Extract:

Question 1 of 5

A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?

A. Place their arms around the client to prevent the fall.B. Remain upright as the client falls toward them.C. Move quickly to a position in front of the client.D. Allow the client to slide down their outstretched leg.

Correct Answer: D

Rationale: Allowing the client to slide down an outstretched leg (
D) safely lowers them, minimizing injury to both. Arms around (
A) risks mutual injury, staying upright (
B) or moving in front (
C) increases fall risk.

Question 2 of 5

A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?

A. Release the skin before withdrawing the needle.B. Insert at a 45° angle.C. Withdraw the needle quickly.D. Pull the skin laterally.

Correct Answer: D

Rationale: Pulling skin laterally (
D) in Z-track seals medication in muscle, preventing leakage. Releasing early (
A) negates this, 45° (
B) is too shallow (90° typical), and quick withdrawal (
C) risks leakage.

Question 3 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 4 of 5

A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?

A. Logrolling helps prevent friction when you are repositioned.'B. Logrolling will keep your spine in alignment.'C. You should keep your arms at your sides while logrolling'D. The head of your bed will be elevated prior to logrolls'

Correct Answer: B

Rationale: Logrolling (
B) maintains spinal alignment, critical for spinal injury clients. Friction (
A) is secondary, arms cross the chest (not sides,
C), and bed elevation (
D) isn’t required.

Question 5 of 5

A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?

A. Release the skin before withdrawing the needle.B. Insert at a 45° angle.C. Withdraw the needle quickly.D. Pull the skin laterally.

Correct Answer: D

Rationale: Pulling skin laterally (
D) in Z-track seals medication in muscle, preventing leakage. Releasing early (
A) negates this, 45° (
B) is too shallow (90° typical), and quick withdrawal (
C) risks leakage.

Nurselytic

ATI RN

ATI RN

ATI RN Fundamentals 2023 Exam 3 Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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