ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client’s risk for falls.Which assessments should the nurse use to identify the client’s safety needs? (Select all that apply)
Correct Answer: B,C,D
Rationale: The correct assessments for identifying an older adult client's safety needs are appearance of gait, visual fields, and visual acuity. Gait appearance helps determine balance and coordination, crucial for fall risk. Visual fields are important for detecting peripheral vision deficits that can contribute to falls. Visual acuity assesses the client's ability to see clearly, which is essential for navigating obstacles and hazards. Pupil clarity (choice
A) is not directly related to fall risk assessment. The other choices (E, F, G) are not provided, so they cannot be evaluated.
Question 2 of 5
A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the abdomen. Heparin is typically administered subcutaneously into the abdomen due to the abundance of subcutaneous tissue in this area, allowing for better absorption of the medication. This site also reduces the risk of hitting underlying muscles or blood vessels. Inserting the needle at a 15-degree angle (choice
A) is not necessary as a 90-degree angle is preferred for subcutaneous injections. Aspirating for blood return (choice
B) is not recommended for subcutaneous injections as it may cause tissue damage. Massaging the site after the injection (choice
D) is contraindicated as it can lead to bruising or hematoma formation.
Extract:
A nurse is preparing to transfer a patient who can bear weight on one leg from the bed to a chair.
Question 3 of 5
After securing a safe environment, what should the nurse do next?
Correct Answer: C
Rationale: The correct answer is C: Assess the patient for orthostatic hypotension. This is important to prevent falls and other complications when transitioning the patient to a standing position. Orthostatic hypotension can cause dizziness and fainting upon standing, so assessing for this condition helps the nurse determine the patient's readiness to stand safely. Rocking the patient up to a standing position (
A) can increase the risk of falls. Pivoting on the foot farthest from the chair (
B) is a technique used during the transfer process but is not the immediate next step after securing a safe environment. Applying a gait belt (
D) is important for assisting with ambulation but should come after ensuring the patient can safely stand.
Extract:
A client with herpes zoster is inquiring about the use of complementary and alternative therapies for pain management.
Question 4 of 5
Which therapy should the nurse inform the client is contraindicated for their condition?
Correct Answer: D
Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to alleviate various conditions. However, for some clients with certain medical conditions like bleeding disorders or compromised immune systems, acupuncture can be contraindicated due to the risk of infection or excessive bleeding.
Therefore, the nurse should inform the client that acupuncture is not suitable for their condition.
A: Biofeedback is a non-invasive technique that helps individuals control physiological processes. It is generally safe and not contraindicated for most clients.
B: Aloe is a natural remedy often used for skin conditions or as a dietary supplement. It is generally safe and not contraindicated for most clients.
C: Feverfew is an herb commonly used for migraines and other conditions. While it may interact with certain medications, it is not typically contraindicated for most clients.
Extract:
A nurse is caring for a patient who has dementia
Question 5 of 5
What intervention should the nurse take to minimize the risk of injury to the patient?
Correct Answer: A
Rationale: The correct answer is A: Use a bed exit alarm system. This intervention helps to prevent patient falls by alerting the nurse when the patient attempts to leave the bed unsafely. It promotes early intervention and reduces the risk of injury. Raising four side rails (
B) may restrict the patient's movement excessively and could lead to entrapment. Applying a soft wrist restraint (
C) may cause discomfort and compromise the patient's circulation. Dimming the lights (
D) does not directly address the risk of injury.