ATI RN Fundamentals 2023 II

Extract:

Question 1 of 5

A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

A. I will apply tape over frayed areas of electrical cords.'B. I will use the grab bars when getting in and out of the bathtub.'C. I need to have a fire escape plan with my family.'D. I need to check my medications for expiration dates.'

Correct Answer: B,C,D

Rationale: Grab bars (
B), fire plan (
C), and med checks (
D) enhance safety. Taping cords (
A) risks fire; replace them.

Question 2 of 5

A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?

A. Deliver a series of high-pitched sounds at random intervals.B. Whisper a series of words softly into one ear.C. Place an activated tuning fork in the middle of the client's forehead.D. Hold an activated tuning fork against the client's mastoid process.

Correct Answer: C

Rationale: Placing the tuning fork on the forehead (
C) tests sound conduction for the Weber’s test. A and B are unrelated, D is for Rinne’s test.

Question 3 of 5

A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

A. The nurse explaining the need for education to the client.B. The client's belief that his needs will be met through education.C. The client seeking family approval by agreeing to a teaching plan.D. The nurse's empathy about the client having to self-inject.

Correct Answer: B

Rationale: Belief in meeting needs (
B) drives motivation. Explanation (
A), approval (
C), and empathy (
D) are secondary.

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?

A. Participation in competitive sportsB. Metabolic syndromeC. Family history of alcohol use disorderD. Hypotension

Correct Answer: B

Rationale: Metabolic syndrome (
B) increases cardiovascular risk. Sports (
A) reduce risk, alcohol history (
C) isn’t direct, hypotension (
D) isn’t typical.

Question 5 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?

A. Ensure the client's heels are not touching the mattress.B. Reposition the client every 4 hr.C. Raise the head of the client's bed to a 60° angle.D. Massage the client's bony prominences.

Correct Answer: A

Rationale: Heels off mattress (
A) prevents ulcers. Repositioning every 2 hr (not 4,
B), 30° max elevation (not 60°,
C), and no massaging (
D) are correct.

ATI RN Fundamentals 2023 II | Nurselytic

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ATI RN

ATI RN