ATI Fundamental Proctored Exam Study Guide 2024-2025 Related

Review ATI Fundamental Proctored Exam Study Guide 2024-2025 related questions and content

The nurse is performing the “Timed Get Up and Go (TUG)” assessment. Which actions will the nurse take? (Select all that apply.)

  • A. Ranks a patient as high risk for falls after patient takes 18 seconds to complete
  • B. Teaches patient to rise from straight back chair using arms for support
  • C. Instructs the patient to walk 10 feet as quickly and safely as possible
  • D. Observes for unsteadiness in patient's gait
  • E. Begins counting after the instructions
  • F. Allows the patient a practice trial.
Correct Answer: C, D, F

Rationale: The correct answers are C, D, and F.
C: Instructing the patient to walk 10 feet quickly and safely is a key step in the TUG assessment to evaluate mobility and fall risk.
D: Observing for unsteadiness in the patient's gait is crucial to assess balance and risk of falls during the TUG assessment.
F: Allowing the patient a practice trial helps ensure that they understand the instructions and can perform the task accurately during the actual assessment.
These actions are essential for a comprehensive and accurate evaluation of the patient's mobility and fall risk during the Timed Get Up and Go assessment.