ATI Fundamentals Proctored Exam
1. The nurse is assessing a patient who reports a previous fall and is
using the SPLATT acronym. Which questions will
... [Show More] the nurse ask the patient? (Select all that apply.)
a. Where did you fall?
b. What time did the fall occur?
c. What were you doing when you fell?
d. What types of injuries occurred after the fall?
e. Did you obtain an electronic safety alert device after the fall?
f. What are your medical problems that may have caused the fall?
2. The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly
formulates a plan to keep the patients safe. Which actions will the nurse take? (Select all that apply.)
a. Close all doors.
b. Note evacuation routes.
c. Note oxygen shut-offs.
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d. Move bedridden patients in their bed.
e. Wait until the fire department arrives to act.
f. Use type B fire extinguishers for electrical fires.
3. The nurse is caring for a patient in restraints. Which essential
information will the nurse document in the patient’s medical record to provide safe care? (Select all that apply.)
a. One family member has gone to lunch.
b. Patient is placed in bilateral wrist restraints at 0815.
c. Bilateral radial pulses present, 2+, hands warm to touch
d. Straps with quick-release buckle attached to bed side rails
e. Attempts to distract the patient with television are unsuccessful.
f. Released from restraints, active range-of-motion exercises completed
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Edition MULTIPLE CHOICE
1. A nurse is assessing body alignment. What is the nurse monitoring?
The relationship of one body part to another while in different
a. positions
b. The coordinated efforts of the musculoskeletal and nervous systems
c. The force that occurs in a direction to oppose movement
d. The inability to move about freely
2. A nurse is providing range of motion to the shoulder and must perform external rotation. Which action will the nurse take?
a. Moves patient’s arm in a full circle
b. Moves patient’s arm cross the body as far as possible
c. Moves patient’s arm behind body, keeping elbow straight
Moves patient’s arm until thumb is upward and lateral to head with
d. elbow flexed
3. A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
a. Each movement is repeated 5 times by the patient.
b. Each movement is performed until the patient experiences pain.
c. Each movement is completed quickly and smoothly by the nurse.
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d. Each movement is moved just to the point of resistance by the nurse.
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