ATI RN
ATI RN Fundamentals 2023 II 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: B
Rationale: The correct answer is B because having an area rug covering a tile floor poses a significant fall risk for an older adult with osteoporosis, as it increases the chances of tripping and falling. The other choices (A, C,
D) are all appropriate measures to promote safety. Storing prescriptions in a medication organizer promotes medication adherence and prevents errors. Installing grab bars in the shower enhances stability and reduces the risk of falls. Setting the hot water heater to 47°C (117°F) is within the safe range to prevent scalding injuries.
Question 2 of 5
A nurse identifies a small fire in a client's room. After moving the client to safety, which of the following is the next action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Activate the facility's fire alarm. This is the next action the nurse should take after ensuring the client's safety. Activating the fire alarm alerts other staff members and emergency services, allowing for a quicker and more coordinated response to the fire. Placing wet towels along the base of the door (choice
A) may help prevent smoke from entering the room but does not address the larger issue of alerting others to the fire. Directing a fire extinguisher at the fire (choice
C) should only be done if the nurse is trained to do so and it is safe. Turning off any electrical equipment (choice
D) may be necessary to prevent further hazards but does not take precedence over alerting others to the fire.
Question 3 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I will repeat these movements 3 to 5 times." This is the best choice because passive range-of-motion exercises should be repeated multiple times to prevent joint stiffness and contractures. Moving joints quickly (
A) may cause injury. Performing the exercises only once per day (
B) may not be sufficient for maintaining joint mobility. Moving joints to the point of mild pain (
C) can lead to discomfort and potential harm.
Therefore, option D is the most appropriate for promoting joint mobility and preventing complications.
Question 4 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. Weight-bearing exercises, like walking, help improve bone density and prevent osteoporosis. Walking also helps strengthen muscles and improve balance, reducing the risk of falls and fractures. Performing water aerobics (choice
A) can be beneficial for overall health but may not have the same impact on bone density as weight-bearing exercises. Increasing intake of vitamin B12 (choice
C) is important for overall health but not specifically for osteoporosis prevention. Maintaining a lean body mass (choice
D) is beneficial, but the focus should be on weight-bearing exercises for osteoporosis prevention.
Question 5 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. This action helps prevent external rotation of the hips, which can lead to hip dislocation in immobile clients. Trochanter rolls provide support and maintain proper alignment of the legs, reducing the risk of pressure injuries and contractures.
Choice A is incorrect because crossing the client's ankles can cause pressure ulcers and restrict blood flow.
Choice C is incorrect as placing the client's arms at their side can lead to shoulder and elbow contractures.
Choice D is incorrect because logrolling every 4 hours is not necessary for all immobile clients and may cause unnecessary disruption and discomfort.