ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: C
Rationale: Area rugs on tile floors pose a fall risk for osteoporosis clients, as they can slip or bunch, leading to fractures. Grab bars enhance safety, 47°C water is below scalding risk (49°
C), and organizers are beneficial.
Question 2 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: A hook-and-loop collar secures the tracheostomy tube safely, preventing dislodgement. Cutting gauze risks loose fibers, hydrogen peroxide is too harsh, and sterile (not clean) gloves are required for inner cannula cleaning to prevent infection.
Question 3 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client’s risk of developing a pressure injury?
Correct Answer: C
Rationale: Elevating heels off the mattress prevents pressure injuries on this vulnerable area. Four-hour repositioning is too infrequent (2 hours is standard), a 60° angle risks sacral pressure, and massaging increases tissue damage risk.
Question 4 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Eyelashes curling outward are normal, protecting the eye. Opaque corneas, dilated pupils (8-9 mm), and excessive blinking (30-35/min vs. 15-20) are abnormal.
Question 5 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: Metabolic syndrome (high BP, glucose, lipids) increases cardiovascular risk via atherosclerosis. Alcohol history, sports (if moderate), and hypotension don’t directly elevate risk.