not a
recommended action in this situation.
Choice B rationale:
Activate the fire alarm. This is the correct answer because activating the fire
alarm alerts others in the facility about the fire, allowing for a swift and organized
evacuation. Alerting others to the danger is essential in ensuring everyone's
safety duri ng a fire emergency.
Choice C rationale:
Move any clients to safety. While moving clients to safety is important, activating
the fire alarm should be the first action taken. Alerting others about the fire
enables a coordinated response and ensures that everyone is aware of the
emergency situation .
Question 4: A nurse is caring for a client when the safety on the bed plug's electrical
outlet pops and begins to smoke.
Which of the following actions is the nurse's priority?
A. Use a fire extinguisher on the outlet.
B. Activate the fire alarm .
C. Move any clients to safety.
Show correct answer and explanation
Explanation
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Choice A rationale:
Confine the fire by closing doors and windows. Rationale: While confining the fire
is essential, the nurse's first priority should be the safety of the client. Closing
doors and windows can wait. The nurse should focus on immediate actions to
ensure the client's safety.
Choice B rationale:
Activate the fire alarm system. Rationale: Activating the fire alarm system is
crucial to alert others in the healthcare facility about the fire. This action ensures
a timely response from the fire department and other staff members, enhancing
overall safety within the facility.
Choice C rationale:
Extinguish the fire if possible. Rationale: Attempting to extinguish the fire might
lead to delay, especially if the nurse is not trained to handle fires properly.
Moreover, the nurse's safety is paramount, and attempting to put out the fire
could put the nurse at risk. Prioritizing the client's im mediate rescue is the best
course of action.
Choice D rationale:
Rescue the client from immediate danger. Rationale: The correct action for the
nurse to take first is to rescue the client from immediate danger. This may involve
helping the client out of the room or moving them away from the source of the
fire. Ensuring the client's safety is the top priority, and all ot her actions should
follow after this.
Question 5: A night shift nurse works and cares for several clients at risk for falls.
Which of the following actions should the nurse take?
A. Instruct the clients to use the call light.
B. Keep the clients' rooms dark.
C. Move overbed tables away from the bed.
D. Perform client checks every 4 hours.
Show correct answer and explanation
Explanation
Choice A rationale: Powered by TCPDF (www.tcpdf.org)
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