Questions 58

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ATI Nur 231 Fundamentals Exam Questions

Question 1 of 5

A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Bend at the knees when picking up an object: This instruction is crucial for preventing back strain. Bending at the knees allows the client to use her legs' strength to lift the object rather than putting pressure on the back. This technique helps protect the spine and promotes safe lifting practices.

Question 2 of 5

Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?

Correct Answer: A

Rationale: Interpersonal: The nurse is engaging in interpersonal communication during the admission health history and physical assessment. This form of communication occurs between two individuals and involves a direct exchange of information.

Question 3 of 5

A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?

Correct Answer: C

Rationale: Footboard: A footboard is the most appropriate device to prevent plantar flexion contractures. It provides support to the feet and helps keep them in a neutral position.

Question 4 of 5

A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Correct Answer: B

Rationale: Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds: This emphasizes the importance of thoroughly applying an alcohol-based hand rub to all areas of the hands, including the back, between fingers, and under nails. Using the rub for 20 to 30 seconds allows for effective disinfection, reducing the risk of transmitting infections.

Question 5 of 5

The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows to use touch cautiously when communicating with which patient?

Correct Answer: A

Rationale: Middle-aged man experiencing the acute phase of myocardial infarction (MI): During the acute phase of an MI, the patient may be experiencing significant physical and emotional stress.
Touch may be perceived as intrusive or overwhelming.

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