ATI FUNDAMENTALS EXAM WITH CORRECT QUESTIONS AND ANSWERS

ATI FUNDAMENTALS EXAM WITH CORRECT QUESTIONS AND ANSWERS Detail Solutions and Resource for the test List the pertinent information that should be included in a transfer report. • Medical diagnosis and care providers • Demographic information • Overview of health status, plan of care, recent progress • Alterations that can precipitate an immediate concern • Notification of assessments/care essential within the next fewhours • Most recent vital signs and medications, including PRN • Allergies • Diet/activity orders • Specific equipment/adaptive devices (oxygen, suction, wheelchair) • Advance directives/emergency code status • Family involvement in care and health care proxy A nurse is caring for an older adult client with dementia. What preventative measuresshould the nurse institute to reduce the risk of falls? • Complete fall-risk assessment • Be sure client knows how to use the call light, it is in reach, and encourage them to use it • Respond to call in timely manner • Use fall-risk alerts (color-coded wristbands) • Provide regular toileting and orientation of clients who have cognitive impairment • Adequate lighting • Orient clients to the setting to make sure they know how to useall assistive devices (grab bars) • Place clients at risk for falls near the nurses’ station • Hourly rounding • Make sure bedside tables, overbed tables and frequent-useitems (phone, water, tissues) are within reach • Bed in lowest position and lock brakes • Clients that are sedated, unconscious, or compromised, keepside rails up • Avoid use of full side rails for clients who het out of bed orattempt to get out of bed without assistance • Non-skid footwear and nonskid bath mats in tubs/showers • Use gait belts when moving clients • Keep floor clean, dry, and free of clutter with a clear path to the bathroom (NO scatter rugs, cords, furniture) • Keep assistive devices nearby after validation of safe use (eyeglasses, walkers, transfer devices