ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing range of motion to the shoulder and must perform external rotation. Which action will the nurse take?
Correct Answer: D
Rationale: The correct answer is D.
To perform external rotation of the shoulder, the nurse should move the patient's arm until the thumb is upward and lateral to the head with the elbow flexed. This position optimally engages the external rotators of the shoulder joint, allowing for the desired movement.
Choice A involves a full circle motion, which does not specifically target external rotation.
Choice B focuses on adduction rather than external rotation.
Choice C involves extension of the shoulder rather than external rotation.
Therefore, the correct answer is D as it aligns with the anatomical movements required for external rotation of the shoulder joint.
Question 2 of 5
A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
Correct Answer: D
Rationale: The correct answer is D because moving each joint just to the point of resistance during passive ROM exercises helps prevent injury and avoids causing pain to the patient. Moving beyond the point of resistance can result in muscle strain or joint damage. This technique allows the nurse to safely improve joint mobility without causing harm.
Choice A is incorrect because the patient may not be able to repeat the movement 5 times due to their impaired mobility.
Choice B is incorrect because continuing movement until the patient experiences pain is harmful and can lead to injury.
Choice C is incorrect because moving quickly and smoothly may not allow the nurse to gauge the patient's tolerance and could potentially cause harm.
Question 3 of 5
A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. Which finding will indicate goal achievement for the nurse's action?
Correct Answer: D
Rationale: The correct answer is D, prevention of joint contractures. Passive ROM and splinting help maintain joint flexibility and prevent contractures in immobile patients. Contractures are abnormal shortening of muscles causing joints to remain in fixed positions. Preventing joint contractures is essential for preserving mobility.
A: Prevention of atelectasis is unrelated to passive ROM and splinting.
B: Prevention of renal calculi is not a direct outcome of passive ROM and splinting.
C: Prevention of pressure ulcers is important but not directly related to joint mobility.
In summary, the goal of the nurse's action is to prevent joint contractures, as immobility can lead to loss of joint motion.
Question 4 of 5
A nurse is preparing to reposition a patient. Which task can the nurse delegate to the nursing assistive personnel?
Correct Answer: B
Rationale: The correct answer is B: Changing the patient's position. This task can be delegated to nursing assistive personnel as it involves physically moving the patient, which does not require advanced nursing knowledge or assessment skills. Nursing assistive personnel are trained to safely reposition patients under the supervision of a nurse.
Choices A, C, and D involve critical thinking, assessment, and decision-making skills that require a nurse's expertise, so they cannot be delegated.
Question 5 of 5
A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure cuff.
To assess for orthostatic hypotension, the nurse needs to measure the patient's blood pressure in different positions - lying down, sitting, and standing. This is done using a blood pressure cuff to monitor any significant drop in blood pressure upon changing positions. A thermometer (choice
A) is used to measure temperature and is not relevant to assessing orthostatic hypotension. Elastic stockings (choice
B) are used for compression therapy in conditions like venous insufficiency and do not help in assessing orthostatic hypotension. Sequential compression devices (choice
D) are used for preventing deep vein thrombosis and improving circulation, not for assessing orthostatic hypotension.