ATI RN
ATI Fundamentals Exam Questions
Question 1 of 5
A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?
Correct Answer: D
Rationale: The correct answer is D because keeping the elbows in a fixed position during ambulation with crutches using a three-point gait can lead to increased strain on the shoulders and wrists, potentially causing discomfort or injury. It is important for the client to have fluid movement and flexibility in the elbows to maintain proper balance and distribute weight evenly while walking. The other choices are incorrect because: A: Pushing downward on the handgrips helps provide stability and support. B: Standing in a tripod position before walking is a recommended starting position for stability. C: Placing partial weight on the affected leg is necessary for balance and proper weight distribution.
Question 2 of 5
A patient is admitted with a stroke. The outcome of this disorder is uncertain, but the patient is unable to move the right arm and leg. The nurse starts passive range-of-motion (ROM) exercises. Which finding indicates successful goal achievement?
Correct Answer: D
Rationale: The correct answer is D: Joint mobility maintained. Passive ROM exercises help prevent contractures and maintain joint mobility in patients with limited movement. Improving muscle strength (
Choice
B) is not the primary goal of passive ROM exercises. Heart rate decreasing (
Choice
C) is not a direct indicator of successful goal achievement in this scenario. Contractures developing (
Choice
A) would indicate a negative outcome, as the goal is to prevent contractures.
Question 3 of 5
A nurse is providing range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
Correct Answer: B
Rationale:
Rationale: The correct answer is B because moving each joint just to the point of resistance during ROM exercises helps prevent injury and promotes joint flexibility without causing pain or discomfort. This technique ensures safe and effective movements, allowing the nurse to assess the patient's range of motion accurately.
Summary of Incorrect
Choices:
A: Repeating each movement 5 times may lead to overexertion and increased risk of injury.
C: Completing movements quickly and smoothly may not allow for proper assessment of the patient's limitations.
D: Continuing movements until the patient reports pain can cause harm and should be avoided to prevent injury and discomfort.
Question 4 of 5
The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning, what should the nurse anticipate?
Correct Answer: D
Rationale: The correct answer is D. The patient's behavior of smoking again after being smoke-free for 2 weeks indicates a relapse, moving the patient back to the contemplation or precontemplation phase of the stages of change model. This phase involves reconsidering the decision to change and reflecting on the reasons for quitting smoking. The other choices are incorrect because A assumes immediate continuity, B focuses on lifestyle changes, and C makes a definitive statement about the patient's future behavior without considering relapse as a common part of the quitting process.
Question 5 of 5
A nurse is reviewing the medical record for a client who has a health care-associated infection (HAI). The nurse should identify which of the following findings as a risk factor for acquiring an HAI?
Correct Answer: B
Rationale: The correct answer is B: The client is 71 years old. Advanced age is a known risk factor for acquiring healthcare-associated infections due to weakened immune function and higher likelihood of comorbidities. Older individuals have a higher susceptibility to infections, making them more prone to acquiring HAIs.
Choice A (The client is a male) is incorrect as gender alone is not a direct risk factor for HAIs.
Choice C (The client had an appendectomy 6 months ago) is not a direct risk factor for acquiring HAIs unless there were complications during the surgery.
Choice D (The client has bipolar disorder) is also not a direct risk factor for HAIs unless it compromises the client's immune system.