ATI RN
ATI RN Fundamentals 2023 Questions
Question 1 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Use trochanter rolls beside the client's legs. Trochanter rolls help maintain proper alignment of the hips and prevent external rotation of the legs, reducing the risk of pressure ulcers and hip dislocation. Logrolling (choice
A) is not necessary unless specifically indicated for spinal precautions. Placing the client's arms at their side (choice
C) may restrict circulation and lead to discomfort. Crossing the client's ankles (choice
D) could cause pressure ulcers and impair circulation.
Question 2 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Performing ankle and knee exercises every hour helps prevent muscle atrophy and improve circulation, reducing adverse effects of immobility. This promotes joint mobility and prevents blood clots.
Choice B: Having a partner help change positions every 4 hours may not be frequent enough to prevent complications of immobility.
Choice C: Removing antiembolic stockings while in bed can increase the risk of blood clots as they are meant to promote circulation.
Choice D: Holding breath when rising from a sitting position can lead to dizziness and falls, not addressing the adverse effects of immobility.
Question 3 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: B
Rationale: The correct answer is B: Walk for 30 minutes three to five times each week. Walking is a weight-bearing exercise that helps strengthen bones and prevent osteoporosis. Weight-bearing exercises help maintain bone density and reduce the risk of fractures. Walking for 30 minutes, three to five times a week, is a recommended guideline for osteoporosis prevention.
Choice A is incorrect because maintaining lean body mass alone may not be sufficient to prevent osteoporosis.
Choice C is incorrect because increasing vitamin B12 intake does not directly impact bone health.
Choice D is incorrect because while water aerobics can be beneficial for overall fitness, it may not be as effective in preventing osteoporosis as weight-bearing exercises like walking.
Question 4 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: A
Rationale: The correct answer is A: Metabolic syndrome. Metabolic syndrome is a cluster of conditions that increase the risk of cardiovascular disease, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. These factors contribute to a higher likelihood of developing heart disease, stroke, and other cardiovascular issues.
Choice B, participation in competitive sports, does not inherently place a client at risk for cardiovascular disease; in fact, regular exercise is beneficial for heart health.
Choice C, family history of alcohol use disorder, may indicate a genetic predisposition to alcoholism but is not directly linked to cardiovascular disease risk.
Choice D, hypotension, is low blood pressure and is not typically associated with an increased risk of cardiovascular disease.
Question 5 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of safety considerations for an older adult with heart failure taking hydrochlorothiazide. Leaving a light on in the bathroom at night can prevent falls, as older adults are at higher risk due to medication side effects like dizziness from hydrochlorothiazide. Option A is incorrect as regular weight monitoring is crucial for heart failure but should be done more frequently than once weekly. Option B is incorrect as hydrochlorothiazide is typically taken in the morning to avoid frequent urination at night. Option D is incorrect as taking a hot bath before bed can cause dehydration and affect blood pressure, which is not recommended for someone with heart failure.