ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A decreased sense of balance is common in older adults due to musculoskeletal and sensory changes. Nighttime incontinence is not universal. Pain perception varies, not typically heightened. Sleep patterns may become disrupted, not necessarily increased.
Question 2 of 5
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: D
Rationale: The client's room number is not a reliable method to confirm the client's identity because multiple clients may be assigned to the same room, and there is a possibility of room changes or transfers. The client's admitting diagnosis is not a suitable method to confirm identity as it does not provide specific information about the individual patient. The name of the client's next of kin is not a reliable method to confirm the client's identity as it refers to a family member or emergency contact, not the client themselves. The nurse should plan to use the client's telephone number to confirm their identity, as it is a unique identifier. Note: Typically, client identity is confirmed using two identifiers such as name and date of birth, but based on the provided options, the telephone number is the most reliable.
Question 3 of 5
A nurse is teaching a client about preventing falls at home. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Removing loose rugs reduces tripping hazards, indicating understanding. Cluttered floors increase fall risk, socks reduce traction, and dim lighting impairs visibility.
Question 4 of 5
A nurse is caring for a client with a history of falls. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Ensuring the call light is within reach allows the client to request assistance, reducing fall risk. High bed positions, dim lighting, and non-traction slippers increase fall risk.
Question 5 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A decreased sense of balance is common in older adults due to musculoskeletal and sensory changes. Nighttime incontinence is not universal. Pain perception varies, not typically heightened. Sleep patterns may become disrupted, not necessarily increased.